| 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) 10/08/2020 | 3. Issuer Name and Ticker or Trading Symbol Shattuck Labs, Inc. [ STTK ] | |||||||||||||
| 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 | 88,466 | 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 | ||||
| Stock Option (Right to Buy) | (1) | 05/31/2027 | Common Stock | 17,700 | 0.01 | D | |
| Stock Option (Right to Buy) | (2) | 09/18/2028 | Common Stock | 63,705 | 2.95 | D | |
| Stock Option (Right to Buy) | (3) | 12/03/2029 | Common Stock | 68,500 | 3.17 | D | |
| Stock Option (Right to Buy) | (4) | 08/05/2030 | Common Stock | 20,550 | 4.67 | D | |
| Explanation of Responses: |
| 1. This option represents a right to purchase a total of 17,700 shares of the Issuer's common stock and will vest in equal monthly installments through May 22, 2021, subject to the Reporting Person's continued service to the Issuer. |
| 2. This option represents a right to purchase a total of 63,705 shares of the Issuer's common stock, 37,161 of which have vested, with the remaining shares vesting in equal monthly installments through May 15, 2022, subject to the Reporting Person's continued service to the Issuer. |
| 3. This option represents a right to purchase a total of 68,500 shares of the Issuer's common stock, one quarter of which will vest on November 22, 2020, with the remaining three quarters vesting in equal monthly installments through November 22, 2023, subject to the Reporting Person's continued service to the Issuer. |
| 4. This option represents a right to purchase a total of 20,550 shares of the Issuer's common stock, one quarter of which will vest on August 6, 2021, with the remaining three quarters vesting in equal monthly installments through August 6, 2024, subject to the Reporting Person's continued service to the Issuer. |
| Remarks: |
| Vice President of Finance and Corporate Strategy Exhibit 24 - Power of Attorney |
| /s/ Erin Ator Thomson, Attorney-in-fact for Andrew R. Neill | 10/08/2020 | |
| ** 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. | ||
