UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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 control number. |
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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Option (right to buy) | Â (1) | 12/31/2022 | Common Stock | 25,000 | $ 10.94 | D | Â |
Stock Option (right to buy) | Â (2) | 07/23/2023 | Common Stock | 7,000 | $ 14.28 | D | Â |
Stock Option (right to buy) | Â (3) | 01/02/2024 | Common Stock | 30,000 | $ 6.08 | D | Â |
Stock Option (right to buy) | Â (4) | 02/23/2025 | Common Stock | 37,300 | $ 8.19 | D | Â |
Stock Option (right to buy) | Â (5) | 03/07/2026 | Common Stock | 40,000 | $ 3.57 | D | Â |
Stock Option (right to buy) | Â (6) | 02/28/2027 | Common Stock | 40,000 | $ 6.62 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Kwan Pui San C/O CHEMOCENTRYX, INC. 850 MAUDE AVENUE MOUNTAIN VIEW, CA 94043 |
 |  |  Principal Acctg Officer |  |
/s/ Susan M. Kanaya, as Attorney-in-Fact | 03/07/2018 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | The option was granted on December 31, 2012, and was fully vested prior to March 5, 2018. |
(2) | The option was granted on July 23, 2013, and was fully vested prior to March 5, 2018. |
(3) | The option was granted on January 2, 2014, and was fully vested prior to March 5, 2018. |
(4) | The option was granted on February 23, 2015. 25% of the total number of shares of common stock subject to the option vested on January 1, 2016, and 1/48th of the total number of shares of common stock subject to the option vest monthly thereafter, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date. |
(5) | The option was granted on March 7, 2016. 25% of the total number of shares of common stock subject to the option vested on January 1, 2017, and 1/48th of the total number of shares of common stock subject to the option vest monthly thereafter, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date. |
(6) | The option was granted on February 28, 2017. 25% of the total number of shares of common stock subject to the option vested on January 1, 2018, and 1/48th of the total number of shares of common stock subject to the option vest monthly thereafter, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date. |
 Remarks: See Exhibit 24, Power of Attorney. |