Filing Details

Accession Number:
0001209191-16-147480
Form Type:
4
Zero Holdings:
No
Publication Time:
2016-10-31 16:48:16
Reporting Period:
2016-10-31
Filing Date:
2016-10-31
Accepted Time:
2016-10-31 16:48:16
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1481512 Ra Pharmaceuticals Inc. RARX () E9
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1452907 New Enterprise Associates 13 Lp 1954 Greenspring Drive
Suite 600
Timonium MD 21093
No No Yes No
1460751 Nea 13 Gp, Ltd 1954 Greenspring Drive
Suite 600
Timonium MD 21093
No No Yes No
1460752 Nea Partners 13, Limited Partnership 1954 Greenspring Drive
Suite 600
Timonium MD 21093
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 2016-10-31 80,658 $0.07 80,658 No 4 X Direct
Common Stock Disposition 2016-10-31 435 $13.00 80,223 No 4 S Direct
Common Stock Acquisiton 2016-10-31 1,778,227 $0.00 1,858,450 No 4 C Direct
Common Stock Acquisiton 2016-10-31 669,951 $0.00 2,528,401 No 4 C Direct
Common Stock Acquisiton 2016-10-31 623,210 $0.00 3,151,611 No 4 C Direct
Common Stock Acquisiton 2016-10-31 338,462 $13.00 3,490,073 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 X Direct
No 4 S Direct
No 4 C Direct
No 4 C Direct
No 4 C Direct
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrants to Purchase Common Stock Disposition 2016-10-31 80,658 $0.00 80,658 $0.07
Common Stock Series A Preferred Stock Disposition 2016-10-31 12,447,605 $0.00 1,778,227 $0.00
Common Stock Series B-1 Preferred Stock Disposition 2016-10-31 4,689,657 $0.00 669,951 $0.00
Common Stock Series B-2 Preferred Stock Disposition 2016-10-31 4,362,472 $0.00 623,210 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2022-04-01 No 4 X Direct
0 No 4 C Direct
0 No 4 C Direct
0 No 4 C Direct
Footnotes
  1. The Warrants automatically exercised immediately prior to the closing of the Issuer's initial public offering for such number of shares issuable pursuant to a cashless net exercise provision, resulting in the Issuer withholding 435 of the warrant shares to pay the exercise price and issuing to the reporting person the remaining 80,223 shares, after deducting the aggregate exercise price.
  2. The securities are directly held by New Enterprise Associates 13, L.P. ("NEA 13") and are indirectly held by NEA Partners 13, L.P. ("NEA Partners 13"), the sole general partner of NEA 13, NEA 13 GP, LTD ("NEA 13 LTD"), the sole general partner of NEA Partners 13 and each of the individual directors of NEA 13 LTD (NEA Partners 13, NEA 13 LTD and the individual directors of NEA 13 LTD (collectively, the "Directors") together, the "Indirect Reporting Persons"). The Directors of NEA 13 LTD are M. James Barrett, Peter J. Barris, Forest Baskett, Patrick J. Kerins, Krishna "Kittu" Kolluri, David M. Mott, Scott D. Sandell, Ravi Viswanathan and Harry R. Weller. The Indirect Reporting Persons disclaim beneficial ownership within the meaning of Section 16 of the Securities Exchange Act of 1934, as amended, or otherwise of such portion of the NEA 13 securities in which the Indirect Reporting Persons have no pecuniary interest.
  3. Each share of the Series A Preferred Stock is convertible into Common Stock on a 1-for-7 basis automatically upon the closing of the Issuer's initial public offering, and has no expiration date.
  4. Each share of the Series B-1 Preferred Stock is convertible into Common Stock on a 1-for-7 basis automatically upon the closing of the Issuer's initial public offering, and has no expiration date.
  5. Each share of the Series B-2 Preferred Stock is convertible into Common Stock on a 1-for-7 basis automatically upon the closing of the Issuer's initial public offering, and has no expiration date.