0001209191-22-034343.txt : 20220603
0001209191-22-034343.hdr.sgml : 20220603
20220603190014
ACCESSION NUMBER: 0001209191-22-034343
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220601
FILED AS OF DATE: 20220603
DATE AS OF CHANGE: 20220603
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PETERSON TYCHO
CENTRAL INDEX KEY: 0001927856
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38957
FILM NUMBER: 22996316
MAIL ADDRESS:
STREET 1: C/O ADAPTIVE BIOTECHNOLOGIES CORPORATION
STREET 2: 1165 EASTLAKE AVE E
CITY: SEATTLE
STATE: WA
ZIP: 98109
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
2022-06-01
0
0001478320
Adaptive Biotechnologies Corp
ADPT
0001927856
PETERSON TYCHO
C/O ADAPTIVE BIOTECHNOLOGIES CORP.
1165 EASTLAKE AVE E
SEATTLE
WA
98109
0
1
0
0
Chief Financial Officer
Common Stock
2022-06-01
4
A
0
374688
0.00
A
374688
D
Stock Option (Right to Buy)
7.30
2022-06-01
4
A
0
597157
0.00
A
2032-06-01
Common Stock
597157
597157
D
The options vest with respect to 1/4 of such shares on June 1, 2023, with 1/48 of such shares vesting thereafter at the end of each full month of continuous service until fully vested.
/s/ Tycho Peterson by Eric Billings, attorney-in-fact
2022-06-03