0000899243-20-030627.txt : 20201109 0000899243-20-030627.hdr.sgml : 20201109 20201109163008 ACCESSION NUMBER: 0000899243-20-030627 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201105 FILED AS OF DATE: 20201109 DATE AS OF CHANGE: 20201109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Neill Andrew R CENTRAL INDEX KEY: 0001827204 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39593 FILM NUMBER: 201298124 MAIL ADDRESS: STREET 1: 1018 W 11TH STREET, SUITE 100 CITY: AUSTIN STATE: TX ZIP: 78703 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Shattuck Labs, Inc. CENTRAL INDEX KEY: 0001680367 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 812575858 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1018 W. 11TH STREET CITY: AUSTIN STATE: TX ZIP: 78703 BUSINESS PHONE: 919-864-2700 MAIL ADDRESS: STREET 1: 1018 W. 11TH STREET CITY: AUSTIN STATE: TX ZIP: 78703 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-11-05 0 0001680367 Shattuck Labs, Inc. STTK 0001827204 Neill Andrew R C/O SHATTUCK LABS, INC. 1018 W. 11TH STREET, SUITE 100 AUSTIN TX 78703 0 1 0 0 See Remarks Common Stock 2020-11-05 4 M 0 2211 0.01 A 90677 D Stock Option (Right to Buy) 0.01 2020-11-05 4 M 0 2211 0.00 D 2027-05-31 Common Stock 2211 15489 D This option represents a right to purchase a total of 17,700 shares of the Issuer's common stock and will vest in equal monthly installments through May 22, 2021, subject to the Reporting Person's continued service to the Issuer. Vice President of Finance and Corporate Strategy /s/ Erin Ator Thomson, Attorney-in-fact for Andrew R. Neill 2020-11-09