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