0001415889-24-014678.txt : 20240528
0001415889-24-014678.hdr.sgml : 20240528
20240528163233
ACCESSION NUMBER: 0001415889-24-014678
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240523
FILED AS OF DATE: 20240528
DATE AS OF CHANGE: 20240528
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CZEREPAK ELIZABETH
CENTRAL INDEX KEY: 0001263500
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-16133
FILM NUMBER: 24992441
MAIL ADDRESS:
STREET 1: 201 ROUTE 17 NORTH
CITY: RUTHERFORD
STATE: NJ
ZIP: 07070
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: DELCATH SYSTEMS, INC.
CENTRAL INDEX KEY: 0000872912
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 061245881
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 566 QUEENSBURY AVENUE
CITY: QUEENSBURY
STATE: NY
ZIP: 12804
BUSINESS PHONE: (518) 743-8892
MAIL ADDRESS:
STREET 1: 566 QUEENSBURY AVENUE
CITY: QUEENSBURY
STATE: NY
ZIP: 12804
FORMER COMPANY:
FORMER CONFORMED NAME: DELCATH SYSTEMS INC
DATE OF NAME CHANGE: 19990607
4
1
form4-05282024_080529.xml
X0508
4
2024-05-23
0000872912
DELCATH SYSTEMS, INC.
DCTH
0001263500
CZEREPAK ELIZABETH
C/O DELCATH SYSTEMS, INC.,
566 QUEENSBURY AVENUE
QUEENSBURY
NY
12804
true
false
false
false
0
Stock Option (right to buy)
7.85
2024-05-23
4
A
0
22500
0
A
Common Stock
22500
22500
D
The option will vest and become exercisable at the rate of one-twelfth (1/12th) per month with the first such vesting to occur on May 23, 2024 and monthly thereafter for so long as the reporting person remains a director of Delcath Systems, Inc. (and subject to the terms and conditions of the Delcath Systems, Inc. 2020 Omnibus Equity Incentive Plan, as amended). The option will expire the earlier of 10 years from the grant date or, for vested options, two years from the last day of service.
/s/ Gerard Michel, Attorney-in-Fact
2024-05-28