0000899243-21-032163.txt : 20210809
0000899243-21-032163.hdr.sgml : 20210809
20210809163622
ACCESSION NUMBER: 0000899243-21-032163
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210805
FILED AS OF DATE: 20210809
DATE AS OF CHANGE: 20210809
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CZEREPAK ELIZABETH
CENTRAL INDEX KEY: 0001263500
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-16133
FILM NUMBER: 211157040
MAIL ADDRESS:
STREET 1: 201 ROUTE 17 NORTH
CITY: RUTHERFORD
STATE: NJ
ZIP: 07070
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: DELCATH SYSTEMS, INC.
CENTRAL INDEX KEY: 0000872912
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 061245881
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1633 BROADWAY
STREET 2: SUITE 22C
CITY: NEW YORK
STATE: NY
ZIP: 10019
BUSINESS PHONE: (212) 489-2100
MAIL ADDRESS:
STREET 1: 1633 BROADWAY
STREET 2: SUITE 22C
CITY: NEW YORK
STATE: NY
ZIP: 10019
FORMER COMPANY:
FORMER CONFORMED NAME: DELCATH SYSTEMS INC
DATE OF NAME CHANGE: 19990607
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-08-05
0
0000872912
DELCATH SYSTEMS, INC.
DCTH
0001263500
CZEREPAK ELIZABETH
C/O DELCATH SYSTEMS, INC.,
1633 BROADWAY, SUITE 22C
NEW YORK
NY
10019
1
0
0
0
Stock Option (right to buy)
10.16
2021-08-05
4
A
0
9000
0.00
A
2031-08-05
Common Stock
9000
9000
D
The option immediately vested with respect to four-twelfths (4/12ths) of the option shares and the remaining option shares will vest and become exercisable at the rate of one-twelfth (1/12th) per month on the first day of each month for the next eight months, starting on September 1, 2021, for so long as the reporting person remains a director of Delcath Systems, Inc. (and subject to the terms and conditions of the Delcath Systems, Inc. 2020 Omnibus Equity Incentive Plan).
/s/ Elizabeth Czerepak
2021-08-05