1. Name and Address of Reporting Person*
C/O PULMATRIX, INC., 990 HAYDEN AVE | |
(Street)
| 2. Issuer Name and Ticker or Trading Symbol Pulmatrix, Inc. [ PULM ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)X | Director | X | 10% Owner | | Officer (give title below) | | Other (specify below) | |
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3. Date of Earliest Transaction (Month/Day/Year) 06/15/2015 |
4. If Amendment, Date of Original Filed (Month/Day/Year) 06/17/2015 | 6. Individual or Joint/Group Filing (Check Applicable Line) | Form filed by One Reporting Person | X | Form filed by More than One Reporting Person |
|
1. Name and Address of Reporting Person*
C/O PULMATRIX, INC., 990 HAYDEN AVE | |
(Street)
|
1. Name and Address of Reporting Person*
1000 WINTER STREET | SUITE 3350 |
(Street)
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1. Name and Address of Reporting Person*Polaris Venture Management Co IV LLC |
1000 WINTER STREET | SUITE 3350 |
(Street)
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1. Name and Address of Reporting Person*POLARIS VENTURE PARTNERS ENTREPRENEURS FUND IV LP |
1000 WINTER STREET | SUITE 3350 |
(Street)
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1. Name and Address of Reporting Person*POLARIS VENTURE PARTNERS IV LP |
1000 WINTER STREET | SUITE 3350 |
(Street)
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1. Name and Address of Reporting Person*Polaris Venture Management Co. V, L.L.C. |
1000 WINTER STREET | SUITE 3350 |
(Street)
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1. Name and Address of Reporting Person*Polaris Venture Partners Entrepreneurs' Fund V, L.P. |
1000 WINTER STREET | SUITE 3350 |
(Street)
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1. Name and Address of Reporting Person*Polaris Venture Partners V, L.P. |
1000 WINTER STREET | SUITE 3350 |
(Street)
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1. Name and Address of Reporting Person*Polaris Venture Partners Founders' Fund V, L.P. |
1000 WINTER STREET | SUITE 3350 |
(Street)
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1. Name and Address of Reporting Person*Polaris Venture Partners Special Founders' Fund V, L.P. |
1000 WINTER STREET | SUITE 3350 |
(Street)
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| /s/ Garrett Winslow, Attorney-in-Fact for Terrance McGuire | 06/25/2015 |
| /s/ Garrett Winslow, Attorney-in-Fact for Jonathan Flint | 06/25/2015 |
| /s/ Garrett Winslow, Attorney-in-Fact for Polaris Venture Management Co. IV, L.L.C. | 06/25/2015 |
| /s/ Garrett Winslow, Attorney-in-Fact for Polaris Venture Management Co. IV, L.L.C., general partner of Polaris Venture Partners Entrepreneurs' Fund IV, L.P. | 06/25/2015 |
| /s/ Garrett Winslow, Attorney-in-Fact for Polaris Venture Management Co. IV, L.L.C., general partner of Polaris Venture Partners IV, L.P. | 06/25/2015 |
| /s/ Garrett Winslow Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C. | 06/25/2015 |
| /s/ Garrett Winslow, Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C., general partner of Polaris Venture Partners Entrepreneurs' Fund V, L.P. | 06/25/2015 |
| /s/ Garrett Winslow, Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C., general partner of Polaris Venture Partners V, L.P | 06/25/2015 |
| /s/ Garrett Winslow Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C., general partner of Polaris Venture Partners Founders' Fund V, L.P. | 06/25/2015 |
| /s/ Garrett Winslow, Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C., | 06/25/2015 |
| ** 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 4 (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). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |