SEC Form 4
FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol PhaseBio Pharmaceuticals Inc [ PHAS ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 10/22/2018 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 10/22/2018 | C | 4,841,634 | A | (1) | 4,841,634 | I | See Note 2(2) | ||
Common Stock | 10/22/2018 | P | 1,800,000 | A | $5 | 6,641,634 | I | See Note 2(2) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 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 (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Warrants to Purchase Series B Preferred Stock | $0.12 | 10/22/2018 | X(3) | 49,030 | (4) | (4) | Series B Preferred Stock | 49,030 | $0.00 | 0 | I | See Note 2(2) | |||
Series B Preferred Stock | (1) | 10/22/2018 | X(3) | 49,030 | (1) | (1) | Common Stock | 49,030 | $0.12 | 3,280,804 | I | See Note 2(2) | |||
Series B Preferred Stock | (1) | 10/22/2018 | S(3) | 1,177 | (1) | (1) | Common Stock | 1,177 | $5 | 3,279,627 | I | See Note 2(2) | |||
Series B Preferred Stock | (1) | 10/22/2018 | C | 3,279,627 | (1) | (1) | Common Stock | 3,279,627 | $0.00 | 0 | I | See Note 2(2) | |||
Warrants to Purchase Series C-1 Preferred Stock | $0.12 | 10/22/2018 | X(3) | 181,190 | (4) | (4) | Series C-1 Preferred Stock | 181,190 | $0.00 | 0 | I | See Note 2(2) | |||
Series C-1 Preferred Stock | (1) | 10/22/2018 | X(3) | 181,190 | (1) | (1) | Common Stock | 181,190 | $0.12 | 442,055 | I | See Note 2(2) | |||
Series C-1 Preferred Stock | (1) | 10/22/2018 | S(3) | 4,349 | (1) | (1) | Common Stock | 4,349 | $5 | 437,706 | I | See Note 2(2) | |||
Series C-1 Preferred Stock | (1) | 10/22/2018 | C | 437,706 | (1) | (1) | Common Stock | 437,706 | $0.00 | 0 | I | See Note 2(2) | |||
Series D Preferred Stock | (1) | 10/22/2018 | C | 1,124,301 | (1) | (1) | Common Stock | 1,124,301 | $0.00 | 0 | I | See Note 2(2) |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
1. Each share of Preferred Stock converted into Common Stock on a one-for-one basis upon the closing of the Issuer's initial public offering and has no expiration date. |
2. The securities are directly held by New Enterprise Associates 13, L.P. ("NEA 13") and are indirectly held by NEA Partners 13, L.P. ("NEA Partners 13"), the sole general partner of NEA 13, NEA 13 GP, LTD ("NEA 13 LTD"), the sole general partner of NEA Partners 13 and each of the individual directors of NEA 13 LTD (NEA Partners 13, NEA 13 LTD and the individual directors of NEA 13 LTD (collectively, the "Directors") together, the "Indirect Reporting Persons"). The Directors of NEA 13 LTD are M. James Barrett, Peter J. Barris, Forest Baskett, Patrick J. Kerins, David M. Mott, Scott D. Sandell and Ravi Viswanathan. The Indirect Reporting Persons disclaim beneficial ownership within the meaning of Section 16 of the Securities Exchange Act of 1934, as amended, or otherwise of such portion of the NEA 13 securities in which the Indirect Reporting Persons have no pecuniary interest. |
3. Represents the net exercise of the warrants immediately prior to, and contingent upon, the closing of the Issuer's initial public offering. |
4. The warrants were exercisable until, and were scheduled to expire upon, the closing of the Issuer's initial public offering. |
Remarks: |
/s/ Sasha Keough, attorney-in-fact | 10/24/2018 | |
** 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. |