Initial Statement of Beneficial Ownership (3)
May 29 2020 - 04:36PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE
COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP
OF SECURITIES
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OMB
APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response... 0.5 |
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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 * Raifeld Pavel |
2. Date of Event Requiring Statement
(MM/DD/YYYY)
5/20/2020
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3. Issuer Name and Ticker or Trading
Symbol Innoviva, Inc. [INVA] |
(Last)
(First)
(Middle)
1350 OLD BAYSHORE HIGHWAY, SUITE 400 |
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
___X___ Officer (give title
below) _____
Other (specify below)
Chief Executive Officer / |
(Street)
BURLINGAME, CA 94010
(City)
(State)
(Zip)
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5. If Amendment, Date Original
Filed(MM/DD/YYYY)
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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
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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) |
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
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1. Title of Derivate Security
(Instr. 4) |
2. Date Exercisable and Expiration Date
(MM/DD/YYYY) |
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) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Nonstatutory Stock Option |
5/20/2021 (1) |
5/20/2030 |
Common Stock |
250000 |
$14.1 |
D |
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Explanation of
Responses: |
(1) |
25% of the options will vest
on May 20, 2021 and the balance will vest in twelve (12)
substantially equal installments thereafter on each three (3) month
anniversary of the initial vesting date, in each case, subject to
Mr. Raifeld's continuous service through the applicable vesting
date, with accelerated vesting in the event of a "change in
control" (as defined in the Issuer's 2012 Equity Incentive Plan) or
in the event that Mr. Raifeld experiences an "involuntary
termination" (as defined in Mr. Raifeld's option agreement) within
24 months following a "change in control." |
Reporting
Owners
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Reporting Owner Name / Address |
Relationships
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Director |
10% Owner |
Officer |
Other |
Raifeld Pavel
1350 OLD BAYSHORE HIGHWAY, SUITE 400
BURLINGAME, CA 94010 |
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Chief Executive Officer |
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Signatures
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/s/ Pavel Raifeld |
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5/29/2020 |
**Signature of Reporting
Person |
Date |