0001209191-22-005499.txt : 20220128 0001209191-22-005499.hdr.sgml : 20220128 20220128190047 ACCESSION NUMBER: 0001209191-22-005499 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220126 FILED AS OF DATE: 20220128 DATE AS OF CHANGE: 20220128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pellini Michael J CENTRAL INDEX KEY: 0001402017 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38957 FILM NUMBER: 22570702 MAIL ADDRESS: STREET 1: 222 DUTTON MILL RD CITY: WILLISTOWN STATE: PA ZIP: 19380 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Adaptive Biotechnologies Corp CENTRAL INDEX KEY: 0001478320 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 270907024 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1165 EASTLAKE AVE E CITY: SEATTLE STATE: WA ZIP: 98109 BUSINESS PHONE: 206-659-0067 MAIL ADDRESS: STREET 1: 1165 EASTLAKE AVE E CITY: SEATTLE STATE: WA ZIP: 98109 FORMER COMPANY: FORMER CONFORMED NAME: Adaptive TCR Corp DATE OF NAME CHANGE: 20091209 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-01-26 0 0001478320 Adaptive Biotechnologies Corp ADPT 0001402017 Pellini Michael J 1165 EASTLAKE AVENUE E SEATTLE WA 98109 1 0 0 0 Common Stock 2022-01-26 4 A 0 6689 0.00 A 8193 D Stock Option (Right to Buy) 14.95 2022-01-26 4 A 0 16722 0.00 A 2032-01-26 Common Stock 16722 16722 D The option will vest in equal monthly installments over one year, subject to continued service as a director through such vesting date. /s/ Michael Pellini by Eric Billings, attorney-in-fact 2022-01-28