1. Name and Address of Reporting Person*
ONE SANSOME STREET |
SUITE 3630 |
(Street)
|
2. Date of Event Requiring Statement
(Month/Day/Year) 06/18/2020
|
3. Issuer Name and Ticker or Trading Symbol
Repare Therapeutics Inc.
[ RPTX ]
|
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*
ONE SANSOME STREET |
SUITE 3630 |
(Street)
|
1. Name and Address of Reporting Person*Versant Ophthalmic Affiliates I, L.P. |
ONE SANSOME STREET |
SUITE 3630 |
(Street)
|
1. Name and Address of Reporting Person*Versant Affiliates Fund V, L.P. |
ONE SANSOME STREET |
SUITE 3630 |
(Street)
|
1. Name and Address of Reporting Person*Versant Venture Capital V (Canada), LP |
ONE SANSOME STREET |
SUITE 3630 |
(Street)
|
1. Name and Address of Reporting Person*Versant Venture Capital V, L.P. |
ONE SANSOME STREET |
SUITE 3630 |
(Street)
|
1. Name and Address of Reporting Person*Versant Ventures V (Canada), L.P. |
ONE SANSOME STREET |
SUITE 3630 |
(Street)
|
1. Name and Address of Reporting Person*Versant Ventures V GP-GP (Canada), Inc. |
ONE SANSOME STREET |
SUITE 3630 |
(Street)
|
1. Name and Address of Reporting Person*Versant Venture Capital VI, L.P. |
ONE SANSOME STREET, SUITE 3630 |
|
(Street)
|
1. Name and Address of Reporting Person*Versant Ventures VI GP, L.P. |
ONE SANSOME STREET |
SUITE 3630 |
(Street)
|
1. Name and Address of Reporting Person*Versant Ventures VI GP-GP, LLC |
ONE SANSOME STREET |
SUITE 3630 |
(Street)
|
|
/s/ Robin L. Praeger, Managing Director of Versant Ventures V, LLC |
06/18/2020 |
|
/s/ Robin L. Praeger, Managing Director of Versant Ventures V, LLC, general partner of Versant Ophthalmic Affiliates Fund I, L.P. |
06/18/2020 |
|
/s/ Robin L. Praeger, Managing Director of Versant Ventures V, LLC, general partner of Versant Affiliates Fund V, L.P. |
06/18/2020 |
|
/s/ Robin L. Praeger, Director of Versant Ventures V GP-GP (Canada), Inc., general partner of Versant Ventures V (Canada) L.P., the general partner of Versant Venture Capital V (Canada) LP |
06/18/2020 |
|
/s/ Robin L. Praeger, Director of Versant Ventures V GP-GP (Canada), Inc., general partner of Versant Ventures V (Canada) L.P. |
06/18/2020 |
|
s/ Robin L. Praeger, Director of Versant Ventures V GP-GP (Canada), Inc., general partner of Versant Ventures V (Canada) L.P. |
06/18/2020 |
|
s/ Robin L. Praeger, Director of Versant Ventures V GP-GP (Canada), Inc. |
06/18/2020 |
|
/s/ Robin L. Praeger, Managing Director of Versant Ventures VI GP-GP LLC, general partner of Versant Ventures VI GP, L.P., the general partner of Versant Venture Capital VI, L.P. |
06/18/2020 |
|
/s/ Robin L. Praeger, Managing Director of Versant Ventures VI GP-GP LLC, general partner of Versant Ventures VI GP, L.P. |
06/18/2020 |
|
/s/ Robin L. Praeger, Managing Director of Versant Ventures VI GP-GP LLC |
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). |
** 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. |