0001104659-23-025323.txt : 20230224
0001104659-23-025323.hdr.sgml : 20230224
20230224161854
ACCESSION NUMBER: 0001104659-23-025323
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230217
FILED AS OF DATE: 20230224
DATE AS OF CHANGE: 20230224
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Koziel Margaret
CENTRAL INDEX KEY: 0001898760
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38901
FILM NUMBER: 23667570
MAIL ADDRESS:
STREET 1: C/O AXCELLA HEALTH INC.
STREET 2: 840 MEMORIAL DRIVE
CITY: CAMBRIDGE
STATE: MA
ZIP: 02139
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Axcella Health Inc.
CENTRAL INDEX KEY: 0001633070
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 840 MEMORIAL DRIVE
STREET 2: THIRD FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02139
BUSINESS PHONE: 617-868-0949
MAIL ADDRESS:
STREET 1: 840 MEMORIAL DRIVE
STREET 2: THIRD FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02139
FORMER COMPANY:
FORMER CONFORMED NAME: Pronutria Biosciences, Inc.
DATE OF NAME CHANGE: 20150206
4
1
tm236575-4_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2023-02-17
0
0001633070
Axcella Health Inc.
AXLA
0001898760
Koziel Margaret
C/O AXCELLA HEALTH INC.
P.O. BOX 1270
LITTLETON
MA
01460
0
1
0
0
Chief Medical Officer
Stock Option (Right to Buy)
0.6759
2023-02-17
4
A
0
70000
0.00
A
2033-02-16
Common Stock
70000
70000
D
25% of this option shall vest and become exercisable on February 7, 2024, with the remainder vesting in 12 equal quarterly installments thereafter, subject to the Reporting Person's continued service on each such vesting date.
/s/ Paul Fehlner, Attorney-in-Fact
2023-02-24