Filing Details

Accession Number:
0001209191-14-028932
Form Type:
4
Zero Holdings:
No
Publication Time:
2014-04-23 19:14:59
Reporting Period:
2014-04-23
Filing Date:
2014-04-23
Accepted Time:
2014-04-23 19:14:59
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1280776 Vital Therapies Inc VTL Pharmaceutical Preparations (2834) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1591095 R. Errol Halperin C/O Vital Therapies, Inc.
15010 Avenue Of Science, Suite 200
San Diego CA 92128
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2014-04-23 8,333 $12.00 8,333 No 4 P Indirect See Footnote
Common Stock Acquisiton 2014-04-23 6,191 $12.00 6,191 No 4 P Indirect By Reporting Person and his wife
Common Stock Acquisiton 2014-04-23 39,417 $0.00 45,608 No 4 C Indirect By Reporting Person and his wife
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect See Footnote
No 4 P Indirect By Reporting Person and his wife
No 4 C Indirect By Reporting Person and his wife
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Senior Convertible Preferred Stock Disposition 2014-04-23 39,417 $0.00 39,417 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Indirect
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 40,000 Direct
Footnotes
  1. Shares held by Errol Halperin IRA FBO Errol Halperin
  2. Each share of Senior Convertible Preferred Stock automatically converted into the Registrant's common stock on a one-for-one basis immediately prior to the closing of the Registrant's initial public offering and had no expiration date.