Filing Details

Accession Number:
0001104659-14-012353
Form Type:
4
Zero Holdings:
No
Publication Time:
2014-02-21 17:46:14
Reporting Period:
2014-02-20
Filing Date:
2014-02-21
Accepted Time:
2014-02-21 17:46:14
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1367920 Concert Pharmaceuticals Inc. CNCE Pharmaceutical Preparations (2834) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1277503 Yasunori Kaneko 525 University Avenue
Palo Alto CA 94301
No No Yes No
1324617 P L Iv Fund Purchaser Qualified Partners Venture Skyline 525 University Avenue
Palo Alto CA 94301
No No Yes No
1392103 Skyline Venture Management Iv, Llc 525 University Avenue
Palo Alto CA 94301
No No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2014-02-20 389,380 $0.00 421,752 No 4 C Indirect See Footnote
Common Stock Acquisiton 2014-02-20 530,974 $0.00 952,726 No 4 C Indirect See Footnote
Common Stock Acquisiton 2014-02-20 106,194 $0.00 1,058,920 No 4 C Indirect See Footnote
Common Stock Acquisiton 2014-02-20 150,000 $14.00 1,208,920 No 4 P Indirect See Footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect See Footnote
No 4 C Indirect See Footnote
No 4 C Indirect See Footnote
No 4 P Indirect See Footnote
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series A Convertible Preferred Stock Disposition 2014-02-20 2,200,000 $0.00 389,380 $0.00
Common Stock Series B Convertible Preferred Stock Disposition 2014-02-20 3,000,000 $0.00 530,974 $0.00
Common Stock Series C Convertible Preferred Stock Disposition 2014-02-20 600,000 $0.00 106,194 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
Footnotes
  1. The Series A, Series B and Series C Convertible Preferred Stock converted into Common Stock on a 1-for-5.65 basis upon the closing of the issuer's initial public offering without payment of consideration.
  2. Held by Skyline Venture Partners Qualified Purchaser Fund IV L.P. Dr. John G. Freund and Dr. Yasunori Kaneko are Managing Members of Skyline Venture Management IV, LLC, which is the sole general partner of Skyline Venture Partners Qualified Purchaser Fund IV, L.P., and as such may be deemed to share voting and dispositive power with respect to all shares held by Skyline Venture Partners Qualified Purchaser Fund IV, L.P. Drs. Freund and Kaneko disclaim beneficial ownership of such shares except to the extent of their pecuniary interest therein. Dr. Freund is a director of the Issuer and, accordingly, files separate Section 16 reports.
  3. Not applicable.