0000899243-21-032550.txt : 20210811 0000899243-21-032550.hdr.sgml : 20210811 20210811170030 ACCESSION NUMBER: 0000899243-21-032550 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210810 FILED AS OF DATE: 20210811 DATE AS OF CHANGE: 20210811 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: 211164350 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 2021-08-10 0 0001680367 Shattuck Labs, Inc. STTK 0001827204 Neill Andrew R C/O SHATTUCK LABS, INC. 500 W. 5TH STREET, SUITE 1200 AUSTIN TX 78701 0 1 0 0 Chief Financial Officer Common Stock 2021-08-10 4 M 0 2203 0.01 A 56166 D Stock Option (Right to Buy) 0.01 2021-08-10 4 M 0 2203 0.00 D 2027-05-31 Common Stock 2203 0 D This option represented a right to purchase a total of 17,700 shares of the Issuer's common stock and has vested in full. /s/ Erin Ator Thomson, Attorney-in-fact for Andrew R. Neill 2021-08-11