| Amount Previously Paid: N/A | | | Filing Party: N/A | |
| Form or Registration No.: N/A | | | Date Filed: N/A | |
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Exhibit No.
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Description
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| (d)(4)† | | | | |
| (d)(5)† | | | Second Amendment, dated February 6, 2023, to the License and Collaboration Agreement, dated as of November 15, 2017, as amended, by and between Regeneron Pharmaceuticals, Inc. and Decibel Therapeutics, Inc. (incorporated by reference to Exhibit 10.30 to the Annual Report on Form 10-K, File No. 001-40030, filed by Decibel Therapeutics, Inc. on March 14, 2023). | |
| (d)(6)† | | | | |
| (d)(7)* | | | | |
| (d)(8)* | | | | |
| (g) | | | None. | |
| (h) | | | None. | |
| 107* | | | |
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Page
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High
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Low
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Cash Dividends
Declared |
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Fiscal Year Ended December 31, 2021 | | | | | | | | | | | | | | | | | | | |
First Quarter (beginning on February 11, 2021)
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| | | $ | 24.39 | | | | | $ | 10.41 | | | | | $ | 0 | | |
Second Quarter
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| | | $ | 11.69 | | | | | $ | 6.18 | | | | | $ | 0 | | |
Third Quarter
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| | | $ | 9.75 | | | | | $ | 6.60 | | | | | $ | 0 | | |
Fourth Quarter
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| | | $ | 8.66 | | | | | $ | 4.49 | | | | | $ | 0 | | |
Fiscal Year Ended December 31, 2022 | | | | | | | | | | | | | | | | | | | |
First Quarter
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| | | $ | 5.14 | | | | | $ | 2.81 | | | | | $ | 0 | | |
Second Quarter
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| | | $ | 4.28 | | | | | $ | 1.83 | | | | | $ | 0 | | |
Third Quarter
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| | | $ | 5.78 | | | | | $ | 3.38 | | | | | $ | 0 | | |
Fourth Quarter
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| | | $ | 4.21 | | | | | $ | 1.61 | | | | | $ | 0 | | |
Fiscal Year Ended December 31, 2023 | | | | | | | | | | | | | | | | | | | |
First Quarter
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| | | $ | 5.40 | | | | | $ | 1.85 | | | | | $ | 0 | | |
Second Quarter
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| | | $ | 4.90 | | | | | $ | 2.41 | | | | | $ | 0 | | |
Third Quarter (through August 24, 2023)
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| | | $ | 5.17 | | | | | $ | 2.70 | | | | | $ | 0 | | |
Name
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Age
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Position
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Bonnie L. Bassler, Ph.D. | | |
61
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| | Director | |
Michael S. Brown, M.D. | | |
82
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| | Director | |
N. Anthony Coles, M.D. | | |
63
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| | Director | |
Joseph L. Goldstein, M.D. | | |
83
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| | Director | |
Christine A. Poon | | |
71
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| | Director | |
Arthur F. Ryan | | |
80
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| | Director | |
Leonard S. Schleifer, M.D., Ph.D. | | |
71
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| | Co-Chair of the Board, Director, President & Chief Executive Officer | |
George L. Sing | | |
74
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| | Director | |
Marc Tessier-Lavigne, Ph.D. | | |
63
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| | Director | |
Craig B. Thompson, M.D. | | |
70
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| | Director | |
George D. Yancopoulos, M.D., Ph.D.
