Form Type: 4

SEC EDGAR Link
Accession Number:0001209191-23-010309
Date:2023-02-15
Issuer: ICOSAVAX, INC. (ICVX)
Original Submission Date:

Reporting Person:

SIMPSON ADAM K.
C/O ICOSAVAX, INC.
1930 BOREN AVE., SUITE 1000 SEATTLE, WA 98101

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
COMMON STOCK 2023-02-15 M 10,677 a $1.04 255,718 direct
COMMON STOCK 2023-02-15 0 $0.00 531,576 indirect
COMMON STOCK 2023-02-15 0 $0.00 129,032 indirect
COMMON STOCK 2023-02-15 0 $0.00 129,032 indirect
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) 1.04 2023-02-15 deemed execution date M 10,677 (d) 2031-01-28 common stock 10,677 $1.04 417,250 direct
Footnotes
IDfootnote
f1 25% of the shares subject to the option vested on 1/14/2022, and 1/48th of the shares subject to the option vest monthly thereafter.
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