0001209191-23-015836.txt : 20230303 0001209191-23-015836.hdr.sgml : 20230303 20230303174428 ACCESSION NUMBER: 0001209191-23-015836 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230301 FILED AS OF DATE: 20230303 DATE AS OF CHANGE: 20230303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mahmood Tahir Ph.D. CENTRAL INDEX KEY: 0001813286 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39306 FILM NUMBER: 23706219 MAIL ADDRESS: STREET 1: 1 TOWER PLACE, SUITE 850 CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Applied Molecular Transport Inc. CENTRAL INDEX KEY: 0001801777 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 814481426 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 450 EAST JAMIE COURT CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 BUSINESS PHONE: 650-392-0420 MAIL ADDRESS: STREET 1: 450 EAST JAMIE COURT CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 FORMER COMPANY: FORMER CONFORMED NAME: Applied Molecular Transport LLC DATE OF NAME CHANGE: 20200130 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2023-03-01 0 0001801777 Applied Molecular Transport Inc. AMTI 0001813286 Mahmood Tahir Ph.D. C/O APPLIED MOLECULAR TRANSPORT INC. 450 EAST JAMIE COURT SOUTH SAN FRANCISCO CA 94080 1 1 0 0 Chief Executive Officer Common Stock 2023-03-01 4 S 0 1802 0.50 D 73626 D Common Stock 3208307 I By Living Trust Common Stock 391693 I By Irrevocable Trust Represents the number of shares sold to cover the statutory tax withholding obligations in connection with the vesting of Restricted Stock Units (RSUs). This sale satisfies the minimum statutory tax withholding obligations to be funded by a "sell-to-cover" transaction and does not represent a discretionary sale by the Reporting Person. A portion of these securities are RSUs. Each RSU represents a contingent right to receive one share of the Issuer's Common Stock. These shares are held directly by the Mahmood-Shamsi Living Trust Agreement for which the Reporting Person and spouse serve as co-trustees and over which shares the Reporting Person and his spouse hold voting and dispositive power. These shares are held directly by The Mahmood 2017 Irrevocable Trust for which the Reporting Person serves as trustee and over which shares the Reporting Person hold voting and dispositive power. /s/ Brandon Hants Attorney-in-Fact for Tahir Mahmood 2023-03-03