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 |
|
| ||||||||||||||||||||||||||||||
|
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) |
||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Employee stock option (right to buy) | Â (1) | 04/07/2020 | Common Stock | 31,034 | $ 3.08 | D | Â |
Employee stock option (right to buy) | Â (2) | 03/01/2021 | Common Stock | 17,241 | $ 3.28 | D | Â |
Employee stock option (right to buy) | Â (3) | 03/01/2022 | Common Stock | 30,000 | $ 24.74 | D | Â |
Employee stock option (right to buy) | Â (4) | 03/01/2023 | Common Stock | 40,000 | $ 21.81 | D | Â |
Employee stock option (right to buy) | Â (5) | 01/10/2024 | Common Stock | 17,500 | $ 73.98 | D | Â |
Employee stock option (right to buy) | Â (6) | 02/27/2024 | Common Stock | 35,000 | $ 78.38 | D | Â |
Employee stock option (right to buy) | Â (7) | 03/02/2025 | Common Stock | 12,500 | $ 79.05 | D | Â |
Employee stock option (right to buy) | Â (8) | 08/03/2025 | Common Stock | 35,000 | $ 85.65 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Rolfe Lindsey C/O CLOVIS ONCOLOGY, INC., 2525 28TH STREET, SUITE 100 BOULDER, CO 80301 |
 |  |  See remarks |  |
/s/ Lindsey Rolfe | 08/13/2015 | |
**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 vested as to 25% of the shares on April 1, 2011 and the remainder vested in substantially equal installments over the 36 months immediately following such date. |
(2) | The option vested as to 25% of the shares on March 1, 2012 and the remainder vested in substantially equal installments over the 36 months immediately following such date. |
(3) | The option is immediately exercisable as to both vested and unvested shares. The option vested as to 25% of the shares on March 1, 2013 and the remainder vest in substantially equal installments over the 36 months immediately following such date. To the extent the reporting person exercises the option as to unvested shares, the reporting person will receive restricted shares that will vest in accordance with the vesting schedule for the option. |
(4) | The option vested as to 25% of the shares on March 1, 2014 and the remainder vest in substantially equal installments over the 36 months immediately following such date. |
(5) | The option vested as to 25% of the shares on January 10, 2015 and the remainder vest in substantially equal installments over the 36 months immediately following such date. |
(6) | The option vested as to 25% of the shares on February 27, 2015 and the remainder shall vest in substantially equal installments over the 36 months immediately following such date. |
(7) | The option shall vest as to 25% of the shares on March 2, 2016, and the remainder shall vest in substantially equal installments over the 36 months immediately following such date. |
(8) | The option shall vest as to 25% of the shares on August 3, 2016, and the remainder shall vest in substantially equal installments over the 36 months immediately following such date. |
 Remarks: Chief Medical Officer and Executive Vice President of Clinical and Preclinical Development and Pharmacovigilance |