Filing Details

Accession Number:
0001209191-18-064343
Form Type:
4
Zero Holdings:
No
Publication Time:
2018-12-28 17:37:30
Reporting Period:
2018-12-26
Accepted Time:
2018-12-28 17:37:30
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
1390798 Anthony Mark Mccamish C/O Forty Seven, Inc.
1490 O'Brien Drive, Suite A
Menlo Park CA 94025
President And Ceo Yes Yes No 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 2018-12-26 9,032 $4.88 18,064 No 4 M Direct
Common Stock Acquisiton 2018-12-26 2,968 $4.88 21,032 No 4 M Direct
Common Stock Disposition 2018-12-26 9,032 $15.90 12,000 No 4 S Direct
Common Stock Disposition 2018-12-26 2,968 $15.89 9,032 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 M Direct
No 4 S Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Stock Option (right to buy) Disposition 2018-12-26 9,032 $0.00 9,032 $4.88
Common Stock Stock Option (right to buy) Disposition 2018-12-26 2,968 $0.00 2,968 $4.88
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
474,838 2027-06-07 No 4 M Direct
158,610 2027-08-14 No 4 M Direct
Footnotes
  1. The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan.
  2. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $15.35 to $16.50, inclusive. The Reporting Person undertakes to provide the Issuer, any securityholder of the Issuer, or the Staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnotes (2) and (3) to this Form 4
  3. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $15.28 to $16.41, inclusive.
  4. 96,773 shares subject to the option vested on May 1, 2018 and the balance of the shares subject to the option vest in a series of 36 successive equal monthly installments beginning June 1, 2018, subject to the Reporting Person's continuous service as of each such date.
  5. The shares subject to the option vest in a series of 48 successive equal monthly installments beginning August 15, 2017, subject to the Reporting Person's continuous service as of each such date. The shares subject to this option may be exercised prior to vesting, subject to the Issuer's right to repurchase.