Filing Details
- Accession Number:
- 0001225208-18-011388
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2018-07-03 19:42:33
- Reporting Period:
- 2018-07-02
- Accepted Time:
- 2018-07-03 19:42:33
- 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 |
---|---|---|---|---|---|---|---|
1201720 | N James White | 755 Page Mill Road, Suite A-200 Palo Alto CA 94304-1005 | 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 | 4,516 | $0.00 | 4,516 | No | 4 | C | Direct | |
Common Stock | Acquisiton | 2018-07-02 | 5,161 | $0.00 | 5,161 | No | 4 | C | Indirect | By Irrevocable Trust (ST) |
Common Stock | Acquisiton | 2018-07-02 | 40,477 | $0.00 | 40,477 | No | 4 | C | Indirect | By Ltd Partnership (ROSE) |
Common Stock | Acquisiton | 2018-07-02 | 38,173 | $0.00 | 78,650 | No | 4 | C | Indirect | By Ltd Partnership (ROSE) |
Common Stock | Acquisiton | 2018-07-02 | 33,769 | $0.00 | 112,419 | No | 4 | C | Indirect | By Ltd Partnership (ROSE) |
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 | 18,295 | $0.00 | 18,295 | No | 4 | C | Indirect | By Trust |
Common Stock | Acquisiton | 2018-07-02 | 11,544 | $0.00 | 29,839 | No | 4 | C | Indirect | By Trust |
Common Stock | Acquisiton | 2018-07-02 | 7,415 | $16.00 | 37,254 | No | 4 | P | Indirect | By Trust |
Common Stock | Acquisiton | 2018-07-02 | 587 | $0.00 | 37,841 | No | 4 | C | Indirect | By Trust |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | C | Direct | |
No | 4 | C | Indirect | By Irrevocable Trust (ST) |
No | 4 | C | Indirect | By Ltd Partnership (ROSE) |
No | 4 | C | Indirect | By Ltd Partnership (ROSE) |
No | 4 | C | Indirect | By Ltd Partnership (ROSE) |
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 | P | Indirect | By Trust |
No | 4 | C | 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 | 4,516 | $0.00 | 4,516 | $0.00 |
Common Stock | Series A-1 Preferred Stock | Disposition | 2018-07-02 | 5,161 | $0.00 | 5,161 | $0.00 |
Common Stock | Series A-1 Preferred Stock | Disposition | 2018-07-02 | 38,173 | $0.00 | 38,173 | $0.00 |
Common Stock | Series A-2 Preferred Stock | Disposition | 2018-07-02 | 33,769 | $0.00 | 33,769 | $0.00 |
Common Stock | Series B Preferred Stock | Disposition | 2018-07-02 | 40,477 | $0.00 | 40,477 | $0.00 |
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 | 587 | $0.00 | 587 | $0.00 |
Common Stock | Series A-2 Preferred Stock | Disposition | 2018-07-02 | 18,295 | $0.00 | 18,295 | $0.00 |
Common Stock | Series B Preferred Stock | Disposition | 2018-07-02 | 11,544 | $0.00 | 11,544 | $0.00 |
Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
---|---|---|---|---|---|---|
0 | No | 4 | C | Direct | ||
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 | ||
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 a trust for the benefit of the reporting person of which the reporting person is the sole trustee.
- Shares held by a limited partnership of which the reporting person is a trustee of a trust which is the general partner. The reporting person disclaims beneficial ownership in these shares except as to the reporting person's pecuniary interest therein.
- 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.