Statement of Changes in Beneficial Ownership (4)
January 16 2020 - 5:15PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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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
*
BELTRAMELLO JO ANN |
2. Issuer Name and Ticker or Trading Symbol
MOMENTA PHARMACEUTICALS INC
[
MNTA
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Chief HR and Inf. Officer |
(Last)
(First)
(Middle)
C/O MOMENTA PHARMACEUTICALS, INC., 301 BINNEY ST, |
3. Date of Earliest Transaction
(MM/DD/YYYY)
1/14/2020 |
(Street)
CAMBRIDGE, MA 02142
(City)
(State)
(Zip)
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4. 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
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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CommonStock | 1/14/2020 | | M(1) | | 2362 | A | $10.83 | 46078 | D | |
Common Stock | 1/14/2020 | | M(3) | | 30800 | A | $12.58 | 76878 | D | |
Common Stock | 1/14/2020 | | M(3) | | 36485 | A | $13.02 | 113363 | D | |
Common Stock | 1/14/2020 | | M(3) | | 25495 | A | $13.26 | 138858 | D | |
Common Stock | 1/14/2020 | | M(3) | | 26183 | A | $15.44 | 165041 | D | |
Common Stock | 1/14/2020 | | S(1) | | 2362 | D | $21.35 (2) | 162679 | D | |
Common Stock | 1/14/2020 | | S(3) | | 30800 | D | $22.58 | 131879 | D | |
Common Stock | 1/14/2020 | | S(3) | | 36485 | D | $23.02 | 95394 | D | |
Common Stock | 1/14/2020 | | S(3) | | 25495 | D | $23.26 | 69899 | D | |
Common Stock | 1/14/2020 | | S(3) | | 26183 | D | $25.44 | 43716 | D | |
Common Stock | 1/14/2020 | | S(1) | | 1264 | D | $20.47 | 42452 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Stock Option (Right to Buy) | $10.83 | 1/14/2020 | | M (1) | | 1493 | | 2/9/2019 | 2/9/2026 | Common Stock | 1493 | $0 | 6843 | D | |
Stock Option (Right to Buy) | $10.83 | 1/14/2020 | | M (1) | | 869 | | 2/9/2017 | 2/9/2026 | Common Stock | 869 | $0 | 28595 | D | |
Stock Option (Right to Buy) | $13.26 | 1/14/2020 | | M (3) | | 11240 | | 2/22/2015 | 2/22/2021 | Common Stock | 11240 | $0 | 0 | D | |
Stock Option (Right to Buy) | $13.26 | 1/14/2020 | | M (3) | | 14255 | | 11/22/2013 | 2/22/2021 | Common Stock | 14255 | $0 | 0 | D | |
Stock Option (Right to Buy) | $12.58 | 1/14/2020 | | M (3) | | 22935 | | 11/19/2016 | 2/19/2023 | Common Stock | 22935 | $0 | 0 | D | |
Stock Option (Right to Buy) | $12.58 | 1/14/2020 | | M (3) | | 7895 | | 2/19/2017 | 2/19/2023 | Common Stock | 7895 | $0 | 0 | D | |
Stock Option (Right to Buy) | $13.02 | 1/14/2020 | | M (3) | | 36485 | | 11/18/2018 | 2/18/2025 | Common Stock | 36485 | $0 | 0 | D | |
Stock Option (Right to Buy) | $15.44 | 1/14/2020 | | M (3) | | 19357 | | 11/14/2015 | 2/14/2022 | Common Stock | 19357 | $0 | 0 | D | |
Stock Option (Right to Buy) | $15.44 | 1/14/2020 | | M (3) | | 6826 | | 2/14/2016 | 2/14/2022 | Common Stock | 6826 | $0 | 0 | D | |
Explanation of Responses: |
(1) | This transaction was effected pursuant to a Rule 10b5-1 trading plan adopted by the person on November 7, 2019. |
(2) | This transaction was executed in multiple trades at prices ranging from $21.34 to $21.37. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote. |
(3) | This transaction was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on December 14, 2018. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
BELTRAMELLO JO ANN C/O MOMENTA PHARMACEUTICALS, INC. 301 BINNEY ST, CAMBRIDGE, MA 02142 |
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| Chief HR and Inf. Officer |
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Signatures
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/s/ R. Mark Chamberlin as attorney in fact | | 1/16/2020 |
**Signature of Reporting Person | Date |
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