Wirth Peter Form 3 Forma Therapeutics Holdings, Inc., / PETER WIRTH ownership change

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF 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. Name and Address of Reporting Person^*

WIRTH PETER

(Last) (First) (Middle)

C/O FORMA THERAPEUTICS, HOLDINGS, INC.

500 ARSENAL STREET, SUITE 100

(Street)

WATERTOWN MA 02472

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
06/18/2020

3. Issuer Name and Ticker or Trading Symbol
Forma Therapeutics Holdings, Inc., [ FMTX ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
	Officer (give title below)	Other (specify below)

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	64,366	D
Enterprise 1 Junior Stock	22,744(1)	D
Enterprise 2 Junior Stock	14,605(1)	D
Enterprise 3 Junior Stock	7,325(1)	D
Enterprise 4 Junior Stock	7,332(1)	D
Enterprise 5 Junior Stock	8,628(1)	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Stock Option (Right to Buy)	(2)	02/11/2030	Common Stock	28,053	5.43	D
Stock Option (Right to Buy)	(3)	11/20/2029	Common Stock	14,026	5.05	D

Explanation of Responses:

1. The Enterprise 1 Junior Stock, Enterprise 2 Junior Stock, Enterprise 3 Junior Stock, Enterprise 4 Junior Stock and Enterprise 5 Junior Stock will convert into shares of the Registrant's common stock immediately upon the closing of the Registrant's initial public offering based on a conversion price calculated in accordance with the Registrant's certificate of incorporation in effect as of immediately prior to such conversion.

2. The shares subject to this stock option shall vest in full on February 12, 2021.

3. The shares subject to this stock option fully vested on January 1, 2020.

Remarks:

Exhibit 24 - Power of Attorney

	/s/ Jeannette Potts, as Attorney-in-Fact	06/18/2020
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
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