SEC Form 4 · accession 0001104659-15-071608
Avalo Therapeutics, Inc. · AVTX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Isaac Blech
Director · 10% Owner
Period of report
Oct 20, 2015
Accepted (ET)
Oct 20, 2015 · 2:58 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001534120
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Oct 20, 2015 | C | 5,952 | — | A | 203,452 | D | |
| Common StockF1,F2 | Oct 20, 2015 | C | 182,030 | — | A | 385,452 | I | By Daniel Blech Trust DTD 8/3/2005 |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Convertible Preferred StockF1 | — | Oct 20, 2015 | C | 133,333 | D | — | — | Common Stock | 5,952 | 0 | D |
| Series A Convertible Preferred StockF2,F1 | — | Oct 20, 2015 | C | 4,077,475 | D | — | — | Common Stock | 182,030 | 0 | I |
Explanation of responses
- F1The shares of Series A Convertible Preferred Stock (the "Series A Shares") automatically converted into Common Stock, on a 1-for-0.04464 basis and had no expiration date.
- F2The reporting person disclaims beneficial ownership of the securities held by the Daniel Blech Trust DTD 8/3/2005 except to the extent of his pecuniary interest therein and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.