SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Delaet Ingrid

(Last) (First) (Middle)
12780 EL CAMINO REAL

(Street)
SAN DIEGO CA 92130

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/09/2023
3. Issuer Name and Ticker or Trading Symbol
NEUROCRINE BIOSCIENCES INC [ NBIX ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Regulatory Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 3,382 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Incentive Stock Option (1) 02/01/2031 Common Stock 3,359 $106.02 D
Non-Qualified Stock Option (1) 02/01/2031 Common Stock 9,367 $106.02 D
Incentive Stock Option (2) 01/31/2032 Common Stock 827 $79.02 D
Non-Qualified Stock Option (2) 01/31/2032 Common Stock 12,261 $79.02 D
Restricted Stock Unit (3) (3) Common Stock 4,717 (4) D
Restricted Stock Unit (5) (5) Common Stock 5,435 (4) D
Restriced Stock Unit (6) (6) Common Stock 3,202 (4) D
Explanation of Responses:
1. Option granted February 1, 2021 and vests at 25% upon first anniversary (February 1, 2022) and remaining 75% vesting in 36 equal monthly installments beginning on March 1, 2022.
2. Option granted January 31, 2022 and vests monthly over four years.
3. 1/4 of the Restricted Stock Units vested on February 1, 2022 and February 1, 2023. The remaining units vest equally on each of February 1, 2024 and February 1, 2025.
4. Each Restricted Stock Unit represents a contingent right to receive one share of the Issuer Common Stock.
5. 1/2 of the Restricted Stock Units vested on August 27, 2022. The remaining units will vest on August 27, 2023.
6. 1/4 of the Restricted Stock Units vested on January 31, 2023. The remaining units vest equally on each of January 31, 2024, January 31, 2025, January 26, 2026.
Remarks:
/s/ Darin Lippoldt, Attorney-in-Fact 02/15/2023
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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