0001209191-22-042457.txt : 20220718 0001209191-22-042457.hdr.sgml : 20220718 20220718171838 ACCESSION NUMBER: 0001209191-22-042457 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220715 FILED AS OF DATE: 20220718 DATE AS OF CHANGE: 20220718 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Anderson Kenneth Carl CENTRAL INDEX KEY: 0001824862 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39567 FILM NUMBER: 221089869 MAIL ADDRESS: STREET 1: C4 THERAPEUTICS, INC. STREET 2: 490 ARSENAL WAY, SUITE 200 CITY: WATERTOWN STATE: MA ZIP: 02472 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: C4 Therapeutics, Inc. CENTRAL INDEX KEY: 0001662579 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 475617627 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 490 ARSENAL WAY STREET 2: SUITE 200 CITY: WATERTOWN STATE: MA ZIP: 02472 BUSINESS PHONE: (617) 231-0700 MAIL ADDRESS: STREET 1: 490 ARSENAL WAY STREET 2: SUITE 200 CITY: WATERTOWN STATE: MA ZIP: 02472 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-07-15 0 0001662579 C4 Therapeutics, Inc. CCCC 0001824862 Anderson Kenneth Carl C/O C4 THERAPEUTICS, INC. 490 ARSENAL WAY #120 WATERTOWN MA 02472 1 0 0 0 Common Stock 2022-07-15 4 M 0 535 2.11 A 90097 D Common Stock 2022-07-15 4 M 0 889 4.98 A 90986 D Common Stock 47316 I By Spouse Common Stock 61265 I By Kenneth C. Anderson 2016 Grantor Retained Annuity Trust Common Stock 61265 I By Cynthia E. Anderson 2016 Grantor Retained Annuity Trust Common Stock 16939 I By Kenneth C. Anderson 2015 Irrevocable Trust Common Stock 16939 I By Cynthia E. Anderson 2015 Irrevocable Trust Stock Option (Right to Buy) 2.11 2022-07-15 4 M 0 535 0.00 D 2026-07-12 Common Stock 535 1602 D Stock Option (Right to Buy) 4.98 2022-07-15 4 M 0 889 0.00 D 2030-07-02 Common Stock 889 1779 D Shares held by the Kenneth C. Anderson 2016 Grantor Retained Annuity Trust. The Reporting Person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. Shares held by the Cynthia E. Anderson 2016 Grantor Retained Annuity Trust. The Reporting Person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. Shares held by the Kenneth C. Anderson 2015 Irrevocable Trust. The Reporting Person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. Shares held by the Cynthia E. Anderson 2015 Irrevocable Trust. The Reporting Person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. 12.5% of the shares underlying this option vested and became exercisable on December 31, 2016, with the remainder vesting in 28 equal quarterly installments thereafter. The shares underlying this option vest and become exercisable in 12 equal quarterly installments, with the first installment vested on October 1, 2020. /s/ Jolie M. Siegel, Attorney-in-Fact 2022-07-18