0001209191-17-041331.txt : 20170622 0001209191-17-041331.hdr.sgml : 20170622 20170622160606 ACCESSION NUMBER: 0001209191-17-041331 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170620 FILED AS OF DATE: 20170622 DATE AS OF CHANGE: 20170622 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Foundation Medicine, Inc. CENTRAL INDEX KEY: 0001488613 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 271316416 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 150 SECOND STREET CITY: CAMBRIDGE STATE: MA ZIP: 02141 BUSINESS PHONE: 617-418-2200 MAIL ADDRESS: STREET 1: 150 SECOND STREET CITY: CAMBRIDGE STATE: MA ZIP: 02141 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JONES EVAN/ FA CENTRAL INDEX KEY: 0001020741 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36086 FILM NUMBER: 17925135 BUSINESS ADDRESS: STREET 1: 9000 VIRGINIA MANOR ROAD STREET 2: SUITE 206 CITY: BELTSVILLE STATE: MD ZIP: 20705 BUSINESS PHONE: 240-813-1260 MAIL ADDRESS: STREET 1: C/O OPGEN, INC. STREET 2: 708 QUINCE ORCHARD ROAD, SUITE 205 CITY: GAITHERSBURG STATE: MD ZIP: 20878 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-06-20 0 0001488613 Foundation Medicine, Inc. FMI 0001020741 JONES EVAN/ FA C/O FOUNDATION MEDICINE, INC. 150 SECOND STREET CAMBRIDGE MA 02141 1 0 0 0 Common Stock 2017-06-20 4 A 0 5786 40.05 A 25552 D Common Stock 9300 I by jVen Capital LLC Represents restricted stock units granted by the Issuer pursuant to its 2013 Stock Option and Incentive Plan and the Issuer's Non-Employee Director Compensation Policy. The restricted stock units vest on the earlier of June 20, 2018 or the Issuer's next annual meeting of stockholders, subject to the director's continued service on the Board of Directors, or immediately upon the death or disability of the director or upon a change-of-control of the Issuer. Shares held by jVen Capital, LLC, of which the reporting person is the managing member. Robert W. Hesslein, as Attorney-in-Fact for Evan Jones 2017-06-22