Forbion Capital Fund III Cooperatief U.A. 4

Accession 0001104659-18-047445

CIK 0001737953other

Filed

Jul 25, 8:00 PM ET

Accepted

Jul 26, 5:16 PM ET

Size

23.3 KB

Accession

0001104659-18-047445

Form 4

Period: 2018-07-24

10% Owner

Transactions

Conversion
Common Stock
2018-07-24+994,688→ 994,688 total(indirect: See footnote)
Conversion
Common Stock
2018-07-24+2,579,881→ 3,574,569 total(indirect: See footnote)
Conversion
Warrant (right to buy)
2018-07-24−248,672→ 0 total(indirect: See footnote)
→ Series Seed Convertible Preferred Stock (248,672 underlying)
Conversion
Series A Convertible Preferred Stock
2018-07-24−2,579,881→ 0 total(indirect: See footnote)
→ Common Stock (2,579,881 underlying)
Purchase
Common Stock
2018-07-24$15.00/sh+133,333$1,999,995→ 4,721,449 total(indirect: See footnote)
Conversion
Series Seed Convertible Preferred Stock
2018-07-24−994,688→ 0 total(indirect: See footnote)
→ Common Stock (994,688 underlying)
Conversion
Series B Convertible Preferred Stock
2018-07-24−1,013,547→ 0 total(indirect: See footnote)
→ Common Stock (1,013,547 underlying)
Conversion
Common Stock
2018-07-24+1,013,547→ 4,588,116 total(indirect: See footnote)
Conversion
Warrant (right to buy)
2018-07-24+248,672→ 248,672 total(indirect: See footnote)
→ Common Stock (248,672 underlying)

Footnotes (4)

[F1]In connection with the completion of the Issuer's initial public offering, each share of the Issuer's series seed convertible preferred stock, series A convertible preferred stock and series B convertible preferred stock (collectively, the "Preferred Stock") converted into shares of the Issuer's common stock on a 1-for-9.94688 basis without payment or consideration. The Preferred Stock had no expiration date.
[F2]The securities are held directly by Forbion Capital Fund III Cooperatief U.A. ("Forbion Coop"). Forbion III Management B.V. ("Forbion Management") is the director of Forbion Coop and may be deemed to have voting, investment and dispositive power with respect to the shares held by Forbion Coop. Forbion Management disclaims Section 16 beneficial ownership of the shares held by Forbion Coop, except to the extent, if any, of its pecuniary interest therein.
[F3]Reflects warrants to acquire shares of the Issuer's Series Seed Convertible Preferred Stock which automatically converted into warrants to acquire shares of the Issuer's common stock immediately prior to the completion of the Issuer's initial public offering on a 1-for-9.94688 basis without payment or consideration. The warrants have no expiration date. The exercise price is $1.01 per share of the Issuer's common stock.
[F4]Reflects the number of shares of applicable series of preferred stock held by the Reporting Person on an as-converted to common stock basis.

Documents

1 file

Replimune Group, Inc.

CIK 0001737953

Entity typeother

IncorporatedNetherlands