0001019056-17-000648.txt : 20170803 0001019056-17-000648.hdr.sgml : 20170803 20170803155942 ACCESSION NUMBER: 0001019056-17-000648 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170801 FILED AS OF DATE: 20170803 DATE AS OF CHANGE: 20170803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gross Jane A CENTRAL INDEX KEY: 0001684258 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37746 FILM NUMBER: 171004766 MAIL ADDRESS: STREET 1: 2401 4TH AVENUE, SUITE 1050 CITY: SEATTLE STATE: WA ZIP: 98121 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Aptevo Therapeutics Inc. CENTRAL INDEX KEY: 0001671584 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 811567056 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2401 4TH AVE. STREET 2: SUITE 1050 CITY: SEATTLE STATE: WA ZIP: 98121 BUSINESS PHONE: 206-838-0500 MAIL ADDRESS: STREET 1: 2401 4TH AVE. STREET 2: SUITE 1050 CITY: SEATTLE STATE: WA ZIP: 98121 4 1 gross_4.xml OWNERSHIP DOCUMENT X0306 4 2017-08-01 0 0001671584 Aptevo Therapeutics Inc. APVO 0001684258 Gross Jane A 2401 4TH AVENUE, SUITE 1050 SEATTLE WA 98121 0 1 0 0 See Remarks Common Stock 2017-08-01 4 M 0 38093 A 78509 D Common Stock 2017-08-01 4 F 0 10076 1.83 D 68433 D Restricted Stock Unit 2017-08-01 4 M 0 38093 0 D Common Stock 38093 46142 D Each RSU converts into the Issuer's common stock on a one-for-one basis. The RSUs were originally issued on August 3, 2016 and fully vested on August 1, 2017. Title - SVP, Research and Non-Clinical Development /s/ Benjamin J. Stein, attorney-in-fact 2017-08-03