0001104659-21-107742.txt : 20210819
0001104659-21-107742.hdr.sgml : 20210819
20210819161544
ACCESSION NUMBER: 0001104659-21-107742
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210818
FILED AS OF DATE: 20210819
DATE AS OF CHANGE: 20210819
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Epstein David R
CENTRAL INDEX KEY: 0001445826
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38901
FILM NUMBER: 211190249
MAIL ADDRESS:
STREET 1: INTERNATIONAL FLAVORS & FRAGRANCES INC.
STREET 2: 521 W. 57TH STREET
CITY: NEW YORK
STATE: NY
ZIP: 10019
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Axcella Health Inc.
CENTRAL INDEX KEY: 0001633070
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 840 MEMORIAL DRIVE
STREET 2: THIRD FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02139
BUSINESS PHONE: 617-868-0949
MAIL ADDRESS:
STREET 1: 840 MEMORIAL DRIVE
STREET 2: THIRD FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02139
FORMER COMPANY:
FORMER CONFORMED NAME: Pronutria Biosciences, Inc.
DATE OF NAME CHANGE: 20150206
4
1
tm2125506-1_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-08-18
0
0001633070
Axcella Health Inc.
AXLA
0001445826
Epstein David R
C/O AXCELLA HEALTH INC.
840 MEMORIAL DRIVE
CAMBRIDGE,
MA
02139
1
0
0
0
Common Stock
2021-08-18
4
M
0
1534
A
125776
D
Restricted Stock Units
2021-08-18
4
M
0
1534
0.00
D
Common Stock
1534
10743
D
Each restricted stock unit ("RSU") represents a contingent right to receive one share of AXLA common stock.
The RSUs shall vest in 12 equal monthly installments, with the first installment vested on April 18, 2021.
By: /s/ Paul Fehlner, Attorney-in-Fact
2021-08-19