0001209191-14-072511.txt : 20141202 0001209191-14-072511.hdr.sgml : 20141202 20141202195733 ACCESSION NUMBER: 0001209191-14-072511 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141202 FILED AS OF DATE: 20141202 DATE AS OF CHANGE: 20141202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HISTOGENICS CORP CENTRAL INDEX KEY: 0001372299 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 830 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: 781-457-7900 MAIL ADDRESS: STREET 1: 830 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lynch Nancy CENTRAL INDEX KEY: 0001624972 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36751 FILM NUMBER: 141261928 MAIL ADDRESS: STREET 1: C/O HISTOGENICS CORPORATION STREET 2: 830 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2014-12-02 0 0001372299 HISTOGENICS CORP HSGX 0001624972 Lynch Nancy C/O HISTOGENICS CORPORATION 830 WINTER STREET, 3RD FLOOR WALTHAM MA 02451 0 1 0 0 Chief Medical Officer Employee Stock Option (Right to Buy) 7.13 2023-12-10 Common Stock 27767 D This option vests over four years of service following September 23, 2013, with 25% vesting upon completion of one year of service and in 36 equal monthly installments thereafter. Reflects a 10.804-to-1 reverse stock split effected on November 14, 2014. /s/ Nancy Lynch 2014-12-02