0001140361-17-043871.txt : 20171127 0001140361-17-043871.hdr.sgml : 20171127 20171127165644 ACCESSION NUMBER: 0001140361-17-043871 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171122 FILED AS OF DATE: 20171127 DATE AS OF CHANGE: 20171127 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MAYLEBEN TIMOTHY M CENTRAL INDEX KEY: 0001242613 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36562 FILM NUMBER: 171223405 MAIL ADDRESS: STREET 1: 3621 SOUTH STATE ST STREET 2: 695 KMS PL CITY: ANN ARBOR STATE: MI ZIP: 48108 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Loxo Oncology, Inc. CENTRAL INDEX KEY: 0001581720 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 462996673 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 281 TRESSER BOULEVARD, 9TH FLOOR CITY: STAMFORD STATE: CT ZIP: 06901 BUSINESS PHONE: 203-653-3880 MAIL ADDRESS: STREET 1: 281 TRESSER BOULEVARD, 9TH FLOOR CITY: STAMFORD STATE: CT ZIP: 06901 4 1 doc1.xml FORM 4 X0306 4 2017-11-22 0 0001581720 Loxo Oncology, Inc. LOXO 0001242613 MAYLEBEN TIMOTHY M C/O LOXO ONCOLOGY, INC. 281 TRESSER BLVD, 9TH FLOOR STAMFORD CT 06901 1 0 0 0 Common Stock 2017-11-22 4 M 0 3000 20.91 A 13000 D Common Stock 2017-11-22 4 S 0 3000 75.8542 D 10000 D Director Stock Option (right to buy) 20.91 2017-11-22 4 M 0 3000 0 D 2025-07-27 Common Stock 3000 12625 D Represents the aggregate of sales effected on the same day at different prices. Represents the weighted average sales price per share. The shares sold at prices ranging from $75.76 to $75.90 per share. Full information regarding the number of shares sold at each price shall be provided upon request to the staff of the U.S. Securities and Exchange Commission, the Issuer, or a security holder of the Issuer. The stock option vests and becomes exercisable as to 1/3 of the shares subject to the option on the one-year anniversary of the grant date, and thereafter vests as to an additional 1/3 of the shares annually. /s/ Jennifer Burstein, by power of attorney 2017-11-27