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 |
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1. Name and Address of Reporting Person*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 01/01/2019 | 3. Issuer Name and Ticker or Trading Symbol ACHILLION PHARMACEUTICALS INC [ ACHN ] | |||||||||||||
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)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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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 | 11,848 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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 | (1) | 12/18/2019 | Common Stock | 13,000 | 3.28 | D | |
Employee Stock Option | (1) | 12/16/2020 | Common Stock | 25,000 | 3.1 | D | |
Employee Stock Option | (1) | 12/12/2021 | Common Stock | 9,500 | 7.59 | D | |
Employee Stock Option | (1) | 12/18/2022 | Common Stock | 12,900 | 8.64 | D | |
Employee Stock Option | (1) | 12/17/2023 | Common Stock | 20,000 | 3.02 | D | |
Employee Stock Option | (1) | 12/04/2024 | Common Stock | 14,100 | 13.8 | D | |
Employee Stock Option | (2) | 01/25/2026 | Common Stock | 18,000 | 7.54 | D | |
Employee Stock Option | (3) | 07/25/2026 | Common Stock | 6,000 | 8.42 | D | |
Employee Stock Option | (4) | 01/25/2027 | Common Stock | 30,000 | 4.17 | D | |
Employee Stock Option | (5) | 02/16/2028 | Common Stock | 75,000 | 3.2 | D | |
Employee Stock Option | (6) | 08/06/2028 | Common Stock | 10,000 | 2.52 | D |
Explanation of Responses: |
1. This option is fully vested and exercisable. |
2. This option was granted on January 25, 2016 and vests as to 25% of the original number of shares on the first anniversary of the grant date and as to an additional 6.25% of the original number of shares at the end of each successive three-month period thereafter. |
3. This option was granted on July 25, 2016 and vests as to 25% of the original number of shares on the first anniversary of the grant date and as to an additional 6.25% of the original number of shares at the end of each successive three-month period thereafter. |
4. This option was granted on January 25, 2017 and vests as to 25% of the original number of shares on the first anniversary of the grant date and as to an additional 6.25% of the original number of shares at the end of each successive three-month period thereafter. |
5. This option was granted on February 16, 2018 and vests as to 25% of the original number of shares on the first anniversary of the grant date and as to an additional 6.25% of the original number of shares at the end of each successive three-month period thereafter. |
6. This option was granted on August 6, 2018 and vests as to 25% of the original number of shares on the first anniversary of the grant date and as to an additional 6.25% of the original number of shares at the end of each successive three-month period thereafter. |
Remarks: |
Vice President of Finance, Corporate Controller, Interim Principal Financial Officer and Interim Principal Accounting Officer. See Exhibit 24.1, Power of Attorney |
/s/ Keri Lantz | 01/07/2019 | |
** 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. |