Form Type: 4

SEC EDGAR Link
Accession Number:0001567619-21-017862
Date:2021-09-30
Issuer: ANNEXON, INC. (ANNX)
Original Submission Date:

Reporting Person:

MATTHEAKIS LARRY
C/O ANNEXON, INC.
180 KIMBALL WAY, SUITE 200 SOUTH SAN FRANCISCO, CA 94080

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
STOCK OPTION (RIGHT TO BUY) 18.61 2021-09-30 deemed execution date A 220,000 (a) 2031-09-30 common stock 220,000 $18.61 220,000 direct
Footnotes
IDfootnote
f1 25% of the shares subject to the option vest on the first anniversary measured from september 30, 2021 (the "vesting commencement date"), and 1/48th of the total number of shares vest monthly thereafter, such that 100% of the shares subject to the option will be fully vested and exercisable on the fourth anniversary of the vesting commencement date.

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