0001209191-21-042112.txt : 20210621 0001209191-21-042112.hdr.sgml : 20210621 20210621170539 ACCESSION NUMBER: 0001209191-21-042112 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210617 FILED AS OF DATE: 20210621 DATE AS OF CHANGE: 20210621 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Donenberg Phillip B. CENTRAL INDEX KEY: 0001238120 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39536 FILM NUMBER: 211031653 MAIL ADDRESS: STREET 1: C/O AVEXIS, INC. STREET 2: 2275 HALF DAY ROAD, SUITE 200 CITY: BANNOCKBURN STATE: IL ZIP: 60015 FORMER NAME: FORMER CONFORMED NAME: DONENBERG PHILIP B DATE OF NAME CHANGE: 20030603 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Taysha Gene Therapies, Inc. CENTRAL INDEX KEY: 0001806310 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 843199512 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3000 PEGASUS PARK DRIVE STREET 2: SUITE 1430 CITY: DALLAS STATE: TX ZIP: 75247 BUSINESS PHONE: (214) 612-0000 MAIL ADDRESS: STREET 1: 3000 PEGASUS PARK DRIVE STREET 2: SUITE 1430 CITY: DALLAS STATE: TX ZIP: 75247 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-06-17 0 0001806310 Taysha Gene Therapies, Inc. TSHA 0001238120 Donenberg Phillip B. C/O TAYSHA GENE THERAPIES, INC. 3000 PEGASUS PARK DRIVE, SUITE 1430 DALLAS TX 75247 1 0 0 0 Stock Option (right to buy) 25.04 2021-06-17 4 A 0 15500 0.00 A 2031-06-17 Common Stock 15500 15500 D The shares vest on the earlier of June 17, 2022 or the next annual stockholders meeting, subject to continued service as a director though the applicable vesting date. /s/ Kamran Alam, Attorney-in-Fact 2021-06-21