0001415889-24-019309.txt : 20240705
0001415889-24-019309.hdr.sgml : 20240705
20240705181111
ACCESSION NUMBER: 0001415889-24-019309
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240702
FILED AS OF DATE: 20240705
DATE AS OF CHANGE: 20240705
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bender Jeremy
CENTRAL INDEX KEY: 0001863107
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40431
FILM NUMBER: 241103179
MAIL ADDRESS:
STREET 1: 395 OYSTER POINT BLVD.
STREET 2: SUITE 217
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Day One Biopharmaceuticals, Inc.
CENTRAL INDEX KEY: 0001845337
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
ORGANIZATION NAME: 03 Life Sciences
IRS NUMBER: 832415215
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2000 SIERRA POINT PARKWAY, SUITE 501
CITY: BRISBANE
STATE: CA
ZIP: 94005
BUSINESS PHONE: 650 484-0899
MAIL ADDRESS:
STREET 1: 2000 SIERRA POINT PARKWAY, SUITE 501
CITY: BRISBANE
STATE: CA
ZIP: 94005
FORMER COMPANY:
FORMER CONFORMED NAME: Day One Biopharmaceuticals Holding Co LLC
DATE OF NAME CHANGE: 20210209
4
1
form4-07052024_100707.xml
X0508
4
2024-07-02
0001845337
Day One Biopharmaceuticals, Inc.
DAWN
0001863107
Bender Jeremy
2000 SIERRA POINT PARKWAY, SUITE 501
BRISBANE
CA
94005
true
true
false
false
CHIEF EXECUTIVE OFFICER
0
Common Stock
2024-07-02
4
G
0
59075
0
D
162762
I
See Footnote
Common Stock
2024-07-02
4
G
0
59075
0
A
624189
I
By Bender Revocable Trust
Common Stock
2024-07-02
4
G
0
29606
0
D
222030
I
See Footnote
Common Stock
2024-07-02
4
G
0
29606
0
A
653795
I
By Bender Revocable Trust
Common Stock
2024-07-02
4
G
0
80619
0
D
219406
I
See Footnote
Common Stock
2024-07-02
4
G
0
80619
0
A
734414
I
By Bender Revocable Trust
Common Stock
2024-07-02
4
G
0
72612
0
D
197614
I
See Footnote
Common Stock
2024-07-02
4
G
0
72612
0
A
807026
I
By Bender Revocable Trust
Common Stock
89614
D
Represents an annuity payment made by The Jeremy Bender 2022 Grantor Retained Annuity Trust under Irrevocable Trust Agreement dated March 29, 2022 ("Jeremy Bender 2022 GRAT"), which was transferred by the Reporting Person as a bona fide gift for no consideration to the Bender Revocable Trust dated January 18, 2017, as amended, Jeremy Bender and Melissa C. Bender, Trustees ("Bender Revocable Trust dated January 18, 2017").
Represents shares held by the Jeremy Bender 2022 GRAT of which the Reporting Person is trustee.
Includes 565,114 shares of the Issuer's Common Stock that the Reporting Person retitled on July 2, 2024.
Represents shares held by the Bender Revocable Trust dated January 18, 2017.
Represents an annuity payment made by The Melissa Bender 2022 Grantor Retained Annuity Trust under Irrevocable Trust Agreement dated March 29, 2022 ("Melissa Bender 2022 GRAT"), which was transferred by the Reporting Person as a bona fide gift for no consideration to the Bender Revocable Trust dated January 18, 2017.
Represents shares held by the Melissa Bender 2022 GRAT of which the Reporting Person's spouse is trustee.
Represents an annuity payment made by The Jeremy Bender 2023 Grantor Retained Annuity Trust dated June 27, 2023 ("Jeremy Bender 2023 GRAT"), which was transferred by the Reporting Person as a bona fide gift for no consideration to the Bender Revocable Trust dated January 18, 2017.
Represents shares held by the Jeremy Bender 2023 GRAT.
Represents an annuity payment made by The Melissa Bender 2023 Grantor Retained Annuity Trust, dated June 27, 2023 ("Melissa Bender 2023 GRAT"), which was transferred by the Reporting Person as a bona fide gift for no consideration to the Bender Revocable Trust dated January 18, 2017.
Represents shares held by the Melissa Bender 2023 GRAT.
/s/ Charles N. York II, Attorney-in-Fact
2024-07-05