0001209191-22-034247.txt : 20220603 0001209191-22-034247.hdr.sgml : 20220603 20220603173118 ACCESSION NUMBER: 0001209191-22-034247 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220602 FILED AS OF DATE: 20220603 DATE AS OF CHANGE: 20220603 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ACKERMANN CHRISTINA CENTRAL INDEX KEY: 0001681871 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39538 FILM NUMBER: 22995878 MAIL ADDRESS: STREET 1: C/O BLCO STREET 2: 400 SOMERSET CORPORATE BLVD. CITY: BRIDGEWATER STATE: NJ ZIP: 08807 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GRAYBUG VISION, INC. CENTRAL INDEX KEY: 0001534133 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 452120079 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 203 REDWOOD SHORES PARKWAY, SUITE 620 CITY: REDWOOD CITY STATE: CA ZIP: 94065 BUSINESS PHONE: 650-487-2800 MAIL ADDRESS: STREET 1: 203 REDWOOD SHORES PARKWAY, SUITE 620 CITY: REDWOOD CITY STATE: CA ZIP: 94065 FORMER COMPANY: FORMER CONFORMED NAME: GRAYBUG, Inc. DATE OF NAME CHANGE: 20150303 FORMER COMPANY: FORMER CONFORMED NAME: GRAYBUG LLC DATE OF NAME CHANGE: 20111102 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-06-02 0 0001534133 GRAYBUG VISION, INC. GRAY 0001681871 ACKERMANN CHRISTINA C/O GRAYBUG VISION, INC. 203 REDWOOD SHORES PARKWAY, SUITE 620 REDWOOD CITY CA 94065 1 0 0 0 Stock Option (Right to Buy) 0.984 2022-06-02 4 A 0 20000 0.00 A 2032-06-01 Common Stock 20000 20000 D Restricted Stock Units 2022-06-02 4 A 0 20000 0.00 A Common Stock 20000 20000 D The award vests in full on the earlier of: (i) the one year anniversary of the grant date or (ii) the date of the issuer's 2023 Annual Meeting of its stockholders, subject to the reporting person's continuous service to the issuer on such date. Each restricted stock unit represents a contingent right to receive one share of the issuer's Common Stock, subject to the reporting person's continued status as a service provider to the issuer. These restricted stock units do not expire; they either vest or are cancelled prior to the vesting date. /s/ Robert S. Breuil, Attorney-in-Fact 2022-06-03