0001209191-17-003288.txt : 20170110 0001209191-17-003288.hdr.sgml : 20170110 20170110200919 ACCESSION NUMBER: 0001209191-17-003288 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170106 FILED AS OF DATE: 20170110 DATE AS OF CHANGE: 20170110 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Intellia Therapeutics, Inc. CENTRAL INDEX KEY: 0001652130 STANDARD INDUSTRIAL CLASSIFICATION: IN VITRO & IN VIVO DIAGNOSTIC SUBSTANCES [2835] IRS NUMBER: 364785571 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 40 ERIE STREET STREET 2: SUITE 130 CITY: CAMBRIDGE STATE: MA ZIP: 02139 BUSINESS PHONE: 857-285-6200 MAIL ADDRESS: STREET 1: 40 ERIE STREET STREET 2: SUITE 130 CITY: CAMBRIDGE STATE: MA ZIP: 02139 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Barnes Thomas M. CENTRAL INDEX KEY: 0001670577 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37766 FILM NUMBER: 17521792 MAIL ADDRESS: STREET 1: INTELLIA THERAPEUTICS, INC. STREET 2: 130 BROOKLINE STREET, SUITE 201 CITY: CAMBRIDGE STATE: MA ZIP: 02139 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-01-06 0 0001652130 Intellia Therapeutics, Inc. NTLA 0001670577 Barnes Thomas M. C/O INTELLIA THERAPEUTICS, INC. 40 ERIE STREET; SUITE 130 CAMBRIDGE MA 02139 0 1 0 0 SVP, R&D eXtellia Stock Option (right to buy) 13.88 2017-01-06 4 A 0 50500 0.00 A 2027-01-05 Common Stock 50500 50500 D This option was granted on January 6, 2017 with respect to 50,500 shares of Common Stock, with 25% vesting on January 6, 2018 and the remaining 75% vesting in 36 substantially equal monthly installments thereafter. /s/ Nicole Heifner, attorney-in-fact 2017-01-10