SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Tehrani Ali

(Last) (First) (Middle)
C/O ZYMEWORKS INC.
1385 WEST 8TH AVENUE, SUITE 540

(Street)
VANCOUVER A1 V6H 3V9

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/01/2019
3. Issuer Name and Ticker or Trading Symbol
Zymeworks Inc. [ ZYME ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Shares 256,009 D
Common Shares 62,286 I Held by spouse
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) 01/01/2013(1) 01/01/2022 Common Shares 58,660 $5.37(2) D
Stock Option (Right to Buy) 01/01/2014(1) 01/01/2023 Common Shares 20,950 $7.26(2) D
Stock Option (Right to Buy) 01/01/2015(1) 01/01/2024 Common Shares 20,950 $11.6(2) D
Stock Option (Right to Buy) 01/01/2016(1) 01/01/2025 Common Shares 23,464 $14.44(2) D
Stock Option (Right to Buy) 01/29/2017(1) 01/29/2026 Common Shares 293,300 $12.1(2) D
Stock Option (Right to Buy) 02/03/2018(1) 02/03/2027 Common Shares 41,900 $22.6(2) D
Stock Option (Right to Buy) 06/12/2018(1) 06/12/2027 Common Shares 250,000 $9.82 D
Stock Option (Right to Buy) 03/19/2019(1) 03/18/2028 Common Shares 250,000 $11.84 D
Explanation of Responses:
1. Stock options vest as follows: (i) 25% of underlying shares on first anniversary of grant date and (ii) remainder of underlying shares in 36 equal monthly installments on last day of month following first anniversary of grant date.
2. Canadian dollars.
Remarks:
Exhibit List - Exhibit 24 - Power of Attorney
/s/ Daniel Dex, Attorney-in-Fact 01/01/2019
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.