SEC Form 4
FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
INTERCEPT PHARMACEUTICALS, INC. [ ICPT ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 11/08/2023 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 11/08/2023 | U | 618,894 | D | $19(1) | 0 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Option to Purchase Common Stock | $266.01 | 11/08/2023 | D | 332 | (2) | (2) | Common Stock | 332 | (2) | 0 | D | ||||
Option to Purchase Common Stock | $266.01 | 11/08/2023 | D | 5,401 | (2) | (2) | Common Stock | 5,401 | (2) | 0 | D | ||||
Option to Purchase Common Stock | $161.16 | 11/08/2023 | D | 1,044 | (2) | (2) | Common Stock | 1,044 | (2) | 0 | D | ||||
Option to Purchase Common Stock | $161.16 | 11/08/2023 | D | 31,506 | (2) | (2) | Common Stock | 31,506 | (2) | 0 | D | ||||
Option to Purchase Common Stock | $94.29 | 11/08/2023 | D | 635 | (2) | (2) | Common Stock | 635 | (2) | 0 | D | ||||
Option to Purchase Common Stock | $94.29 | 11/08/2023 | D | 29,865 | (2) | (2) | Common Stock | 29,865 | (2) | 0 | D | ||||
Option to Purchase Common Stock | $107.18 | 11/08/2023 | D | 1,207 | (2) | (2) | Common Stock | 1,207 | (2) | 0 | D | ||||
Option to Purchase Common Stock | $107.18 | 11/08/2023 | D | 38,793 | (2) | (2) | Common Stock | 38,793 | (2) | 0 | D | ||||
Option to Purchase Common Stock | $58.74 | 11/08/2023 | D | 207 | (2) | (2) | Common Stock | 207 | (2) | 0 | D | ||||
Option to Purchase Common Stock | $58.74 | 11/08/2023 | D | 45,293 | (2) | (2) | Common Stock | 45,293 | (2) | 0 | D | ||||
Option to Purchase Common Stock | $110.8 | 11/08/2023 | D | 889 | (2) | (2) | Common Stock | 889 | (2) | 0 | D | ||||
Option to Purchase Common Stock | $110.8 | 11/08/2023 | D | 12,811 | (2) | (2) | Common Stock | 12,811 | (2) | 0 | D | ||||
Option to Purchase Common Stock | $99.66 | 11/08/2023 | D | 17,700 | (2) | (2) | Common Stock | 17,700 | (2) | 0 | D |
Explanation of Responses: |
1. This Form 4 reports securities disposed of pursuant to the terms of the Agreement and Plan of Merger (the "Merger Agreement"), dated as of September 26, 2023, among the Issuer, Alfasigma S.p.A. ("Alfasigma"), and Interstellar Acquisition Inc., a wholly owned subsidiary of Alfasigma ("Purchaser"), pursuant to which Purchaser completed a tender offer for shares of common stock of the Issuer ("Company Common Stock") and thereafter merged with and into the Issuer, effective as of November 8, 2023 (the "Effective Time"). At the Effective Time, each issued and outstanding share of Company Common Stock was cancelled and converted into the right to receive $19.00 in cash (the "Offer Price") without interest and subject to applicable withholding taxes. |
2. Pursuant to the Merger Agreement, each option to purchase shares of Company Common Stock that was outstanding and unexercised as of immediately prior to the Effective Time, whether or not vested, with a per share exercise price that was equal to or greater than the Offer Price was cancelled with no consideration payable in respect thereof. |
/s/ Rocco Venezia, as attorney-in-fact | 11/13/2023 | |
** 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 4 (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. |