Form Type: 4

SEC EDGAR Link
Accession Number:0000899243-21-001376
Date:2021-01-05
Issuer: FORMA THERAPEUTICS HOLDINGS, INC. (FMTX)
Original Submission Date:

Reporting Person:

VICKERS SELWYN M MD
C/O FORMA THERAPEUTICS HOLDINGS, INC.,
500 ARSENAL STREET, SUITE 100 WATERTOWN, MA 02472

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) 34.29 2021-01-05 deemed execution date A 25,000 (a) 2031-01-04 common stock 25,000 $34.29 0 direct
Footnotes
IDfootnote
f1 33.3% of the shares subject to the stock option shall vest on january 5, 2022; and the remainder of the shares shall vest in equal monthly installments for a period of 24 months thereafter, subject to continued service with the issuer.

Elevate your investments