0001104659-19-062781.txt : 20191112
0001104659-19-062781.hdr.sgml : 20191112
20191112190021
ACCESSION NUMBER: 0001104659-19-062781
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191108
FILED AS OF DATE: 20191112
DATE AS OF CHANGE: 20191112
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ford David A
CENTRAL INDEX KEY: 0001705295
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35668
FILM NUMBER: 191211316
MAIL ADDRESS:
STREET 1: 7 OAKRIDGE ROAD
CITY: ANNANDALE
STATE: NJ
ZIP: 08801
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: INTERCEPT PHARMACEUTICALS, INC.
CENTRAL INDEX KEY: 0001270073
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 223868459
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 10 HUDSON YARDS, 37TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10001
BUSINESS PHONE: 646-747-1000
MAIL ADDRESS:
STREET 1: 10 HUDSON YARDS, 37TH FLOOR
CITY: New York
STATE: NY
ZIP: 10001
FORMER COMPANY:
FORMER CONFORMED NAME: INTERCEPT PHARMACEUTICALS INC
DATE OF NAME CHANGE: 20031113
4
1
tm1922493d1_4.xml
OWNERSHIP DOCUMENT
X0306
4
2019-11-08
0
0001270073
INTERCEPT PHARMACEUTICALS, INC.
ICPT
0001705295
Ford David A
C/O INTERCEPT PHARMACEUTICALS, INC.
10 HUDSON YARDS, FLOOR 37
NEW YORK
NY
10001
0
1
0
0
Chief Human Resources Officer
Common Stock
2019-11-08
4
F
0
128
82.76
D
11268
D
Represents shares of common stock withheld by the Issuer to satisfy taxes associated with the partial vesting of a restricted stock award previously granted to the reporting person.
/s/ Mark Pruzanski, as attorney-in-fact
2019-11-12