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