0001209191-23-042453.txt : 20230717
0001209191-23-042453.hdr.sgml : 20230717
20230717170011
ACCESSION NUMBER: 0001209191-23-042453
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230714
FILED AS OF DATE: 20230717
DATE AS OF CHANGE: 20230717
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Nabulsi Azmi
CENTRAL INDEX KEY: 0001791412
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39094
FILM NUMBER: 231092217
MAIL ADDRESS:
STREET 1: C/O PHATHOM PHARMACEUTICALS, INC.
STREET 2: 2150 E. LAKE COOK ROAD, SUITE 800
CITY: BUFFALO GROVE
STATE: IL
ZIP: 60089
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Phathom Pharmaceuticals, Inc.
CENTRAL INDEX KEY: 0001783183
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 824151574
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 100 CAMPUS DRIVE,
STREET 2: SUITE 102
CITY: FLORHAM PARK
STATE: NJ
ZIP: 07932
BUSINESS PHONE: (877) 742-8466
MAIL ADDRESS:
STREET 1: 100 CAMPUS DRIVE,
STREET 2: SUITE 102
CITY: FLORHAM PARK
STATE: NJ
ZIP: 07932
4
1
doc4.xml
FORM 4 SUBMISSION
X0508
4
2023-07-14
0
0001783183
Phathom Pharmaceuticals, Inc.
PHAT
0001791412
Nabulsi Azmi
C/O PHATHOM PHARMACEUTICALS, INC.
100 CAMPUS DRIVE, SUITE 102
FLORHAM PAK
NJ
07932
0
1
0
0
Chief Operating Officer
0
Common Stock
2023-07-14
4
A
0
110000
A
209567
D
Common Stock
3578.93
I
by 401(k)
Common Stock
785700
I
by Trust
Stock Option
32.20
2023-07-14
4
D
0
70000
D
2030-06-30
Common Stock
70000
0
D
Stock Option
39.11
2023-07-14
4
D
0
150000
D
2031-01-27
Common Stock
150000
0
D
On July 14, 2023, the Issuer canceled, pursuant to the Issuer's option exchange program, options to purchase 220,000 shares of common stock of the Issuer and in exchange issued to the Reporting Person 110,000 restricted stock units, each of which represents a contingent right to receive one share of the Issuer's common stock.
Includes 1,233.71 shares acquired under the Phathom Pharmaceuticals, Inc. 401(k) plan.
/s/ Larry Miller, Attorney-in-Fact for Azmi Nabulsi
2023-07-17