Filing Details

Accession Number:
0001209191-20-062391
Form Type:
4
Zero Holdings:
No
Publication Time:
2020-12-08 20:46:15
Reporting Period:
2020-12-08
Accepted Time:
2020-12-08 20:46:15
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1671858 Silverback Therapeutics Inc. SBTX () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1225480 D Jonathan Root C/O Silverback Therapeutics, Inc.
500 Fairview Avenue N, Suite 600
Seattle WA 98109
Yes No 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 2020-12-08 95,238 $21.00 95,238 No 4 P Direct
Common Stock Acquisiton 2020-12-08 1,779,969 $0.00 1,779,969 No 4 C Indirect By U.S VenturePartners XII,L.P.
Common Stock Acquisiton 2020-12-08 289,198 $0.00 2,069,167 No 4 C Indirect By U.S VenturePartners XII,L.P.
Common Stock Acquisiton 2020-12-08 90,335 $0.00 90,335 No 4 C Indirect By U.S.VenturePartners XII-A,L.P.
Common Stock Acquisiton 2020-12-08 14,677 $0.00 105,012 No 4 C Indirect By U.S.VenturePartners XII-A,L.P.
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
No 4 C Indirect By U.S VenturePartners XII,L.P.
No 4 C Indirect By U.S VenturePartners XII,L.P.
No 4 C Indirect By U.S.VenturePartners XII-A,L.P.
No 4 C Indirect By U.S.VenturePartners XII-A,L.P.
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series B Preferred Stock Disposition 2020-12-08 6,609,027 $0.00 1,779,969 $0.00
Common Stock Series B Preferred Stock Disposition 2020-12-08 335,417 $0.00 90,335 $0.00
Common Stock Series C Preferred Stock Disposition 2020-12-08 1,073,793 $0.00 289,198 $0.00
Common Stock Series C Preferred Stock Disposition 2020-12-08 54,496 $0.00 14,677 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
Footnotes
  1. The shares were purchased in the Issuer's initial public offering.
  2. All outstanding shares of Preferred Stock automatically converted into shares of Common Stock immediately upon the closing of the Issuer's initial public offering, for no additional consideration at a rate of one share of Common Stock for each 3.713 shares of Preferred Stock, based on the conversion price currently in effect. The Preferred Stock has no expiration date.
  3. Presidio Management Group XII, L.L.C. (PMG XII), the general partner of U.S. Venture Partners XII, L.P. and U.S. Venture Partners XII-A, L.P. (together, USVP XII), has sole voting and dispositive power with respect to the shares held by USVP XII. The reporting person is a managing member of PMG XII, and shares voting and dispositive power with respect to the shares held by USVP XII. The reporting person disclaims beneficial ownership of such holdings, except to the extent of his pecuniary interest in the shares.