0001209191-23-027516.txt : 20230504
0001209191-23-027516.hdr.sgml : 20230504
20230504200130
ACCESSION NUMBER: 0001209191-23-027516
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230504
FILED AS OF DATE: 20230504
DATE AS OF CHANGE: 20230504
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Peloso Paul
CENTRAL INDEX KEY: 0001973848
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41696
FILM NUMBER: 23890698
MAIL ADDRESS:
STREET 1: C/O ACELYRIN, INC.
STREET 2: 4149 LIBERTY CANYON ROAD
CITY: AGOURA HILLS
STATE: CA
ZIP: 91301
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ACELYRIN, Inc.
CENTRAL INDEX KEY: 0001962918
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 852406735
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4149 LIBERTY CANYON RD.
CITY: AGOURA HILLS
STATE: CA
ZIP: 91301
BUSINESS PHONE: 805-871-4300
MAIL ADDRESS:
STREET 1: 4149 LIBERTY CANYON RD.
CITY: AGOURA HILLS
STATE: CA
ZIP: 91301
4
1
doc4.xml
FORM 4 SUBMISSION
X0407
4
2023-05-04
0
0001962918
ACELYRIN, Inc.
SLRN
0001973848
Peloso Paul
C/O ACELYRIN, INC.
4149 LIBERTY CANYON RD.
AGOURA HILLS
CA
91301
0
1
0
0
Chief Medical Officer
0
Employee Stock Option (right to buy)
18.00
2023-05-04
4
A
0
154957
0.00
A
2033-05-03
Class A Common Stock
154957
154957
D
1/4 of the shares subject to the option vest on May 4, 2024, and 1/48 of the shares subject to the option vest in equal monthly installments thereafter, subject to the Reporting Person's continued service.
Each share of Class A Common Stock shall be reclassified into one share of Common Stock immediately prior to the completion of the Issuer's initial public offering of Common Stock.
/s/ Mina Kim, Attorney-in-fact
2023-05-04