0001214659-18-004469.txt : 20180614 0001214659-18-004469.hdr.sgml : 20180614 20180614195323 ACCESSION NUMBER: 0001214659-18-004469 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180613 FILED AS OF DATE: 20180614 DATE AS OF CHANGE: 20180614 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Stevenson Sharon CENTRAL INDEX KEY: 0001683904 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37897 FILM NUMBER: 18900491 MAIL ADDRESS: STREET 1: C/O OBALON THERAPEUTICS, INC. STREET 2: 5421 AVENIDA ECINAS, SUITE F CITY: CARLSBAD STATE: CA ZIP: 92008 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: OBALON THERAPEUTICS INC CENTRAL INDEX KEY: 0001427570 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5421 AVENIDA ENCINAS STREET 2: SUITE F CITY: San Diego STATE: CA ZIP: 92008 BUSINESS PHONE: 858-480-2400 MAIL ADDRESS: STREET 1: 5421 AVENIDA ENCINAS STREET 2: SUITE F CITY: San Diego STATE: CA ZIP: 92008 4 1 marketforms-42280.xml PRIMARY DOCUMENT X0306 4 2018-06-13 0001427570 OBALON THERAPEUTICS INC OBLN 0001683904 Stevenson Sharon C/O OKAPI VENTURE CAPITAL 1590 SOUTH COAST HIGHWAY, NO. 10 LAGUNA BEACH CA 92651 true false false false Stock Option (Right to Buy) 2.36 2018-06-13 4 A false 81774 0 A 2028-06-13 Common Stock 81774 81774 D This Option becomes exercisable with respect to 100% of the Shares subject to this Option on the earlier of (i) the one-year anniversary of the Date of Grant or (ii) the date of the annual meeting of the Company's stockholders immediately following the Date of Grant. /s/ Nooshin Hussainy as attorney-in-fact for Sharon Stevenson, DVM Ph.D. 2018-06-14