Filing Details
- Accession Number:
- 0001104659-19-041614
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2019-07-24 16:57:31
- Reporting Period:
- 2019-07-22
- Accepted Time:
- 2019-07-24 16:57:31
- 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 |
---|---|---|---|---|---|---|---|
1366048 | Barry Eggers | 2200 Sand Hill Road Menlo Park CA 94025 | No | No | Yes | No | |
1366050 | Ravi Mhatre | 2200 Sand Hill Road Menlo Park CA 94025 | No | No | Yes | No | |
1366051 | Peter Nieh | 2200 Sand Hill Road Menlo Park CA 94025 | No | No | Yes | No | |
1602573 | Lightspeed Venture Partners X, L.p. | 2200 Sand Hill Road Menlo Park CA 94025 | No | No | Yes | No | |
1668017 | Lightspeed Venture Partners Select Ii, L.p. | 2200 Sand Hill Road Menlo Park CA 94025 | No | No | Yes | No | |
1700539 | Jeremy Liew | 2200 Sand Hill Road Menlo Park CA 94025 | No | No | Yes | No | |
1700549 | Lightspeed Ultimate General Partner X, Ltd. | 2200 Sand Hill Road Menlo Park CA 94025 | No | No | Yes | No | |
1700550 | Lightspeed General Partner X, L.p. | 2200 Sand Hill Road Menlo Park CA 94025 | No | No | Yes | No | |
1744936 | Lightspeed General Partner Select Ii, L.p. | 2200 Sand Hill Road Menlo Park CA 94025 | No | No | Yes | No | |
1744937 | Lightspeed Ultimate General Partner Select Ii, Ltd. | 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 | 2019-07-22 | 312,500 | $8.00 | 2,786,868 | No | 4 | P | Indirect | By Lightspeed Venture Partners X, L.P. |
Common Stock | Acquisiton | 2019-07-22 | 312,500 | $8.00 | 2,096,769 | No | 4 | P | Indirect | By Lightspeed Venture Partners Select II, L.P. |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | P | Indirect | By Lightspeed Venture Partners X, L.P. |
No | 4 | P | Indirect | By Lightspeed Venture Partners Select II, L.P. |
Reported Non-Derivative Holdings
Sec. Name | Remaning Holdings | Nature of Ownership | Explanation |
---|---|---|---|
Common Stock | 67,036 | Indirect | By Lightspeed Affiliates X, L.P. |
Common Stock | 66,743 | Indirect | By Ravi Mhatre |
Common Stock | 66,743 | Indirect | By Mhatre Investments LP - Fund 1 |
Common Stock | 33,372 | Indirect | By Mhatre 2011 Irrevocable Children's Trust |
Common Stock | 67,500 | Indirect | By Peter Nieh |
Footnotes
- 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. Barry Eggers, Jeremy Liew, Ravi Mhatre and Peter Nieh 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. Messrs. Eggers, Liew, Mhatre and Nieh disclaim beneficial ownership of the shares held by Lightspeed X and Lightspeed Affiliates except to the extent of their pecuniary interest therein.
- 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. 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. Messrs. Eggers, Liew, Mhatre and Nieh disclaim beneficial ownership of the shares held by Lightspeed Select II except to the extent of their pecuniary interest therein.
- Ravi Mhatre serves as trustee of the general partner of Mhatre Investments LP- Fund 1.
- Ravi Mhatre serves as trustee of Mhatre 2011 Irrevocable Children's Trust.