0001962918-23-000021.txt : 20230818
0001962918-23-000021.hdr.sgml : 20230818
20230818184907
ACCESSION NUMBER: 0001962918-23-000021
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230816
FILED AS OF DATE: 20230818
DATE AS OF CHANGE: 20230818
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lin Shao-Lee
CENTRAL INDEX KEY: 0001725092
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41696
FILM NUMBER: 231186966
MAIL ADDRESS:
STREET 1: C/O ACELYRIN, INC.
STREET 2: 4149 LIBERTY CANYON RD.
CITY: AGOURA HILLS
STATE: CA
ZIP: 91301
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ACELYRIN, Inc.
CENTRAL INDEX KEY: 0001962918
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 852406735
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4149 LIBERTY CANYON RD.
CITY: AGOURA HILLS
STATE: CA
ZIP: 91301
BUSINESS PHONE: 805-871-4300
MAIL ADDRESS:
STREET 1: 4149 LIBERTY CANYON RD.
CITY: AGOURA HILLS
STATE: CA
ZIP: 91301
4
1
wk-form4_1692398937.xml
FORM 4
X0508
4
2023-08-16
0
0001962918
ACELYRIN, Inc.
SLRN
0001725092
Lin Shao-Lee
C/O ACELYRIN, INC.
4149 LIBERTY CANYON RD.
AGOURA HILLS
CA
91301
1
1
0
0
Chief Executive Officer
0
Common Stock
2023-08-16
4
A
0
842400
0
A
1612434
D
Common Stock
1161747
I
See footnote
Common Stock
677813
I
See footnote
Common Stock
354969
I
See footnote
Common Stock
354969
I
See footnote
Common Stock
349898
I
See footnote
Common Stock
5070
I
See footnote
Represents Restricted Stock Units (RSUs). 1/4 of the RSUs will vest on May 15, 2024 and the remaining RSUs will vest in three equal annual installments thereafter, subject to the Reporting Person's continued service through each vesting date.
Shares held directly by Woodland Hills Partners LLC, for which the Reporting Person serves as a managing member.
Shares held directly by Shao-Lee Lin, Trustee of the Shao-Lee Lin Trust u/a/d September 23, 2005, for which the Reporting Person serves as trustee.
Shares held directly by Shao-Lee Lin 2020 Gift Trust Dtd 7/16/20, for which the Reporting Person's spouse serves as trustee.
Shares held directly by Lin Family 2020 Gift Trust Dtd 7/16/20, for which the Reporting Person's spouse shares voting and investment power.
Shares held directly by Susie Jun 2020 Gift Trust dtd 7/16/20, for which the Reporting Person serves as trustee.
Shares held directly by Susie Jun, Trustee of the Susie Jun Trust U/A/D September 23, 2005, for which the Reporting Person's spouse serves as trustee.
/s/ Mina Kim, Attorney-in-fact
2023-08-18