Home/Filings/4/0001209191-18-040429

4//SEC Filing

Lightspeed Venture Partners X, L.P. 4

Accession 0001209191-18-040429

CIK 0001667633other

View on SEC.gov Company Profile

Filed

Jul 1, 8:00 PM ET

Accepted

Jul 2, 5:15 PM ET

Size

28.4 KB

Accession

0001209191-18-040429

Insider Transaction Report

Form 4

Period: 2018-07-02

Forty Seven, Inc.FTSV

Eggers Barry

10% Owner

Transactions

Conversion
Series A-2 Preferred Stock
2018-07-02−1,133,670→ 0 total(indirect: See footnote)
→ Common Stock (1,133,670 underlying)
Conversion
Common Stock
2018-07-02+67,036→ 67,036 total(indirect: See footnote)
Conversion
Series A-1 Preferred Stock
2018-07-02−67,036→ 0 total(indirect: See footnote)
→ Common Stock (67,036 underlying)
Conversion
Common Stock
2018-07-02+1,340,698→ 1,340,698 total(indirect: See footnote)
Conversion
Series A-1 Preferred Stock
2018-07-02−1,340,698→ 0 total(indirect: See footnote)
→ Common Stock (1,340,698 underlying)
Conversion
Common Stock
2018-07-02+1,133,670→ 2,474,368 total(indirect: See footnote)

Nieh Peter

10% Owner

Transactions

Conversion
Common Stock
2018-07-02+1,340,698→ 1,340,698 total(indirect: See footnote)
Conversion
Series A-1 Preferred Stock
2018-07-02−67,036→ 0 total(indirect: See footnote)
→ Common Stock (67,036 underlying)
Conversion
Series A-2 Preferred Stock
2018-07-02−1,133,670→ 0 total(indirect: See footnote)
→ Common Stock (1,133,670 underlying)
Conversion
Common Stock
2018-07-02+67,036→ 67,036 total(indirect: See footnote)
Conversion
Common Stock
2018-07-02+1,133,670→ 2,474,368 total(indirect: See footnote)
Conversion
Series A-1 Preferred Stock
2018-07-02−1,340,698→ 0 total(indirect: See footnote)
→ Common Stock (1,340,698 underlying)

Mhatre Ravi

10% Owner

Transactions

Conversion
Common Stock
2018-07-02+1,340,698→ 1,340,698 total(indirect: See footnote)
Conversion
Common Stock
2018-07-02+1,133,670→ 2,474,368 total(indirect: See footnote)
Conversion
Common Stock
2018-07-02+67,036→ 67,036 total(indirect: See footnote)
Conversion
Series A-1 Preferred Stock
2018-07-02−67,036→ 0 total(indirect: See footnote)
→ Common Stock (67,036 underlying)
Conversion
Series A-2 Preferred Stock
2018-07-02−1,133,670→ 0 total(indirect: See footnote)
→ Common Stock (1,133,670 underlying)
Conversion
Series A-1 Preferred Stock
2018-07-02−1,340,698→ 0 total(indirect: See footnote)
→ Common Stock (1,340,698 underlying)

Liew Jeremy

10% Owner

Transactions

Conversion
Common Stock
2018-07-02+1,133,670→ 2,474,368 total(indirect: See footnote)
Conversion
Series A-1 Preferred Stock
2018-07-02−1,340,698→ 0 total(indirect: See footnote)
→ Common Stock (1,340,698 underlying)
Conversion
Series A-1 Preferred Stock
2018-07-02−67,036→ 0 total(indirect: See footnote)
→ Common Stock (67,036 underlying)
Conversion
Common Stock
2018-07-02+1,340,698→ 1,340,698 total(indirect: See footnote)
Conversion
Common Stock
2018-07-02+67,036→ 67,036 total(indirect: See footnote)
Conversion
Series A-2 Preferred Stock
2018-07-02−1,133,670→ 0 total(indirect: See footnote)
→ Common Stock (1,133,670 underlying)

Lightspeed Ultimate General Partner X, Ltd.

10% Owner

Transactions

Conversion
Common Stock
2018-07-02+67,036→ 67,036 total(indirect: See footnote)
Conversion
Series A-1 Preferred Stock
2018-07-02−67,036→ 0 total(indirect: See footnote)
→ Common Stock (67,036 underlying)
Conversion
Series A-1 Preferred Stock
2018-07-02−1,340,698→ 0 total(indirect: See footnote)
→ Common Stock (1,340,698 underlying)
Conversion
Series A-2 Preferred Stock
2018-07-02−1,133,670→ 0 total(indirect: See footnote)
→ Common Stock (1,133,670 underlying)
Conversion
Common Stock
2018-07-02+1,340,698→ 1,340,698 total(indirect: See footnote)
Conversion
Common Stock
2018-07-02+1,133,670→ 2,474,368 total(indirect: See footnote)

