0001209191-21-059185.txt : 20211004 0001209191-21-059185.hdr.sgml : 20211004 20211004213656 ACCESSION NUMBER: 0001209191-21-059185 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210930 FILED AS OF DATE: 20211004 DATE AS OF CHANGE: 20211004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LOBERG MICHAEL D CENTRAL INDEX KEY: 0001233414 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39045 FILM NUMBER: 211305004 MAIL ADDRESS: STREET 1: C/O ARQULE, INC. STREET 2: 1 WALL STREET, 6TH FLOOR CITY: BURLINGTON STATE: MA ZIP: 01803 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: IGM Biosciences, Inc. CENTRAL INDEX KEY: 0001496323 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 770349194 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 325 E MIDDLEFIELD ROAD CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 BUSINESS PHONE: 650-965-7873 MAIL ADDRESS: STREET 1: 325 E MIDDLEFIELD ROAD CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 FORMER COMPANY: FORMER CONFORMED NAME: Palingen, Inc. DATE OF NAME CHANGE: 20100712 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-09-30 0 0001496323 IGM Biosciences, Inc. IGMS 0001233414 LOBERG MICHAEL D C/O IGM BIOSCIENCES, INC. 325 E. MIDDLEFIELD ROAD MOUNTAIN VIEW CA 94043 1 0 0 0 Common Stock 2021-07-08 4 G 0 300 0.00 D 0 D Common Stock 2021-07-08 4 G 0 300 0.00 A 12996 I See footnote Common Stock 2021-09-30 4 A 0 300 0.00 A 300 D Common Stock 12996 I See footnote Common Stock 29547 I See footnote As of July 8, 2021, the shares were held by the Revocable Deed of Trust of Michael D. Loberg (Michael and Melinda Loberg, Trustees), of which Reporting Person and his spouse serve as trustees (the "Loberg Revocable Trust"). As set forth in footnote (3), on August 23, 2021, 12,996 shares were transferred from the Loberg Revocable Trust to the Michael D. Loberg Qualified Annuity Interest Trust VIII (Michael and Melinda Loberg, Trustees), of which Reporting Person and his spouse serve as trustees (the "Loberg Annuity Trust VIII"). Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock. The amount reflects payment of a quarterly retainer in common stock pursuant to the Issuer's Outside Director Compensation Policy. The shares are held by the Loberg Annuity Trust VIII and reflect the transfer on August 23, 2021 of 12,996 shares from the Loberg Revocable Trust to the Loberg Annuity Trust VIII. The shares are held by the Michael D. Loberg Qualified Annuity Interest Trust VII (Michael and Melinda Loberg, Trustees), of which Reporting Person and his spouse serve as trustees. /s/ Misbah Tahir, by power of attorney 2021-10-04