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Filing Details

Accession Number:: 0001181431-13-052848
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2013-10-07 14:17:41
Reporting Period:: 2013-10-04

Filing Date:: 2013-10-07
Accepted Time:: 2013-10-07 14:17:41
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1434316	Fate Therapeutics Inc	FATE	Biological Products, (No Disgnostic Substances) (2836)	000000000

Insiders

Cik	Name	Reported Address	Director	Officer	Large Shareholder	Other
1439586	Polaris Venture Partners Special Founders' Fund V, L.p.	1000 Winter Street, Suite 3350 Waltham MA 02451	No	No	Yes	No
1439587	Polaris Venture Partners Entrepreneurs' Fund V, L.p.	1000 Winter Street, Suite 3350 Waltham MA 02451	No	No	Yes	No
1439588	Polaris Venture Partners Founders' Fund V, L.p.	1000 Winter Street, Suite 3350 Waltham MA 02451	No	No	Yes	No
1439589	Polaris Venture Management Co. V, L.l.c.	C/O Polaris Venture Partners 1000 Winter Street, Suite 3350 Waltham MA 02451	No	No	Yes	No
1439590	Polaris Venture Partners V, L.p.	1000 Winter Street, Suite 3350 Waltham MA 02451	No	No	Yes	No

Reported Non-Derivative Transactions

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Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Common Stock	Acquisiton	2013-10-04	1,202,459	$0.00	1,202,459	No	4	C	Indirect	By Polaris Venture Partners V, L.P.
Common Stock	Acquisiton	2013-10-04	255,950	$0.00	1,458,409	No	4	C	Indirect	By Polaris Venture Partners V, L.P.
Common Stock	Acquisiton	2013-10-04	23,436	$0.00	1,481,845	No	4	C	Indirect	By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Common Stock	Acquisiton	2013-10-04	4,988	$0.00	1,486,833	No	4	C	Indirect	By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Common Stock	Acquisiton	2013-10-04	8,237	$0.00	1,495,070	No	4	C	Indirect	By Polaris Venture Partners Founders' Fund V, L.P.
Common Stock	Acquisiton	2013-10-04	1,753	$0.00	1,496,823	No	4	C	Indirect	By Polaris Venture Partners Founders' Fund V, L.P.
Common Stock	Acquisiton	2013-10-04	12,024	$0.00	1,508,847	No	4	C	Indirect	By Polaris Venture Partners Special Founders' Fund V, L.P.
Common Stock	Acquisiton	2013-10-04	2,560	$0.00	1,511,407	No	4	C	Indirect	By Polaris Venture Partners Special Founders' Fund V, L.P.
Common Stock	Acquisiton	2013-10-04	123,943	$6.00	1,635,350	No	4	J	Indirect	By Polaris Venture Partners V, L.P.
Common Stock	Acquisiton	2013-10-04	2,415	$6.00	1,637,765	No	4	J	Indirect	By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Common Stock	Acquisiton	2013-10-04	849	$6.00	1,638,614	No	4	J	Indirect	By Polaris Venture Partners Founders' Fund V, L.P.
Common Stock	Acquisiton	2013-10-04	1,239	$6.00	1,639,853	No	4	J	Indirect	By Polaris Venture Partners Special Founders' Fund V, L.P.
Common Stock	Acquisiton	2013-10-04	804,112	$6.00	2,443,965	No	4	P	Indirect	By Polaris Venture Partners V, L.P.
Common Stock	Acquisiton	2013-10-04	15,672	$6.00	2,459,637	No	4	P	Indirect	By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Common Stock	Acquisiton	2013-10-04	5,508	$6.00	2,465,145	No	4	P	Indirect	By Polaris Venture Partners Founders' Fund V, L.P.
Common Stock	Acquisiton	2013-10-04	8,041	$6.00	2,473,186	No	4	P	Indirect	By Polaris Venture Partners Special Founders' Fund V, L.P.

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	C	Indirect	By Polaris Venture Partners V, L.P.
No	4	C	Indirect	By Polaris Venture Partners V, L.P.
No	4	C	Indirect	By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
No	4	C	Indirect	By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
No	4	C	Indirect	By Polaris Venture Partners Founders' Fund V, L.P.
No	4	C	Indirect	By Polaris Venture Partners Founders' Fund V, L.P.
No	4	C	Indirect	By Polaris Venture Partners Special Founders' Fund V, L.P.
No	4	C	Indirect	By Polaris Venture Partners Special Founders' Fund V, L.P.
No	4	J	Indirect	By Polaris Venture Partners V, L.P.
No	4	J	Indirect	By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
No	4	J	Indirect	By Polaris Venture Partners Founders' Fund V, L.P.
No	4	J	Indirect	By Polaris Venture Partners Special Founders' Fund V, L.P.
No	4	P	Indirect	By Polaris Venture Partners V, L.P.
No	4	P	Indirect	By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
No	4	P	Indirect	By Polaris Venture Partners Founders' Fund V, L.P.
No	4	P	Indirect	By Polaris Venture Partners Special Founders' Fund V, L.P.

