Form4insider filings, from the source

SEC Form 4 · accession 0001193805-15-001046

ALPINE IMMUNE SCIENCES, INC. · ALPN

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owners
DEERFIELD MANAGEMENT CO
10% Owner · Other
Deerfield Mgmt L.P.
10% Owner · Other
James E Flynn
10% Owner · Other
Period of report
Jun 23, 2015
Accepted (ET)
Jun 25, 2015 · 3:14 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001626199

Table I — non-derivative securities

SecurityDateCodeSharesPriceA/DOwned afterD/INature of ownership
Common StockF1,F2,F3Jun 23, 2015C696,993—A886,348IThrough Deerfield Special Situations Fund, L.P.
Common StockF1,F2,F3Jun 23, 2015C301,027—A383,237IThrough Deerfield Private Design Fund, L.P.
Common StockF1,F2,F3Jun 23, 2015C484,944—A617,397IThrough Deerfield Private Design International, L.P.
Common StockF1,F2,F3Jun 23, 2015C375,592—A375,592IThrough Deerfield Private Design Fund II, L.P.
Common StockF1,F2,F3Jun 23, 2015C430,399—A430,399IThrough Deerfield Private Design International II, L.P.
Common StockF1,F2,F3Jun 23, 2015C133,597—A1,019,945IThrough Deerfield Special Situations Fund, L.P.
Common StockF1,F2,F3Jun 23, 2015C18,825—A402,062IThrough Deerfield Private Design Fund, L.P.
Common StockF1,F2,F3Jun 23, 2015C29,755—A647,152IThrough Deerfield Private Design International, L.P.
Common StockF1,F2,F3Jun 23, 2015C282,984—A658,576IThrough Deerfield Private Design Fund II, L.P.
Common StockF1,F2,F3Jun 23, 2015C324,278—A754,677IThrough Deerfield Private Design International II, L.P.
Common StockF2,F3Jun 23, 2015P104,795$14.00A1,124,740IThrough Deerfield Special Situations Fund, L.P.
Common StockF2,F3Jun 23, 2015P67,666$14.00A726,242IThrough Deerfield Private Design Fund II, L.P.
Common StockF2,F3Jun 23, 2015P77,539$14.00A832,216IThrough Deerfield Private Design International II, L.P.

Table II — derivative securities

SecurityConv. / exercise priceDateCodeSharesA/DExercisableExpiresUnderlyingUnderlying sharesOwned afterD/I
Series 1 Preferred StockF1,F2,F3—Jun 23, 2015C2,013,613D——Common Stock696,9930I
Series 1 Preferred StockF1,F2,F3—Jun 23, 2015C869,667D——Common Stock301,0270I
Series 1 Preferred StockF1,F2,F3—Jun 23, 2015C1,401,003D——Common Stock484,9440I
Series 1 Preferred StockF1,F2,F3—Jun 23, 2015C1,085,085D——Common Stock375,5920I
Series 1 Preferred StockF1,F2,F3—Jun 23, 2015C1,243,423D——Common Stock430,3990I
Series 2 Preferred StockF1,F2,F3—Jun 23, 2015C385,962D——Common Stock133,5970I
Series 2 Preferred StockF1,F2,F3—Jun 23, 2015C54,385D——Common Stock18,8250I
Series 2 Preferred StockF1,F2,F3—Jun 23, 2015C85,962D——Common Stock29,7550I
Series 2 Preferred StockF1,F2,F3—Jun 23, 2015C817,541D——Common Stock282,9840I
Series 2 Preferred StockF1,F2,F3—Jun 23, 2015C936,839D——Common Stock324,2780I

Explanation of responses

Remarks

Jonathan Isler, Attorney-in-Fact: Power of Attorney, which is hereby incorporated by reference to Exhibit 24 to a Form 3 with regard to Avalanche Biotechnologies, Inc. filed with the Securities and Exchange Commission on July 30, 2014 by Deerfield Mgmt L.P., Deerfield Mgmt III, L.P., Deerfield Management Company, L.P., Deerfield Special Situations Fund, L.P., Deerfield Special Situations International Master Fund, L.P., Deerfield Private Design Fund III, L.P. and James E. Flynn.