4//SEC Filing
HENNER DENNIS 4
Accession 0001209191-18-040424
CIK 0001667633other
Filed
Jul 1, 8:00 PM ET
Accepted
Jul 2, 5:13 PM ET
Size
18.0 KB
Accession
0001209191-18-040424
Insider Transaction Report
Form 4
HENNER DENNIS
Director10% Owner
Transactions
- Conversion
Common Stock
2018-07-02+1,922,682→ 3,616,951 total(indirect: See footnote) - Conversion
Series A-1 Preferred Stock
2018-07-02−938,489→ 0 total(indirect: See footnote)→ Common Stock (938,489 underlying) - Conversion
Series A-2 Preferred Stock
2018-07-02−755,780→ 0 total(indirect: See footnote)→ Common Stock (755,780 underlying) - Conversion
Common Stock
2018-07-02+938,489→ 938,489 total(indirect: See footnote) - Purchase
Common Stock
2018-07-02$16.00/sh+200,000$3,200,000→ 3,816,951 total(indirect: See footnote) - Conversion
Series B Preferred Stock
2018-07-02−1,922,682→ 0 total(indirect: See footnote)→ Common Stock (1,922,682 underlying) - Conversion
Common Stock
2018-07-02+755,780→ 1,694,269 total(indirect: See footnote)
Footnotes (2)
- [F1]The Issuer's preferred stock automatically converted into an equal number of shares of Issuer's common stock immediately upon the closing of the Issuer's initial public offering and has no expiration date.
- [F2]Clarus Ventures III GP, LP, or GPLP, as the sole general partner of Clarus Lifesciences III, LP, or Clarus, may be deemed to beneficially own certain of the shares held by Clarus. GPLP disclaims beneficial ownership of all shares held by Clarus in which the GPLP does not have a pecuniary interest. Clarus Ventures III, LLC, or GPLLC, as the sole general partner of the GPLP, may be deemed to beneficially own certain of the shares held by Clarus. GPLLC disclaims beneficial ownership of all shares held by Clarus in which it does not have an actual pecuniary interest. Each of Dennis Henner, Nicholas Galakatos, Robert Liptak, Nicholas Simon, Scott Requadt and Kurt Wheeler, as individual managing directors of GPLLC, may be deemed to beneficially own certain of the shares held of record by Clarus. Dr. Henner and Messrs. Galakatos, Liptak, Simon, Requadt and Wheeler disclaims beneficial ownership of all shares held of record by Clarus in which they do not have an actual pecuniary interest.
Documents
Issuer
Forty Seven, Inc.
CIK 0001667633
Entity typeother
Related Parties
1- filerCIK 0001249153
Filing Metadata
- Form type
- 4
- Filed
- Jul 1, 8:00 PM ET
- Accepted
- Jul 2, 5:13 PM ET
- Size
- 18.0 KB