0000899243-20-030628.txt : 20201109 0000899243-20-030628.hdr.sgml : 20201109 20201109163009 ACCESSION NUMBER: 0000899243-20-030628 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: Thomson Erin Ator CENTRAL INDEX KEY: 0001827202 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39593 FILM NUMBER: 201298125 MAIL ADDRESS: STREET 1: 1018 W 11TH ST., 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 0001827202 Thomson Erin Ator C/O SHATTUCK LABS, INC. 1018 W. 11TH STREET, SUITE 100 AUSTIN TX 78703 0 1 0 0 General Counsel Common Stock 2020-11-05 4 M 0 2952 0.01 A 107259 D Stock Option (Right to Buy) 0.01 2020-11-05 4 M 0 2952 0.00 D 2027-12-21 Common Stock 2952 0 D All of the shares of the Issuer's common stock underlying this option are vested and exercisable as of the date hereof. /s/ Erin Ator Thomson 2020-11-09