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
- 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.
- 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.
- 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.
Billionaire Hedge Funds