Reported Derivative Transactions

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Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Common Stock	Series A Convertible Preferred Stock	Disposition	2013-10-04	651,806	$0.00	651,806	$0.00
Common Stock	Series A Convertible Preferred Stock	Disposition	2013-10-04	12,704	$0.00	12,704	$0.00
Common Stock	Series A Convertible Preferred Stock	Disposition	2013-10-04	4,465	$0.00	4,465	$0.00
Common Stock	Series A Convertible Preferred Stock	Disposition	2013-10-04	6,518	$0.00	6,518	$0.00
Common Stock	Series B Convertible Preferred Stock	Disposition	2013-10-04	222,677	$0.00	255,950	$0.00
Common Stock	Series B Convertible Preferred Stock	Disposition	2013-10-04	4,340	$0.00	4,988	$0.00
Common Stock	Series B Convertible Preferred Stock	Disposition	2013-10-04	1,525	$0.00	1,753	$0.00
Common Stock	Series B Convertible Preferred Stock	Disposition	2013-10-04	2,227	$0.00	2,560	$0.00
Common Stock	Series C Convertible Preferred Stock	Disposition	2013-10-04	550,653	$0.00	550,653	$0.00
Common Stock	Series C Convertible Preferred Stock	Disposition	2013-10-04	10,732	$0.00	10,732	$0.00
Common Stock	Series C Convertible Preferred Stock	Disposition	2013-10-04	3,772	$0.00	3,772	$0.00
Common Stock	Series C Convertible Preferred Stock	Disposition	2013-10-04	5,506	$0.00	5,506	$0.00

Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
No	4	C	Indirect
No	4	C	Indirect
No	4	C	Indirect
No	4	C	Indirect
No	4	C	Indirect
No	4	C	Indirect
No	4	C	Indirect
No	4	C	Indirect
No	4	C	Indirect
No	4	C	Indirect
No	4	C	Indirect
No	4	C	Indirect

Footnotes

The aggregate number of shares of Issuer's Preferred Stock held by the Reporting Persons converted into Common Stock immediately prior to the closing of the Issuer's initial public offering and has no expiration date. These shares converted into Common Stock on a 1-for-1 basis.
The aggregate number of shares of Issuer's Preferred Stock held by the Reporting Persons converted into Common Stock immediately prior to the closing of the Issuer's initial public offering and has no expiration date. These shares converted into Common Stock on approximately a 1-for-1.15 basis.
These shares are owned directly by Polaris Venture Partners V, L.P., whose sole general partner is Polaris Venture Management Co. V, LLC ("Polaris Management"). The members of North Star Venture Management 2010 LLC are also members of Polaris Management, and as members of the general partner, they may be deemed to share voting and investment power of such shares. The Reporting Person is a member of Polaris Management and has shared voting and investment power over such shares and may be deemed the indirect beneficial owner of such shares. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for Section 16 or any other purpose.
These shares are owned directly by Polaris Venture Partners Entrepreneurs' Fund V, L.P., whose sole general partner is Polaris Management. The members of North Star Venture Management 2010 LLC are also members of Polaris Management, and as members of the general partner, they may be deemed to share voting and investment power of such shares. The Reporting Person is a member of Polaris Management and has shared voting and investment power over such shares and may be deemed the indirect beneficial owner of such shares. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for Section 16 or any other purpose.
These shares are owned directly by Polaris Venture Partners Founders' Fund V, L.P., whose sole general partner is Polaris Management. The members of North Star Venture Management 2010 LLC are also members of Polaris Management, and as members of the general partner, they may be deemed to share voting and investment power of such shares. The Reporting Person is a member of Polaris Management and has shared voting and investment power over such shares and may be deemed the indirect beneficial owner of such shares. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for Section 16 or any other purpose.
These shares are owned directly by Polaris Venture Partners Special Founders' Fund V, L.P., whose sole general partner is Polaris Management. The members of North Star Venture Management 2010 LLC are also members of Polaris Management, and as members of the general partner, they may be deemed to share voting and investment power of such shares. The Reporting Person is a member of Polaris Management and has shared voting and investment power over such shares and may be deemed the indirect beneficial owner of such shares. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for Section 16 or any other purpose.
The shares were acquired upon conversion of a convertible promissory note exempt from the definition of a derivative security because the conversion price did not become fixed until automatic conversion at the time of the closing of the Issuer's initial public offering.