Filing Details

Accession Number:
0001225208-18-011384
Form Type:
4
Zero Holdings:
No
Publication Time:
2018-07-03 19:42:15
Reporting Period:
2018-07-02
Accepted Time:
2018-07-03 19:42:15
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
1484394 A Stefan Dyckerhoff 755 Page Mill Road, Suite A-200
Palo Alto CA
No No No Yes
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 1,052,146 $0.00 1,052,146 No 4 C Indirect By Ltd Partnership (SHV)
Common Stock Acquisiton 2018-07-02 945,326 $0.00 1,997,472 No 4 C Indirect By Ltd Partnership (SHV)
Common Stock Acquisiton 2018-07-02 774,165 $0.00 2,771,637 No 4 C Indirect By Ltd Partnership (SHV)
Common Stock Acquisiton 2018-07-02 134,735 $16.00 2,906,372 No 4 P Indirect By Ltd Partnership (SHV)
Common Stock Acquisiton 2018-07-02 13,839 $0.00 13,839 No 4 C Indirect By Trust
Common Stock Acquisiton 2018-07-02 13,435 $0.00 27,274 No 4 C Indirect By Trust
Common Stock Acquisiton 2018-07-02 12,116 $0.00 39,390 No 4 C Indirect By Trust
Common Stock Acquisiton 2018-07-02 1,915 $16.00 41,305 No 4 P Indirect By Trust
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect By Ltd Partnership (SHV)
No 4 C Indirect By Ltd Partnership (SHV)
No 4 C Indirect By Ltd Partnership (SHV)
No 4 P Indirect By Ltd Partnership (SHV)
No 4 C Indirect By Trust
No 4 C Indirect By Trust
No 4 C Indirect By Trust
No 4 P Indirect By Trust
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 1,052,146 $0.00 1,052,146 $0.00
Common Stock Series A-2 Preferred Stock Disposition 2018-07-02 774,165 $0.00 774,165 $0.00
Common Stock Series B Preferred Stock Disposition 2018-07-02 945,326 $0.00 945,326 $0.00
Common Stock Series A-1 Preferred Stock Disposition 2018-07-02 13,839 $0.00 13,839 $0.00
Common Stock Series A-2 Preferred Stock Disposition 2018-07-02 12,116 $0.00 12,116 $0.00
Common Stock Series B Preferred Stock Disposition 2018-07-02 13,435 $0.00 13,435 $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
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
Footnotes
  1. The issuer's preferred stock automatically converted into issuer's common stock on a one-to-one basis immediately upon the closing of the issuer's initial public offering and has no expiration date.
  2. Shares held by Sutter Hill Ventures, a California Limited Partnership. The reporting person is a managing director and member of the management committee of the general partner of Sutter Hill Ventures, a California Limited Partnership. The reporting person disclaims beneficial ownership in these shares except as to the reporting person's pecuniary interest therein.
  3. Shares held by a trust of which the reporting person is a trustee. The reporting person disclaims beneficial ownership in these shares except as to the reporting person's pecuniary interest therein.