Jacob Chacko - 17 Jun 2025 Form 4 Insider Report for 4D Molecular Therapeutics, Inc. (FDMT)

Role
Director
Signature
/s/ Scott Bizily as Attorney-in-Fact for Jacob Chacko
Issuer symbol
FDMT
Transactions as of
17 Jun 2025
Transactions value $
$0
Form type
4
Filing time
20 Jun 2025, 16:05:35 UTC
Previous filing
03 Jan 2025
Next filing
24 Sep 2025

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Chacko Jacob Director C/O MOLECULAR THERAPEUTICS, INC., 5858 HORTON STREET #455, EMERYVILLE /s/ Scott Bizily as Attorney-in-Fact for Jacob Chacko 20 Jun 2025 0001608936

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction FDMT Stock Option (Right to Buy) Award $0 +22.5K $0.00 22.5K 17 Jun 2025 Common Stock 22.5K $4.15 Direct F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Automatically granted pursuant to the terms of the Company's non-employee director compensation program.
F2 The stock option vests and becomes exercisable with respect to 1/3 of the total shares on June 17, 2026 and in equal monthly installments thereafter, subject to the Reporting Person continuing service to Issuer through each vesting date, until the shares are fully vested on June 17, 2028. Additionally, the stock options will vest in full upon the consummation of a Change in Control (as defined in the 2020 Incentive Award Plan).