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63
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| | Co-Chair of the Board, Director, President & Chief Scientific Officer | |
Huda Y. Zoghbi, M.D. | | |
69
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| | Director | |
Christopher Fenimore | | |
52
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| | Senior Vice President, Controller | |
Robert E. Landry | | |
59
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| | Executive Vice President, Finance and Chief Financial Officer | |
Joseph J. LaRosa | | |
65
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| | Executive Vice President, General Counsel and Secretary | |
Marion McCourt | | |
63
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| | Executive Vice President, Commercial | |
Andrew J. Murphy, Ph.D. | | |
65
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| | Executive Vice President, Research | |
Neil Stahl, Ph.D. | | |
66
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| | Executive Vice President, Research and Development | |
Daniel P. Van Plew | | |
50
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| | Executive Vice President and General Manager, Industrial Operations and Product Supply | |
Name
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Age
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Position
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Nouhad Husseini | | |
45
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| | Director, Managing Director | |
Joseph J. LaRosa | | |
65
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| | Secretary | |
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If delivering by UPS, FedEx or Courier:
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If using a USPS Service:
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Computershare
Attn: Decibel Therapeutics 150 Royall Street, Suite V Canton, MA 02021 |
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Computershare
Attn: Decibel Therapeutics P.O. Box 43011 Providence, RI 02940-3011 |
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THE OFFER AND WITHDRAWAL RIGHTS WILL EXPIRE AT
THE END OF THE DAY, ONE MINUTE AFTER 11:59 P.M., EASTERN TIME, ON SEPTEMBER 22, 2023, UNLESS THE OFFER IS EXTENDED OR EARLIER TERMINATED (SUCH DATE AND TIME, AS IT MAY BE EXTENDED, THE “EXPIRATION DATE”). |
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If delivering by UPS, FedEx or Courier:
Computershare
Attn: Decibel Therapeutics 150 Royall Street, Suite V Canton, MA 02021 |
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Is using a USPS Service:
Computershare
Attn: Decibel Therapeutics P.O. Box 43011 Providence, RI 02940-3011 |
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DESCRIPTION OF SHARES TENDERED
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Name(s) and Address(es) of Registered Holder(s)
(Please fill in, if blank, exactly as name(s) appear(s) on certificate(s)) (Attach additional signed list if necessary) |
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Shares Tendered
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Total Number
of Shares Tendered* |
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Certificate
Number(s) |
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Total Number of
Shares Represented by Certificate(s) |
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Book-Entry
Shares Tendered |
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Total Shares
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*
Unless otherwise indicated, it will be assumed that all Shares described in the chart above are being tendered. See Instruction 4.
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SPECIAL PAYMENT INSTRUCTIONS
(See Instructions 1, 5, 6 and 7) |
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| | To be completed ONLY if the check for the Cash Consideration of Shares accepted for payment and/or Certificates not tendered or not accepted for payment are to be issued in the name of someone other than the undersigned. | | | |||
| | Issue check and/or certificates to: | | | |||
| | Name: | | |
(Please Print)
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| | Address: | | |
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(Include Zip Code)
(Taxpayer identification or Social Security No.)
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SPECIAL DELIVERY INSTRUCTIONS
(See Instructions 1, 5, 6 and 7) |
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| | To be completed ONLY if the check for the Cash Consideration of Shares accepted for payment and/or Certificates evidencing Shares not tendered or not accepted are to be mailed to someone other than the undersigned or to the undersigned at an address other than that shown above. | | | |||
| | Mail check and/or Certificates to: | | | |||
| | Name: | | |
(Please Print)
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| | Address: | | |
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(Include Zip Code)
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IMPORTANT
STOCKHOLDER: YOU MUST SIGN BELOW (U.S. Holders: Please complete and return the IRS Form W-9 included below) (Non-U.S. Holders: Please obtain, complete and return IRS Form W-8BEN or other IRS Form W-8) |
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(Signature(s) of Holder(s) of Shares)
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(Signature(s) of Holder(s) of Shares)
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| | Dated: | | |
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| | Name(s): | | |
(Please Print)
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Capacity (full title) (See Instruction 5):
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| | Address: | | |
(Include Zip Code)
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| | Area Code and Telephone No.: | | |
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| | Tax Identification or Social Security No. (See IRS Form W-9 included below): | | | |||
| | (Must be signed by registered holder(s) exactly as name(s) appear(s) on Certificate(s) or on a security position listing or by person(s) authorized to become registered holder(s) by Certificates and documents transmitted herewith. If signature is by a trustee, executor, administrator, guardian, attorney-in-fact, agent, officer of a corporation or other person acting in a fiduciary or representative capacity, please set forth full title and see Instruction 5.) | | |
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If delivering by UPS, FedEx or Courier:
Computershare
Attn: Decibel Therapeutics 150 Royall Street, Suite V Canton, MA 02021 |
| |
Is using a USPS Service:
Computershare
Attn: Decibel Therapeutics P.O. Box 43011 Providence, RI 02940-3011 |
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