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