SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
BEVERIDGE, ROY A

(Last) (First) (Middle)
C/O EPIZYME, INC.,
400 TECHNOLOGY SQUARE, 4TH FLOOR

(Street)
CAMBRIDGE WA 02139

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Epizyme, Inc. [ EPZM ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
11/16/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock, par value $0.0001 11/16/2021 A 16,702(1) A $0.00 16,702(2) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction 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 (Month/Day/Year) 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: 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) $4.27 11/16/2021 A 83,298(2) (3) 11/15/2031 Common Stock 83,298 $0.00 83,298 D
Explanation of Responses:
1. Consists of shares of Common Stock issuable under 16,702 restricted stock units ("RSUs") granted pursuant to the Issuer's 2013 Stock Incentive Plan. Each RSU represents the right to receive one share of Common Stock upon vesting. These RSUs are scheduled to vest in three equal annual installments over three years from the grant date, with the first installment vesting on November 16, 2022, subject to continued service as a director. In the event of a change in control of the Issuer, the RSUs will vest in full.
2. The number of shares of the Common Stock issuable upon exercise of the Option (as defined below) and underlying the RSUs granted to Dr. Beveridge accounts for adjustment based on the terms of the Issuer's non-employee director compensation program, which provides that the aggregate number of shares of Common Stock issuable upon exercise of the initial option grant and underlying the initial RSU grant to each new director shall in no event exceed a total of 100,000 shares.
3. This option (the "Option") was granted on November 16, 2021 pursuant to the Issuer's 2013 Stock Incentive Plan with respect to 83,298 shares of Common Stock, with 33% vesting on November 16, 2022 and the remaining shares underlying the Option vesting in 24 substantially equal monthly installments thereafter, subject to continued service as a director. In the event of a change in control of the Issuer, the Option will vest in full.
Remarks:
/s/ John Weidenbruch, attorney-in-fact 11/18/2021
** Signature of Reporting Person Date
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* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
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