0001104659-24-037438.txt : 20240321
0001104659-24-037438.hdr.sgml : 20240321
20240321194940
ACCESSION NUMBER: 0001104659-24-037438
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240319
FILED AS OF DATE: 20240321
DATE AS OF CHANGE: 20240321
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Forth Marc
CENTRAL INDEX KEY: 0001816988
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40021
FILM NUMBER: 24772771
MAIL ADDRESS:
STREET 1: C/O AEON BIOPHARMA, INC.
STREET 2: 4040 MACARTHUR BLVD., SUITE 260
CITY: NEWPOER BEACH
STATE: CA
ZIP: 92660
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AEON Biopharma, Inc.
CENTRAL INDEX KEY: 0001837607
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
ORGANIZATION NAME: 03 Life Sciences
IRS NUMBER: 853940478
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5 PARK PLAZA
STREET 2: SUITE 1750
CITY: IRVINE
STATE: CA
ZIP: 92614
BUSINESS PHONE: (949) 354-6499
MAIL ADDRESS:
STREET 1: 5 PARK PLAZA
STREET 2: SUITE 1750
CITY: IRVINE
STATE: CA
ZIP: 92614
FORMER COMPANY:
FORMER CONFORMED NAME: Priveterra Acquisition Corp.
DATE OF NAME CHANGE: 20201222
4
1
tm249503-5_4seq1.xml
OWNERSHIP DOCUMENT
X0508
4
2024-03-19
0
0001837607
AEON Biopharma, Inc.
AEON
0001816988
Forth Marc
5 PARK PLAZA, SUITE 1750
IRVINE
CA
92614
1
1
0
0
CHIEF EXECTUIVE OFFICER
0
Stock Option
14.40
2024-03-19
4
A
0
212466
0
A
2034-03-18
Common Stock
212466
212466
D
Represents an award of stock options granted on March 19, 2024 (the "Grant Date"), which vests in substantially equal installments on each of the first, second, third and fourth anniversary of the Grant Date, subject to the reporting person's continued service through the applicable vesting date.
/s/ Alexander Wilson as attorney-in-fact for Marc Forth
2024-03-21