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
  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 a trust for the benefit of the reporting person of which the reporting person is the sole trustee.
  3. 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.
  4. 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.
  5. 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.