0001144204-18-012331.txt : 20180301 0001144204-18-012331.hdr.sgml : 20180301 20180301180019 ACCESSION NUMBER: 0001144204-18-012331 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180227 FILED AS OF DATE: 20180301 DATE AS OF CHANGE: 20180301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KAPOOR JOHN N CENTRAL INDEX KEY: 0001033150 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35902 FILM NUMBER: 18659271 MAIL ADDRESS: STREET 1: 225 E DEERPATH RD STE 250 CITY: LAKE FOREST STATE: IL ZIP: 60045 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JOHN N KAPOOR TRUST DATED SEPTEMBER 20 1989 CENTRAL INDEX KEY: 0001575551 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35902 FILM NUMBER: 18659272 BUSINESS ADDRESS: STREET 1: 444 SOUTH ELLIS STREET CITY: CHANDLER STATE: AZ ZIP: 85244 BUSINESS PHONE: 602-910-2617 MAIL ADDRESS: STREET 1: 444 SOUTH ELLIS STREET CITY: CHANDLER STATE: AZ ZIP: 85244 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Insys Therapeutics, Inc. CENTRAL INDEX KEY: 0001516479 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 510327886 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 10220 SOUTH 51ST STREET STREET 2: SUITE 2 CITY: PHOENIX STATE: AZ ZIP: 85044 BUSINESS PHONE: 602-910-2617 MAIL ADDRESS: STREET 1: 10220 SOUTH 51ST STREET STREET 2: SUITE 2 CITY: PHOENIX STATE: AZ ZIP: 85044 4 1 tv487485_4.xml FORM 4 X0306 4 2018-02-27 0 0001516479 Insys Therapeutics, Inc. INSY 0001575551 JOHN N KAPOOR TRUST DATED SEPTEMBER 20 1989 C/O INSYS THERAPEUTICS, INC. 1333 SOUTH SPECTRUM BLVD, #100 CHANDLER AZ 85286 0 0 1 0 0001033150 KAPOOR JOHN N 1333 SOUTH SPECTRUM BLVD, #100 CHANDLER AZ 85286 0 0 1 0 Common Stock 2018-02-27 4 Z 0 42447810 0 D 42447810 I By Trust Common Stock 2018-02-27 4 Z 0 31982 0 D 31982 I By Trust Common Stock 2018-02-27 4 Z 0 56288 0 D 56288 I By Trust Effective as of February 27, 2018, Dr. John N. Kapoor ("Dr. Kapoor"), personally and as trustee of John N. Kapoor Trust, dated September 20, 1989, entered into a voting trust agreement (the "Voting Trust Agreement") by and among Insys Therapeutics, Inc., a Delaware corporation (the "Company"), Dr. Kapoor, Bessemer Trust Company of Delaware, N.A., as the initial trustee thereunder (the "Trustee") and EJ Financial/NEO Management, L.P., pursuant to which the parties have established a voting trust (within the meaning of Section 218(a) of the Delaware General Corporation Law) (the "Voting Trust"). With the formation of the Voting Trust, the shares of the Company's common stock, par value $0.01 per share, beneficially owned by Dr. Kapoor and EJ Financial/NEO Management, L.P. were deposited with the Trustee. Dr. Kapoor is an affiliate of EJ Financial/NEO Management, L.P. /s/ John N. Kapoor 2018-03-01 /s/ John N. Kapoor, Trustee 2018-03-01