Filing Details

Accession Number:
0000899243-21-031149
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-08-02 21:27:12
Reporting Period:
2021-08-02
Accepted Time:
2021-08-02 21:27:12
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1786255 Icosavax Inc. ICVX () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1242126 Mark Mcdade 11100 Ne 8Th St
Suite 200
Bellevue WA 98004
No No No Yes
1765710 Qiming U.s. Healthcare Fund Ii, L.p. 11100 Ne 8Th St. Suite 200
Bellevue WA 98004
No No No Yes
1868862 Qiming U.s. Healthcare Gp Ii, Llc 11100 Ne 8Th St
Suite 200
Bellevue WA 98004
No No No Yes
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 2021-08-02 3,310,228 $0.00 3,310,228 No 4 C Direct
Common Stock Acquisiton 2021-08-02 200,000 $15.00 3,510,228 No 4 P Direct
Common Stock Acquisiton 2021-08-02 8,018 $15.00 3,518,246 No 4 P Direct
Common Stock Acquisiton 2021-08-02 13,333 $15.00 3,523,561 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Direct
No 4 P Direct
No 4 P Direct
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series A-1 Preferred Stock Disposition 2021-08-02 12,480,498 $0.00 3,003,224 $0.00
Common Stock Series B-1 Preferred Stock Disposition 2021-08-02 1,275,817 $0.00 307,004 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Direct
0 No 4 C Direct
Footnotes
  1. On August 2, 2021, the shares of Series A-1 Preferred Stock and Series B-1 Preferred Stock converted into shares of the Issuer's common stock at a ratio of 4.1557-for-1 automatically upon the closing of the Issuer's initial public offering without payment or further consideration. The shares have no expiration date. As a result of the Issuer's initial public offering, Qiming U.S. Healthcare Fund II, L.P. ("Qiming") is no longer a 10% owner of the Issuer and is therefore no longer subject to Section 16 in connection with its transactions in the equity securities of the Issuer.
  2. The securities are directly held by Qiming. Qiming U.S. Healthcare GP II, LLC ("Qiming GP") is the General Partner of Qiming. Gary Rieschel and Mark McDade are the managing members of Qiming GP. As a result, each of Qiming GP and Messrs. Rieschel and McDade may be deemed to beneficially own the shares held by Qiming.
  3. Shares reported herein as purchased on August 2, 2021 represent 8,018 shares of Common Stock purchased by Mark McDade.
  4. Shares reported herein as purchased on August 2, 2021 represent 13,333 shares of Common Stock purchased by Gary Rieschel.
  5. Shares reported herein as purchased on August 2, 2021 represent 200,000 shares of Common Stock purchased by Qiming.