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