0001808665-20-000061.txt : 20201202 0001808665-20-000061.hdr.sgml : 20201202 20201202165909 ACCESSION NUMBER: 0001808665-20-000061 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201201 FILED AS OF DATE: 20201202 DATE AS OF CHANGE: 20201202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Peisert Daniel A. CENTRAL INDEX KEY: 0001758376 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39294 FILM NUMBER: 201364477 MAIL ADDRESS: STREET 1: C/O ASSERTIO THERAPEUTICS, INC. STREET 2: 100 SOUTH SAUNDERS ROAD, SUITE 300 CITY: LAKE FOREST STATE: IL ZIP: 60045 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Assertio Holdings, Inc. CENTRAL INDEX KEY: 0001808665 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 850598378 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 S. SAUNDERS ROAD STREET 2: SUITE 300 CITY: LAKE FOREST STATE: IL ZIP: 60045 BUSINESS PHONE: (224) 419-7106 MAIL ADDRESS: STREET 1: 100 S. SAUNDERS ROAD STREET 2: SUITE 300 CITY: LAKE FOREST STATE: IL ZIP: 60045 4 1 wf-form4_160694633592816.xml FORM 4 X0306 4 2020-12-01 0 0001808665 Assertio Holdings, Inc. ASRT 0001758376 Peisert Daniel A. ASSERTIO HOLDINGS, INC. 100 SOUTH SAUNDERS ROAD, SUITE 300 LAKE FOREST IL 60045 0 1 0 0 EVP and CFO Common Stock 2020-12-01 4 M 0 8358 0 A 121067 D Common Stock 2020-12-01 4 F 0 2891 0.41 D 118176 D Restricted Stock Units 2020-12-01 4 M 0 8358 0 D 2021-12-01 Common Stock 8358.0 8359 D Represents shares of common stock withheld for payment of taxes upon the vesting of restricted stock units. Each restricted stock unit represents the contingent right to receive one share of common stock. This transaction represents the settlement of vested restricted stock units in shares of common stock. One-third of these restricted stock units are scheduled to vest on each of December 1, 2019, 2020 and 2021. The derivative securities were granted to the reporting person, and were not sold to the reporting person. As such, the reporting person did not pay any consideration for the derivative securities. /s/ Jennifer Hipelius, attorney-in-fact for Daniel A. Peisert 2020-12-02