0001628280-16-021956.txt : 20161209 0001628280-16-021956.hdr.sgml : 20161209 20161209162223 ACCESSION NUMBER: 0001628280-16-021956 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161207 FILED AS OF DATE: 20161209 DATE AS OF CHANGE: 20161209 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Bellerophon Therapeutics, Inc. CENTRAL INDEX KEY: 0001600132 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 473116175 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Edmonds Amy CENTRAL INDEX KEY: 0001656169 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36845 FILM NUMBER: 162044310 MAIL ADDRESS: STREET 1: 184 LIBERTY CORNER ROAD, SUITE 302 CITY: WARREN STATE: NJ ZIP: 07059 4 1 wf-form4_148131853076091.xml FORM 4 X0306 4 2016-12-07 0 0001600132 Bellerophon Therapeutics, Inc. BLPH 0001656169 Edmonds Amy 184 LIBERTY CORNER ROAD SUITE 302 WARREN NJ 07059 0 1 0 0 VP Clinical Operations & Admin Stock Option (right to buy) 0.49 2016-12-07 4 A 0 30000 0 A 2026-12-06 Common Stock 30000.0 30000 D The option grant was approved by Bellerophon Therapeutics, Inc.'s board of directors on December 7, 2016, subject to stockholder approval of an amendment to the stock option plan under which the option was granted. /s/ Amy Edmonds 2016-12-09