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