Filing Details
- Accession Number:
- 0001209191-21-029115
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2021-04-29 19:45:05
- Reporting Period:
- 2021-04-27
- Accepted Time:
- 2021-04-29 19:45:05
- SEC Url:
- Form 4 Filing
Issuer
Cik | Name | Symbol | Sector (SIC) | IRS No |
---|---|---|---|---|
1445499 | Impel Neuropharma Inc | IMPL | () | CA |
Insiders
Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
---|---|---|---|---|---|---|---|
1089744 | Promod Haque | 525 University Avenue Suite 800 Palo Alto CA 94301 | No | No | Yes | No | |
1535261 | Jeffrey Crowe | 525 University Avenue Suite 800 Palo Alto CA 94301 | No | No | Yes | No | |
1726084 | Erik Jon Kossow | 525 University Avenue Suite 800 Palo Alto CA 94301 | No | No | Yes | No | |
1842721 | Norwest Venture Partners Xiv, Lp | 525 University Avenue Suite 800 Palo Alto CA 94301 | 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 | 2021-04-27 | 98,927 | $13.50 | 98,927 | No | 4 | C | Direct | |
Common Stock | Acquisiton | 2021-04-27 | 2,153,271 | $0.00 | 2,252,198 | No | 4 | C | Direct | |
Common Stock | Acquisiton | 2021-04-27 | 825,000 | $15.00 | 3,077,198 | No | 4 | P | Direct |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | C | Direct | |
No | 4 | C | Direct | |
No | 4 | P | Direct |
Reported Derivative Transactions
Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
---|---|---|---|---|---|---|---|
Common Stock | 5% Convertible Note due 2021 | Disposition | 2021-04-27 | 0 | $0.00 | 98,927 | $13.50 |
Common Stock | Series D Preferred Stock | Disposition | 2021-04-27 | 35,256,206 | $0.00 | 2,153,271 | $0.00 |
Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
---|---|---|---|---|---|---|
0 | 2021-12-31 | No | 4 | C | Direct | |
0 | No | 4 | C | Direct |
Footnotes
- The securities shown represent securities held of record by Norwest Venture Partners XIV, LP ("NVP XIV"). Genesis VC Partners XIV, LLC ("Genesis XIV") is the general partner of NVP XIV and may be deemed to have sole voting and dispositive power over the shares held by NVP XIV. NVP Associates, LLC ("NVP Associates"), the managing member of Genesis XIV, and Jeffrey Crowe, Promod Haque and Jon E. Kossow, as Co-Chief Executive Officers of NVP Associates, may be deemed to share voting and dispositive power with respect to such securities. Such entities and Messrs. Crowe, Haque and Kossow disclaim beneficial ownership of all such securities, except to the extent of any pecuniary interest therein.
- The shares of the Issuer's Series D Preferred Stock automatically converted into the number of shares of the Issuer's Common Stock on a 16.37332-for-one basis, for no additional consideration, immediately prior to the closing of the Issuer's initial public offering of Common Stock (the "IPO") and had no expiration date.
- The convertible promissory note was issued by the Issuer in March 2021 and the outstanding principal and accrued interest automatically converted into the number of shares of the Issuer's Common Stock set forth above upon the closing of the IPO at $13.50 per share (90% of the IPO price).