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