08/09/2022 | Press release | Distributed by Public on 08/09/2022 14:35
FORM 4
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Title of Derivate Security | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security | 8. Price of Derivative Security | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) | 11. Nature of Indirect Beneficial Ownership |
Code | V | (A) | (D) | Date Exercisable | Expriation Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Frazier Life Sciences VIII, L.P. 70 WILLOW ROAD, SUITE 200 MENLO PARK, CA94025 |
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X |
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FHM LIFE SCIENCES VIII, L.P. 70 WILLOW ROAD, SUITE 200 MENLO PARK, CA94025 |
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X |
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FHM LIFE SCIENCES VIII, L.L.C. 70 WILLOW ROAD, SUITE 200 MENLO PARK, CA94025 |
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X |
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Topper James N 70 WILLOW ROAD, SUITE 200 MENLO PARK, CA94025 |
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X |
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Heron Patrick J 70 WILLOW ROAD, SUITE 200 MENLO PARK, CA94025 |
X | X |
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Frazier Life Sciences VIII, L.P., By: FHM Life Sciences VIII, L.P., its general partner, By: FHM Life Sciences VIII, L.L.C., its general, partner, By: /s/ Steve R. Bailey, Chief Financial Officer | 2022-08-09 |
**Signature of Reporting Person | Date |
FHM Life Sciences VIII, L.P., By: FHM Life Sciences VIII, L.L.C., its general, partner, By: /s/ Steve R. Bailey, Chief Financial Officer | 2022-08-09 |
**Signature of Reporting Person | Date |
FHM Life Sciences VIII, L.L.C., By: /s/ Steve R. Bailey, Chief Financial Officer | 2022-08-09 |
**Signature of Reporting Person | Date |
/s/ Steve R. Bailey, Attorney-in-Fact for James Topper | 2022-08-09 |
**Signature of Reporting Person | Date |
/s/ Steve R. Bailey, Attorney-in-Fact for Patrick Heron | 2022-08-09 |
**Signature of Reporting Person | Date |
(*) | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
(**) | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Represents shares held of record by FHM Life Sciences VIII, L.L.C. Dr. Topper and Mr. Heron are the sole managing members of FHM Life Sciences VIII, L.L.C. and share voting and investment power of the securities held by FHM Life Sciences VIII, L.L.C. Dr. Topper and Mr. Heron disclaim beneficial ownership of such securities except to the extent of their pecuniary interest therein. |
(2) | Dr. Topper is a manager of Topper Group II LLC and shares voting and investment power over the shares held by Topper Group II LLC. |
(3) | Dr. Topper is a trustee of the Topper Family Revocable Trust and has voting and investment power over the shares held by Topper Family Revocable Trust. |
(4) | Mr. Heron is the co-trustee of The Heron Living Trust 11/30/2004 and has voting and investment power of the securities held by The Heron Living Trust 11/30/2004. |