SEC Form 4 · accession 0001123292-18-000926
VACCINEX, INC. · VCNX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owners
Maurice Zauderer
Officer — President and CEO · Director · 10% Owner
Vaccinex (Rochester), L.L.C.
10% Owner
Period of report
Aug 13, 2018
Accepted (ET)
Aug 15, 2018 · 4:49 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001205922
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF3 | Aug 13, 2018 | C | 93,547 | — | A | 177,748 | D | |
| Common StockF3,F1 | Aug 13, 2018 | C | 95,448 | — | A | 213,209 | I | By Jeremy C. Zauderer Trust |
| Common StockF3,F1 | Aug 13, 2018 | C | 95,448 | — | A | 212,161 | I | By Jordan M. Zauderer Trust |
| Common StockF4,F2 | Aug 13, 2018 | C | 815,698 | — | A | 815,698 | I | By Vaccinex (Rochester), L.L.C. |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series B Convertible Preferred StockF3 | — | Aug 13, 2018 | C | 569,993 | D | — | — | Common Stock | 93,547 | 0 | D |
| Series B Convertible Preferred StockF3,F1 | — | Aug 13, 2018 | C | 581,577 | D | — | — | Common Stock | 95,448 | 0 | I |
| Series B Convertible Preferred StockF3,F1 | — | Aug 13, 2018 | C | 581,577 | D | — | — | Common Stock | 95,448 | 0 | I |
| Series D Convertible Preferred StockF4,F2 | — | Aug 13, 2018 | C | 8,157,067 | D | — | — | Common Stock | 815,698 | 0 | I |
Explanation of responses
- F1Maurice Zauderer exercises voting control over shares held by this trust and disclaims beneficial ownership over these shares except to the extent of his pecuniary interest therein.
- F2Mr. Zauderer is the president and a majority owner of Vaccinex (Rochester), L.L.C. and disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.
- F3The reported securities converted into shares of Common Stock on a 0.1641-for-1 basis immediately prior to the consummation of the Issuer's initial public offering.
- F4The reported securities converted into shares of Common Stock on a 1-for-10 basis immediately prior to the consummation of the Issuer's initial public offering.