0000899243-18-026072.txt : 20181003
0000899243-18-026072.hdr.sgml : 20181003
20181003172146
ACCESSION NUMBER: 0000899243-18-026072
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181001
FILED AS OF DATE: 20181003
DATE AS OF CHANGE: 20181003
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Margus Bradley Albert
CENTRAL INDEX KEY: 0001753491
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38672
FILM NUMBER: 181106009
MAIL ADDRESS:
STREET 1: C/O ARVINAS, INC., 5 SCIENCE PARK
STREET 2: 395 WINCHESTER AVE.
CITY: NEW HAVEN
STATE: CT
ZIP: 06511
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ARVINAS INC.
CENTRAL INDEX KEY: 0001655759
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 472566120
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 395 WINCHESTER COMPANY, LLC
STREET 2: 5 SCIENCE PARK
CITY: NEW HAVEN
STATE: CT
ZIP: 06511
BUSINESS PHONE: 203-535-1456
MAIL ADDRESS:
STREET 1: 395 WINCHESTER COMPANY, LLC
STREET 2: 5 SCIENCE PARK
CITY: NEW HAVEN
STATE: CT
ZIP: 06511
FORMER COMPANY:
FORMER CONFORMED NAME: ARVINAS HOLDING COMPANY, LLC
DATE OF NAME CHANGE: 20151015
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-10-01
0
0001655759
ARVINAS INC.
ARVN
0001753491
Margus Bradley Albert
C/O ARVINAS, INC.
5 SCIENCE PARK, 395 WINCHESTER AVE.
NEW HAVEN
CT
06511
1
0
0
0
Common Stock
2018-10-01
4
P
0
40000
16.00
A
99463
D
Common Stock
2018-10-01
4
C
0
42768
A
42768
I
By Bradley A. Margus Revocable Trust
Series B Preferred Stock
2018-10-01
4
C
0
120055
0.00
D
Common Stock
36940
0
I
By Bradley A. Margus Revocable Trust
Series C Preferred Stock
2018-10-01
4
C
0
18942
0.00
D
Common Stock
5828
0
I
By Bradley A. Margus Revocable Trust
Reflects shares of the Issuer's Common Stock that were purchased in connection with the Issuer's initial public offering.
On October 1, 2018, the Series B Preferred Stock and Series C Preferred Stock converted into Common Stock on a 3.25-for-one basis, upon the closing of the Issuer's initial public offering without payment of consideration. The Series B Preferred Stock and Series C Preferred Stock were convertible at any time at the holder's election and automatically upon the closing of the Issuer's initial public offering. The shares had no expiration date.
/s/ Matthew Batters, as attorney-in-fact for Bradley Albert Margus
2018-10-03