1. Name and Address of Reporting Person*Clarus Lifesciences III, L.P. | C/O CLARUS VENTURES, LLC | 101 MAIN STREET, SUITE 1210 | (Street) | 2. Date of Event Requiring Statement (Month/Day/Year) 09/24/2020 | 3. Issuer Name and Ticker or Trading Symbol GRAYBUG VISION, INC. [ GRAY ] |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable) | Director | X | 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) | Form filed by One Reporting Person | X | Form filed by More than One Reporting Person | |
1. Name and Address of Reporting Person*Clarus Lifesciences III, L.P. | C/O CLARUS VENTURES, LLC | 101 MAIN STREET, SUITE 1210 | (Street) |
1. Name and Address of Reporting Person*Clarus Ventures III GP, L.P. | C/O CLARUS VENTURES, LLC | 101 MAIN STREET, SUITE 1210 | (Street) |
1. Name and Address of Reporting Person*Blackstone Clarus III L.L.C. | C/O THE BLACKSTONE GROUP INC. | 345 PARK AVENUE | (Street) |
1. Name and Address of Reporting Person*Blackstone Holdings II L.P. | C/O THE BLACKSTONE GROUP INC. | 345 PARK AVENUE | (Street) |
1. Name and Address of Reporting Person*Blackstone Holdings I/II GP L.L.C. | C/O THE BLACKSTONE GROUP INC. | 345 PARK AVENUE | (Street) |
1. Name and Address of Reporting Person* (Street) |
1. Name and Address of Reporting Person*Blackstone Group Management L.L.C. | C/O THE BLACKSTONE GROUP INC. | 345 PARK AVENUE | (Street) |
1. Name and Address of Reporting Person* C/O THE BLACKSTONE GROUP INC. | 345 PARK AVENUE | (Street) |
| CLARUS LIFESCIENCES III, L.P., By: Clarus Ventures III GP, L.P., its GP, By: Blackstone Clarus III, L.L.C., its GP, By: Blackstone Holdings II L.P., its MM, By: Blackstone Holdings I/II GP L.L.C., its GP, By: /s/ John G. Finley, Title: Chief Legal Officer | 09/25/2020 |
| CLARUS VENTURES III GP, L.P., By: Blackstone Clarus III, L.L.C., its GP, By: Blackstone Holdings II L.P., its managing member, By: Blackstone Holdings I/II GP L.L.C., its GP, By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer | 09/25/2020 |
| BLACKSTONE CLARUS III L.L.C., By: Blackstone Holdings II L.P., its managing member, By: Blackstone Holdings I/II GP L.L.C., its general partner, By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer | 09/25/2020 |
| BLACKSTONE HOLDINGS II L.P., By: Blackstone Holdings I/II GP L.L.C., its general partner, By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer | 09/25/2020 |
| BLACKSTONE HOLDINGS I/II GP L.L.C., By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer | 09/25/2020 |
| THE BLACKSTONE GROUP INC., By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer | 09/25/2020 |
| BLACKSTONE GROUP MANAGEMENT L.L.C., By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer | 09/25/2020 |
| /s/ Stephen A. Schwarzman | 09/25/2020 |
| ** 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). |
** 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. |