Filing Details
- Accession Number:
- 0001104659-18-053568
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2018-08-24 18:38:36
- Reporting Period:
- 2018-08-22
- Accepted Time:
- 2018-08-24 18:38:36
- 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 |
---|---|---|---|---|---|---|---|
1366050 | Ravi Mhatre | 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 | 2018-08-22 | 44,000 | $14.97 | 44,000 | No | 4 | P | Indirect | By Mhatre Investments LP - Fund 1 |
Common Stock | Acquisiton | 2018-08-22 | 44,000 | $14.97 | 44,000 | No | 4 | P | Direct | |
Common Stock | Acquisiton | 2018-08-22 | 22,000 | $14.97 | 22,000 | No | 4 | P | Indirect | By Mhatre 2011 Irrevocable Children's Trust |
Common Stock | Acquisiton | 2018-08-23 | 22,743 | $15.27 | 66,743 | No | 4 | P | Indirect | By Mhatre Investments LP - Fund 1 |
Common Stock | Acquisiton | 2018-08-23 | 22,743 | $15.27 | 66,743 | No | 4 | P | Direct | |
Common Stock | Acquisiton | 2018-08-23 | 11,372 | $15.27 | 33,372 | No | 4 | P | Indirect | By Mhatre 2011 Irrevocable Children's Trust |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | P | Indirect | By Mhatre Investments LP - Fund 1 |
No | 4 | P | Direct | |
No | 4 | P | Indirect | By Mhatre 2011 Irrevocable Children's Trust |
No | 4 | P | Indirect | By Mhatre Investments LP - Fund 1 |
No | 4 | P | Direct | |
No | 4 | P | Indirect | By Mhatre 2011 Irrevocable Children's Trust |
Reported Non-Derivative Holdings
Sec. Name | Remaning Holdings | Nature of Ownership | Explanation |
---|---|---|---|
Common Stock | 1,784,269 | Indirect | By: Lightspeed Venture Partners Select II, L.P. |
Common Stock | 67,036 | Indirect | By: Lightspeed Affiliates X, L.P. |
Common Stock | 2,474,368 | Indirect | By: Lightspeed Venture Partners X, L.P. |
Footnotes
- These sales were executed in multiple trades at prices ranging from $14.25 to $15.245. The price reported above reflects the weighted average sale price. Mr. Mhatre hereby undertakes to provide full information regarding the number of shares and prices at which these sales were effected, upon request, to the staff of the Securities and Exchange Commission, the Issuer or a security holder of the Issuer.
- Shares held by Mhatre Investments LP- Fund 1. Ravi Mhatre serves as trustee of the general partner of such entity.
- Shares held by Mhatre 2011 Irrevocable Children's Trust. Ravi Mhatre serves as trustee of such entity.
- These sales were executed in multiple trades at prices ranging from $15.00 to $15.50. The price reported above reflects the weighted average sale price. Mr. Mhatre hereby undertakes to provide full information regarding the number of shares and prices at which these sales were effected, upon request, to the staff of the Securities and Exchange Commission, the Issuer or a security holder of the Issuer.
- Lightspeed General Partner Select II, L.P. ("Select II GP") is the general partner of Lightspeed Venture Partners Select II, L.P. ("Lightspeed Select II"). Lightspeed Ultimate General Partner Select II, Ltd. ("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. Mr. Mhatre disclaims beneficial ownership of the shares held by Lightspeed Select II except to the extent of his pecuniary interest therein.
- Lightspeed General Partner X, L.P. ("Lightspeed GP X") is the general partner of Lightspeed Venture Partners X, L.P. ("Lightspeed X") and Lightspeed Affiliates X, L.P. ("Lightspeed Affiliates"). Lightspeed Ultimate General Partner X, Ltd. ("Lightspeed UGP X") is the general partner of Lightspeed GP X. Christopher J. Schaepe, Barry Eggers, Ravi Mhatre, Peter Nieh and Jeremy Liew are the directors of Lightspeed UGP X and share voting and dispositive power with respect to the shares held by Lightspeed X and Lightspeed Affiliates. Mr. Mhatre disclaims beneficial ownership of the shares held by Lightspeed X and Lightspeed Affiliates except to the extent of his pecuniary interest therein.