0001209191-16-157033.txt : 20161229 0001209191-16-157033.hdr.sgml : 20161229 20161229173308 ACCESSION NUMBER: 0001209191-16-157033 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161227 FILED AS OF DATE: 20161229 DATE AS OF CHANGE: 20161229 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ANTARES PHARMA, INC. CENTRAL INDEX KEY: 0001016169 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 411350192 STATE OF INCORPORATION: DE FISCAL YEAR END: 1208 BUSINESS ADDRESS: STREET 1: 100 PRINCETON SOUTH STREET 2: SUITE 300 CITY: EWING STATE: NJ ZIP: 08628 BUSINESS PHONE: 609-359-3020 MAIL ADDRESS: STREET 1: 100 PRINCETON SOUTH STREET 2: SUITE 300 CITY: EWING STATE: NJ ZIP: 08628 FORMER COMPANY: FORMER CONFORMED NAME: ANTARES PHARMA INC DATE OF NAME CHANGE: 20060120 FORMER COMPANY: FORMER CONFORMED NAME: ANTARES PHARMA INC DATE OF NAME CHANGE: 20020520 FORMER COMPANY: FORMER CONFORMED NAME: ANTARES PHARMA INC /MN/ DATE OF NAME CHANGE: 20010604 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: APPLE ROBERT F CENTRAL INDEX KEY: 0001054942 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32302 FILM NUMBER: 162075852 MAIL ADDRESS: STREET 1: C/O INKLINE PHARMACEUTICAL CO INC STREET 2: SENTRY PARK EAST 1720 WALTON ROAD CITY: BLUE BELL STATE: PA ZIP: 19422 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-12-27 0 0001016169 ANTARES PHARMA, INC. ATRS 0001054942 APPLE ROBERT F C/O ANTARES PHARMA, INC. 100 PRINCETON SOUTH, SUITE 300 EWING NJ 08628 1 1 0 0 President & CEO Common Stock 2017-12-27 4 M 0 60000 1.23 A 929719 D Common Stock 2017-12-27 4 F 0 39717 2.35 D 890002 D Stock Option (Right to Buy) 1.23 2016-12-27 4 M 0 60000 0.00 D 2017-01-15 Common Stock 60000 0 D Represents shares used for payment of the exercise price and tax liability for the underlying stock option. The options vested in equal quarterly installments over three years following the grant date of January 16, 2007. /s/Keith Muckenhirn as attorney-in-fact for Robert F. Apple 2016-12-29