Home > Insider Trading > Filing (0001209191-18-040426)

Filing Details

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1667633	Forty Seven Inc.	FTSV	()	4

Insiders

Cik	Name	Reported Address	Director	Officer	Large Shareholder	Other
1249153	Dennis Henner	101 Main Street, 12Th Floor Cambridge MA 02142	Yes	No	Yes	No
1252522	Nicholas Galakatos	101 Main Street, 12Th Floor Cambridge MA 02142	No	No	Yes	No
1252523	Robert Liptak	101 Main Street, 12Th Floor Cambridge MA 02142	No	No	Yes	No
1252525	Kurt Wheeler	101 Main Street, 12Th Floor Cambridge MA 02142	No	No	Yes	No
1431403	Nicholas Simon	101 Main Street, 12Th Floor Cambridge MA 02142	No	No	Yes	No
1597143	Clarus Lifesciences Iii, L.p.	101 Main Street, 12Th Floor Cambridge MA 02142	No	No	Yes	No
1620148	Clarus Ventures Iii Gp, L.p.	101 Main Street, 12Th Floor Cambridge MA 02142	No	No	Yes	No
1664852	Scott Requadt	101 Main Street, 12Th Floor Cambridge MA 02142	No	No	Yes	No
1664942	Clarus Ventures Iii, Llc	101 Main Street, 12Th Floor Cambridge MA 02142	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	2018-07-02	938,489	$0.00	938,489	No	4	C	Indirect	See foonote
Common Stock	Acquisiton	2018-07-02	755,780	$0.00	1,694,269	No	4	C	Indirect	See footnote
Common Stock	Acquisiton	2018-07-02	1,922,682	$0.00	3,616,951	No	4	C	Indirect	See footnote
Common Stock	Acquisiton	2018-07-02	200,000	$16.00	3,816,951	No	4	P	Indirect	See footnote

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	C	Indirect	See foonote
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-1 Preferred Stock	Disposition	2018-07-02	938,489	$0.00	938,489	$0.00
Common Stock	Series A-2 Preferred Stock	Disposition	2018-07-02	755,780	$0.00	755,780	$0.00
Common Stock	Series B Preferred Stock	Disposition	2018-07-02	1,922,682	$0.00	1,922,682	$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

Footnotes

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.
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.