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
  1. 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.
  2. Shares held by Mhatre Investments LP- Fund 1. Ravi Mhatre serves as trustee of the general partner of such entity.
  3. Shares held by Mhatre 2011 Irrevocable Children's Trust. Ravi Mhatre serves as trustee of such entity.
  4. 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.
  5. 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.
  6. 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.