0001127602-17-009676.txt : 20170302
0001127602-17-009676.hdr.sgml : 20170302
20170302160945
ACCESSION NUMBER: 0001127602-17-009676
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170228
FILED AS OF DATE: 20170302
DATE AS OF CHANGE: 20170302
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Bioverativ Inc.
CENTRAL INDEX KEY: 0001681689
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 813461310
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 225 2ND AVENUE
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 781-663-4400
MAIL ADDRESS:
STREET 1: 225 2ND AVENUE
CITY: WALTHAM
STATE: MA
ZIP: 02451
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Celona Lucia
CENTRAL INDEX KEY: 0001692362
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37859
FILM NUMBER: 17658816
MAIL ADDRESS:
STREET 1: BIOVERATIV INC.
STREET 2: 225 SECOND AVENUE
CITY: WALTHEM
STATE: MA
ZIP: 02451
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2017-02-28
0001681689
Bioverativ Inc.
BIVV
0001692362
Celona Lucia
BIOVERATIV INC.
225 2ND AVE.
WALTHAM
MA
02451
1
EVP, HR & Corp Commun. Officer
Common Stock
2017-02-28
4
A
0
22567
0
A
22567
D
Common Stock
2017-02-28
4
F
0
650
43.42
D
21917
D
Common Stock
2017-02-28
4
F
0
235
49.56
D
21682
D
Common Stock
2017-02-28
4
F
0
768
47.76
D
20914
D
Common Stock
2017-02-28
4
F
0
301
43.42
D
20613
D
Common Stock
2017-02-28
4
F
0
182
49.56
D
20431
D
Common Stock
2017-02-28
4
F
0
592
47.76
D
19839
D
Common Stock
2017-02-28
4
F
0
790
43.42
D
19049
D
Includes restricted stock units granted by Bioverativ Inc. ("Bioverativ") to the reporting person as a result of the conversion of existing Biogen Inc. ("Biogen") cash-settled performance units, market stock units and restricted stock units held by the reporting person prior to the Spin-Off of Bioverativ from Biogen on February 1, 2017, as set forth in an employee matters agreement entered into between Bioverativ and Biogen in connection with the Spin-Off. Restricted stock units that are unvested continue to vest on the dates of the original Biogen awards.
Represents the number of shares forfeited by the reporting person to cover the payment of taxes incurred as a result of vesting of restricted stock units.
/s/ Matthew S. Gilman, Attorney in Fact for Lucia Celona
2017-03-02