0001209191-21-008099.txt : 20210205 0001209191-21-008099.hdr.sgml : 20210205 20210205164337 ACCESSION NUMBER: 0001209191-21-008099 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210203 FILED AS OF DATE: 20210205 DATE AS OF CHANGE: 20210205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RICKS THOMAS G CENTRAL INDEX KEY: 0001013023 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39980 FILM NUMBER: 21596611 MAIL ADDRESS: STREET 1: H&S VENTURES LLC STREET 2: 2101 EAST COAST HWY - 3RD FLOOR CITY: CORONA DEL MAR STATE: CA ZIP: 92625 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Sensei Biotherapeutics, Inc. CENTRAL INDEX KEY: 0001829802 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 620 PROFESSIONAL DRIVE CITY: GAITHERSBURG STATE: MD ZIP: 20879 BUSINESS PHONE: (240) 243-8000 MAIL ADDRESS: STREET 1: 620 PROFESSIONAL DRIVE CITY: GAITHERSBURG STATE: MD ZIP: 20879 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-02-03 0 0001829802 Sensei Biotherapeutics, Inc. SNSE 0001013023 RICKS THOMAS G C/O SENSEI BIOTHERAPEUTICS, INC. 1405 RESEARCH BLVD, SUITE 125 ROCKVILLE MD 20850 1 0 0 0 Stock Option (Right to Buy) 19.00 2021-02-03 4 A 0 16666 0.00 A 2031-02-02 Common Stock 16666 16666 D One thirty-sixth (1/36th) of the options granted shall vest and become exercisable each month following February 3, 2021, the Vesting Commencement Date, over three years such that the options shall be 100% vested on the third anniversary of the Vesting Commencement Date, subject to the grantee's Continuous Service (as defined in the 2021 Equity Incentive Plan) through each such vesting date. /s/ Mark Ballantyne (Attorney-in-Fact) 2021-02-05