0001415889-22-000188.txt : 20220104 0001415889-22-000188.hdr.sgml : 20220104 20220104161049 ACCESSION NUMBER: 0001415889-22-000188 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220104 DATE AS OF CHANGE: 20220104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cloyd Mary Ann CENTRAL INDEX KEY: 0001666769 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36845 FILM NUMBER: 22505924 MAIL ADDRESS: STREET 1: 184 LIBERTY CORNER ROAD, SUITE 302 CITY: WARREN STATE: NJ ZIP: 07059 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Bellerophon Therapeutics, Inc. CENTRAL INDEX KEY: 0001600132 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 473116175 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 184 LIBERTY CORNER ROAD, SUITE 302 CITY: WARREN STATE: NJ ZIP: 07059 BUSINESS PHONE: 908-574-4770 MAIL ADDRESS: STREET 1: 184 LIBERTY CORNER ROAD, SUITE 302 CITY: WARREN STATE: NJ ZIP: 07059 FORMER COMPANY: FORMER CONFORMED NAME: Bellerophon Therapeutics LLC DATE OF NAME CHANGE: 20140213 4 1 form4-01042022_040117.xml X0306 4 2021-12-31 0001600132 Bellerophon Therapeutics, Inc. BLPH 0001666769 Cloyd Mary Ann 184 LIBERTY CORNER RD. SUITE 302 WARREN NJ 07059 true false false false Stock Options (right to buy) 3.10 2021-12-31 4 A 0 21828 3.10 A 2022-12-31 2031-12-31 Common Stock 21828 36300 D /s/ Mary Ann Cloyd 2022-01-04