Filing Details
- Accession Number:
- 0001209191-18-040432
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2018-07-02 17:16:47
- Reporting Period:
- 2018-07-02
- Accepted Time:
- 2018-07-02 17:16:47
- SEC Url:
- Form 4 Filing
Issuer
Cik | Name | Symbol | Sector (SIC) | IRS No |
---|---|---|---|---|
1667633 | Forty Seven Inc. | FTSV | () | 4 |
Insiders
Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
---|---|---|---|---|---|---|---|
1185068 | J Christopher Schaepe | 2200 Sand Hill Road Menlo Park CA 94025 | Yes | No | Yes | No | |
1366048 | Barry Eggers | 2200 Sand Hill Road Menlo Park CA 94025 | No | No | Yes | No | |
1366050 | Ravi Mhatre | 2200 Sand Hill Road Menlo Park CA 94025 | No | No | Yes | No | |
1366051 | Peter Nieh | 2200 Sand Hill Road Menlo Park CA 94025 | No | No | Yes | No | |
1668017 | Lightspeed Venture Partners Select Ii, L.p. | 2200 Sand Hill Road Menlo Park CA 94025 | No | No | Yes | No | |
1700539 | Jeremy Liew | 2200 Sand Hill Road Menlo Park CA 94025 | No | No | Yes | No | |
1744936 | Lightspeed General Partner Select Ii, L.p. | 2200 Sand Hill Road Menlo Park CA 94025 | No | No | Yes | No | |
1744937 | Lightspeed Ultimate General Partner Select Ii, Ltd. | 2200 Sand Hill Road Menlo Park CA 94025 | 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 | 1,315,519 | $0.00 | 1,315,519 | No | 4 | C | Indirect | See footnote |
Common Stock | Acquisiton | 2018-07-02 | 468,750 | $16.00 | 1,784,269 | No | 4 | P | Indirect | See footnote |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
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 B Preferred Stock | Disposition | 2018-07-02 | 1,315,519 | $0.00 | 1,315,519 | $0.00 |
Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
---|---|---|---|---|---|---|
0 | 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.
- Lightspeed General Partner Select II, L.P., or Select II GP, is the general partner of Lightspeed Venture Partners Select II, L.P., or Lightspeed Select II. Lightspeed Ultimate General Partner Select II, Ltd., or Select II UGP, is the general partner of Select II GP. Christopher J. Schaepe, Barry Eggers, Jeremy Liew, Ravi Mhatre and Peter Nieh are the directors of Select II UGP and share voting and dispositive power with respect to the shares held by Lightspeed Select II. Messrs. Schaepe, Eggers, Liew, Mhatre and Nieh disclaim beneficial ownership of the shares held by Lightspeed Select II except to the extent of their pecuniary interest therein.