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