Filing Details

Accession Number:
0001209191-19-004783
Form Type:
4
Zero Holdings:
No
Publication Time:
2019-01-22 17:14:24
Reporting Period:
2019-01-18
Accepted Time:
2019-01-22 17:14:24
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1626199 Alpine Immune Sciences Inc. ALPN () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1365617 J Patrick Heron 601 Union Street, Suite 3200
Seattle WA 98101
No No Yes No
1655827 Frazier Life Sciences Viii, L.p. 601 Union Street, Suite 3200
Seattle WA 98101
No No Yes No
1698755 Fhm Life Sciences Viii, L.p. 601 Union Street, Suite 3200
Seattle WA 98101
No No Yes No
1698823 Fhm Life Sciences Viii, L.l.c. 601 Union Street, Suite 3200
Seattle WA 98101
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 2019-01-18 372,439 $5.37 2,571,450 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrant (Right to Buy) Acquisiton 2019-01-18 145,251 $0.00 145,251 $12.74
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
145,251 2019-01-18 2024-01-18 No 4 P Direct
Footnotes
  1. The reportable securities are held directly by Frazier Life Sciences VIII, L.P. ("FLS LP"). FHM Life Sciences VIII, L.P. ("FHM LP") is the general partner of FLS LP. FHM Life Sciences VIII, L.L.C. ("FHM LLC") is the general partner of FHM LP. James Topper and Patrick Heron are the sole managing members of FHM LLC. Mr. Heron, FHM LP and FHM LLC disclaims beneficial ownership of the securities held by FLS LP except, to the extent of his or its pecuniary interest therein, if any.