0001104659-21-145059.txt : 20211130
0001104659-21-145059.hdr.sgml : 20211130
20211130181048
ACCESSION NUMBER: 0001104659-21-145059
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211126
FILED AS OF DATE: 20211130
DATE AS OF CHANGE: 20211130
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GREEN DAVID
CENTRAL INDEX KEY: 0001008643
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35853
FILM NUMBER: 211460672
MAIL ADDRESS:
STREET 1: C/O HARVARD BIOSCIENCE INC
STREET 2: 84 OCTOBER HILL ROAD
CITY: HOLLISTON
STATE: MA
ZIP: 01746-1371
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Biostage, Inc.
CENTRAL INDEX KEY: 0001563665
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 455210462
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 84 OCTOBER HILL ROAD
STREET 2: SUITE 11
CITY: HOLLISTON
STATE: MA
ZIP: 01746
BUSINESS PHONE: (774) 233-7300
MAIL ADDRESS:
STREET 1: 84 OCTOBER HILL ROAD
STREET 2: SUITE 11
CITY: HOLLISTON
STATE: MA
ZIP: 01746
FORMER COMPANY:
FORMER CONFORMED NAME: Harvard Apparatus Regenerative Technology, Inc.
DATE OF NAME CHANGE: 20121204
3
1
tm2134262d1_3seq1.xml
OWNERSHIP DOCUMENT
X0206
3
2021-11-26
0
0001563665
Biostage, Inc.
BSTG
0001008643
GREEN DAVID
C/O BIOSTAGE, INC.,
84 OCTOBER HILL ROAD, SUITE 11
HOLLISTON
MA
07146
1
1
0
0
See Remarks
Common Stock
23052
D
Common Stock
16468
I
2018 Biostage GRAT
Stock Option (right to buy)
33.80
2026-03-22
Common Stock
1250
D
Stock Option (right to buy)
36.80
2025-05-29
Common Stock
1250
D
Stock Option (right to buy)
85.80
2022-04-17
Common Stock
36281
D
All of these options are currently fully exercisable.
Interim Chief Executive Officer
/s/ Chad Porter, by power of attorney
2021-11-30