SEC Form 3 · accession 0001104659-16-128666
SELECTA BIOSCIENCES INC · SELB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ulrich von Andrian
10% Owner
Period of report
Jun 21, 2016
Accepted (ET)
Jun 21, 2016 · 6:22 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001453687
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 414,852 | D | ||
| Common StockF1 | holding | — | — | — | 100,642 | I | See Footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F2 | $7.02 | holding | — | — | — | — | Mar 8, 2026 | Common Stock | 25,641 | — | D |
| Stock Option (right to buy)F3 | $3.44 | holding | — | — | — | — | Jan 23, 2022 | Common Stock | 73,451 | — | D |
Explanation of responses
- F1These securities are held by The Ulrich H. von Andrian Irrevocable Trust 2008, for which the Reporting Person's spouse and sister-in-law serve as trustees. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of any pecuniary interest therein, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
- F2This option vests in 48 substantially equal monthly installments beginning on January 1, 2016.
- F3All shares underlying this option are fully vested.
Remarks
Exhibit List: Exhibit 24 - Power of Attorney