0001209191-21-034612.txt : 20210520 0001209191-21-034612.hdr.sgml : 20210520 20210520190723 ACCESSION NUMBER: 0001209191-21-034612 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210518 FILED AS OF DATE: 20210520 DATE AS OF CHANGE: 20210520 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: VanDevender Aaron CENTRAL INDEX KEY: 0001813427 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39306 FILM NUMBER: 21946064 MAIL ADDRESS: STREET 1: 1 TOWER PLACE, SUITE 850 CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Applied Molecular Transport Inc. CENTRAL INDEX KEY: 0001801777 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 814481426 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1 TOWER PLACE, SUITE 850 CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 BUSINESS PHONE: 650-392-0420 MAIL ADDRESS: STREET 1: 1 TOWER PLACE, SUITE 850 CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 FORMER COMPANY: FORMER CONFORMED NAME: Applied Molecular Transport LLC DATE OF NAME CHANGE: 20200130 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-05-18 0 0001801777 Applied Molecular Transport Inc. AMTI 0001813427 VanDevender Aaron C/O APPLIED MOLECULAR TRANSPORT INC. 1 TOWER PLACE, SUITE 850 SOUTH SAN FRANCISCO CA 94080 1 0 0 0 Stock Option (Right to Buy) 47.01 2021-05-18 4 A 0 15395 0.00 A 2031-05-18 Common Stock 15395 15395 D 100% of the stock option granted on May 18, 2021 will become vested on the earlier of (i) May 18, 2022 or (ii) the business day prior to the date of the 2022 annual meeting of stockholders. /s/Brandon Hants Attorney-in-Fact for Aaron VanDevender 2021-05-20