0001209191-21-038580.txt : 20210607 0001209191-21-038580.hdr.sgml : 20210607 20210607161723 ACCESSION NUMBER: 0001209191-21-038580 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210604 FILED AS OF DATE: 20210607 DATE AS OF CHANGE: 20210607 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lee Philina CENTRAL INDEX KEY: 0001845080 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39344 FILM NUMBER: 21999732 MAIL ADDRESS: STREET 1: C/O FUSION PHARMACEUTICALS, INC. STREET 2: 270 LONGWOOD ROAD SOUTH CITY: HAMILTON STATE: D0 ZIP: L8P OA6 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Fusion Pharmaceuticals Inc. CENTRAL INDEX KEY: 0001805890 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 000000000 STATE OF INCORPORATION: Z4 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 270 LONGWOOD ROAD SOUTH CITY: HAMILTON STATE: A6 ZIP: L8P 0A6 BUSINESS PHONE: 289-799-0891 MAIL ADDRESS: STREET 1: 270 LONGWOOD ROAD SOUTH CITY: HAMILTON STATE: A6 ZIP: L8P 0A6 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-06-04 0 0001805890 Fusion Pharmaceuticals Inc. FUSN 0001845080 Lee Philina C/O FUSION PHARMACEUTICALS, INC. 2 INTERNATIONAL PLACE, SUITE 2310 BOSTON MA 02110 1 0 0 0 Stock Option (Right to Buy) 8.15 2021-06-04 4 A 0 17000 0.00 A 2031-06-03 Common Stock 17000 17000 D This option fully vests on the earlier of (i) June 4, 2022 or (ii) the 2022 Annual Meeting of Shareholders of Fusion Pharmaceuticals Inc. /s/Maria Stahl as Attorney-in-Fact for Philina Lee 2021-06-07