SEC Form 3
FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
|
1. Name and Address of Reporting Person*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 07/19/2019 | 3. Issuer Name and Ticker or Trading Symbol Liquidia Technologies Inc [ LQDA ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Beneficially Owned | |||
---|---|---|---|
1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 9,491 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
---|---|---|---|---|---|---|---|
1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Employee Stock Option (right to buy) | 08/01/2015(1) | 07/01/2025 | Common Stock | 844 | 4.71 | D | |
Employee Stock Option (right to buy) | 04/15/2017(2) | 03/15/2027 | Common Stock | 7,725 | 20.36 | D | |
Employee Stock Option (right to buy) | 03/07/2019(3) | 03/07/2028 | Common Stock | 20,205 | 9.31 | D | |
Employee Stock Option (right to buy) | 02/05/2020(4) | 02/05/2029 | Common Stock | 15,000 | 14.2 | D |
Explanation of Responses: |
1. The option vested monthly commencing on August 1, 2015, becoming fully vested on July 1, 2019. |
2. The option vests monthly commencing on April 15, 2017, becoming fully vested on March 15, 2021. |
3. The option vests over a four-year period with 25% of the shares of common stock underlying the option having vested on March 7, 2019 and the remaining 75% of the shares of common stock underlying the option vesting in equal monthly installments thereafter, becoming fully vested on March 7, 2022. |
4. The option vests over a four-year period with 25% of the shares of common stock underlying the option vesting on February 5, 2020 and the remaining 75% of the shares of common stock underlying the option vesting in equal monthly installments thereafter, becoming fully vested on February 5, 2023. |
Remarks: |
Exhibit 24 - Power of Attorney |
By: /s/ Michael Goldstein, as attorney-in fact for Florina Krawchick | 07/26/2019 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |