0001567619-23-003094.txt : 20230215 0001567619-23-003094.hdr.sgml : 20230215 20230215185957 ACCESSION NUMBER: 0001567619-23-003094 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230213 FILED AS OF DATE: 20230215 DATE AS OF CHANGE: 20230215 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lew Jennifer CENTRAL INDEX KEY: 0001465994 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39402 FILM NUMBER: 23636732 MAIL ADDRESS: STREET 1: 2929 SEVENTH STREET, SUITE 100 CITY: BERKELEY STATE: CA ZIP: 94710 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Annexon, Inc. CENTRAL INDEX KEY: 0001528115 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 275414423 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1400 SIERRA POINT PARKWAY STREET 2: BLDG C, SUITE 200 CITY: BRISBANE STATE: CA ZIP: 94005 BUSINESS PHONE: (650)-822-5500 MAIL ADDRESS: STREET 1: 1400 SIERRA POINT PARKWAY STREET 2: BLDG C, SUITE 200 CITY: BRISBANE STATE: CA ZIP: 94005 4 1 doc1.xml FORM 4 X0306 4 2023-02-13 0 0001528115 Annexon, Inc. ANNX 0001465994 Lew Jennifer C/O ANNEXON, INC. 1400 SIERRA PT PKWY, BLDG C, 2ND FLOOR BRISBANE CA 94005 0 1 0 0 EVP & Chief Financial Officer Common Stock 2023-02-13 4 S 0 1742 6.3081 D 29708 D Common Stock 2023-02-14 4 S 0 166 6.303 D 29542 D The shares were sold to cover tax withholding obligations in connection with the vesting of restricted stock units. This transaction was executed in multiple trades in prices ranging from $6.15 to $6.43, inclusive. The price reported in Column 4 above reflects the weighted average sale price. The Reporting Person hereby undertakes to provide to the Securities and Exchange Commission staff, the Issuer, or a security holder of the Issuer, upon request, full information regarding the number of shares sold at each respective price within the range set forth in this footnote. Includes 7,575 shares acquired pursuant to the Issuer's Employee Stock Purchase Plan on November 15, 2022. Includes 17,709 restricted stock units. /s/ Jennifer Lew 2023-02-15