0001209191-16-099427.txt : 20160217
0001209191-16-099427.hdr.sgml : 20160217
20160217173721
ACCESSION NUMBER: 0001209191-16-099427
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160212
FILED AS OF DATE: 20160217
DATE AS OF CHANGE: 20160217
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Avalanche Biotechnologies, Inc.
CENTRAL INDEX KEY: 0001501756
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 205258327
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1035 O?BRIEN DRIVE, SUITE A
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-272-6269
MAIL ADDRESS:
STREET 1: 1035 O?BRIEN DRIVE, SUITE A
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Blumenkranz Mark S.
CENTRAL INDEX KEY: 0001614869
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36579
FILM NUMBER: 161435214
MAIL ADDRESS:
STREET 1: C/O AVALANCHE BIOTECHNOLOGIES, INC.
STREET 2: 1035 O'BRIEN DRIVE, SUITE A
CITY: MENLO PARK
STATE: CA
ZIP: 94025
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-02-12
0
0001501756
Avalanche Biotechnologies, Inc.
AAVL
0001614869
Blumenkranz Mark S.
C/O AVALANCHE BIOTECHNOLOGIES, INC.
1035 O'BRIEN DRIVE, SUITE A
MENLO PARK
CA
94025
1
0
0
0
Common Stock
2016-02-12
4
A
0
8333
0.00
A
531322
D
Common Stock
10531
I
See Footnote
Common Stock
10531
I
See Footnote
Common Stock
10531
I
See Footnote
Stock Option (Right to Buy)
4.80
2016-02-12
4
A
0
11905
0.00
A
2017-02-12
2026-02-11
Common Stock
11905
11905
D
Restricted Stock Units ("RSUs"). The Reporting Person is entitled to receive one (1) share of Common Stock of the Issuer for each one (1) RSU upon the vesting thereof. Such RSUs vest with respect to 100% of the shares subject thereto on February 12, 2017.
The shares are held directly by the Carla Helene Blumenkranz Irrevocable Trust.
The shares are held directly by the Erik Davis Blumenkranz Irrevocable Trust.
The shares are held directly by the Scott Aubrey Blumenkranz Irrevocable Trust.
/s/ Michael Swartzburg, Attorney-in-Fact for Mark S. Blumenkranz
2016-02-17