SCHAEPE CHRISTOPHER J

Director10% Owner

Transactions

Conversion
Series A-1 Preferred Stock
2018-07-02−1,340,698→ 0 total(indirect: See footnote)
→ Common Stock (1,340,698 underlying)
Conversion
Common Stock
2018-07-02+67,036→ 67,036 total(indirect: See footnote)
Conversion
Common Stock
2018-07-02+1,340,698→ 1,340,698 total(indirect: See footnote)
Conversion
Series A-2 Preferred Stock
2018-07-02−1,133,670→ 0 total(indirect: See footnote)
→ Common Stock (1,133,670 underlying)
Conversion
Common Stock
2018-07-02+1,133,670→ 2,474,368 total(indirect: See footnote)
Conversion
Series A-1 Preferred Stock
2018-07-02−67,036→ 0 total(indirect: See footnote)
→ Common Stock (67,036 underlying)

Lightspeed Venture Partners X, L.P.

10% Owner

Transactions

Conversion
Common Stock
2018-07-02+1,133,670→ 2,474,368 total(indirect: See footnote)
Conversion
Series A-1 Preferred Stock
2018-07-02−67,036→ 0 total(indirect: See footnote)
→ Common Stock (67,036 underlying)
Conversion
Series A-2 Preferred Stock
2018-07-02−1,133,670→ 0 total(indirect: See footnote)
→ Common Stock (1,133,670 underlying)
Conversion
Common Stock
2018-07-02+67,036→ 67,036 total(indirect: See footnote)
Conversion
Common Stock
2018-07-02+1,340,698→ 1,340,698 total(indirect: See footnote)
Conversion
Series A-1 Preferred Stock
2018-07-02−1,340,698→ 0 total(indirect: See footnote)
→ Common Stock (1,340,698 underlying)

Lightspeed Affiliates X, L.P.

10% Owner

Transactions

Conversion
Common Stock
2018-07-02+1,133,670→ 2,474,368 total(indirect: See footnote)
Conversion
Series A-2 Preferred Stock
2018-07-02−1,133,670→ 0 total(indirect: See footnote)
→ Common Stock (1,133,670 underlying)
Conversion
Common Stock
2018-07-02+67,036→ 67,036 total(indirect: See footnote)
Conversion
Common Stock
2018-07-02+1,340,698→ 1,340,698 total(indirect: See footnote)
Conversion
Series A-1 Preferred Stock
2018-07-02−67,036→ 0 total(indirect: See footnote)
→ Common Stock (67,036 underlying)
Conversion
Series A-1 Preferred Stock
2018-07-02−1,340,698→ 0 total(indirect: See footnote)
→ Common Stock (1,340,698 underlying)

Lightspeed General Partner X, L.P.

10% Owner

Transactions

Conversion
Common Stock
2018-07-02+1,340,698→ 1,340,698 total(indirect: See footnote)
Conversion
Common Stock
2018-07-02+67,036→ 67,036 total(indirect: See footnote)
Conversion
Common Stock
2018-07-02+1,133,670→ 2,474,368 total(indirect: See footnote)
Conversion
Series A-1 Preferred Stock
2018-07-02−67,036→ 0 total(indirect: See footnote)
→ Common Stock (67,036 underlying)
Conversion
Series A-1 Preferred Stock
2018-07-02−1,340,698→ 0 total(indirect: See footnote)
→ Common Stock (1,340,698 underlying)
Conversion
Series A-2 Preferred Stock
2018-07-02−1,133,670→ 0 total(indirect: See footnote)
→ Common Stock (1,133,670 underlying)

Footnotes (4)

[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]Shares held by Lighspeed Affiliates X, L.P., or Lightspeed Affiliates.
[F3]Lightspeed General Partner X, L.P., or Lightspeed GP X, is the general partner of Lightspeed X and Lightspeed Affiliates. Lightspeed Ultimate General Partner X, Ltd., or Lightspeed UGP X, is the general partner of Lightspeed GP X. Christopher J. Schaepe, Barry Eggers, Ravi Mhatre, Peter Nieh and Jeremy Liew are the directors of Lightspeed UGP X and share voting and dispositive power with respect to the shares held by Lightspeed X. Messrs. Schaepe, Eggers, Liew, Mhatre and Nieh disclaim beneficial ownership of the shares held by Lightspeed X and Lightspeed Affiliates except to the extent of their pecuniary interest therein.
[F4]Shares held by Lightspeed Venture Partners X, L.P., or Lightspeed X.

Documents

1 file

4
doc4.xmlPrimary
FORM 4 SUBMISSION

Issuer

Forty Seven, Inc.

CIK 0001667633

→

Entity typeother

IncorporatedCayman Islands

Related Parties

filerCIK 0001602573

Filing Metadata

Form type: 4
Filed: Jul 1, 8:00 PM ET
Accepted: Jul 2, 5:15 PM ET
Size: 28.4 KB

View on SEC.gov