Lightspeed Venture Partners X Form 4 Forty Seven / Barry Eggers ownership change

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^*

Lightspeed Venture Partners X, L.P.

(Last) (First) (Middle)

2200 SAND HILL ROAD

(Street)

MENLO PARK CA 94025

(City) (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol
Forty Seven, Inc. [ FTSV ]

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

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

3. Date of Earliest Transaction (Month/Day/Year)
03/11/2020

4. 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

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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	03/11/2020		J(1)		2,450,000	D	(1)	336,868	I	By Lightspeed Venture Partners X, L.P.(2)
Common Stock	03/11/2020		J(1)		395,374	A	(1)	395,374	I	By Lightspeed General Partner X, L.P.(2)
Common Stock	03/11/2020		J(3)		395,374	D	(3)	0	I	By Lightspeed General Partner X, L.P.(2)
Common Stock	03/11/2020		J(3)		51,405	A	(3)	51,405	I	By Eggers Investments LP - Fund 2(4)
Common Stock	03/11/2020		J(3)		51,405	A	(3)	51,405	I	By Jeremy Liew
Common Stock	03/11/2020		J(3)		51,405	A	(3)	51,405	I	By Mhatre Investments LP - Fund 3(5)
Common Stock	03/11/2020		J(3)		51,405	A	(3)	51,405	I	By Nieh Family Investments LP - Fund 3(6)
Common Stock	03/11/2020		J(7)		1,600,000	D	(7)	496,769	I	By Lightspeed Venture Partners Select II, L.P.(8)
Common Stock	03/11/2020		J(7)		171,750	A	(7)	171,750	I	By Lightspeed General Partner Select II, L.P.(8)
Common Stock	03/11/2020		J(9)		171,750	D	(9)	0	I	By Lightspeed General Partner Select II, L.P.(8)
Common Stock	03/11/2020		J(9)		14,760	A	(9)	66,165	I	By Eggers Investments LP - Fund 2(4)
Common Stock	03/11/2020		J(9)		19,681	A	(9)	71,086	I	By Jeremy Liew
Common Stock	03/11/2020		J(9)		19,681	A	(9)	71,086	I	By Mhatre Investments LP - Fund 3(5)
Common Stock	03/11/2020		J(9)		14,760	A	(9)	14,760	I	By Nieh Family Investments LP - Fund 4(10)
Common Stock								67,036	I	By Lightspeed Affiliates X, L.P.(2)
Common Stock								66,743	I	By Ravi Mhatre
Common Stock								66,743	I	By Mhatre Investments LP - Fund 1(11)
Common Stock								33,372	I	By Mhatre 2011 Irrevocable Children's Trust(12)
Common Stock								67,500	I	By Peter Nieh

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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

1. Name and Address of Reporting Person^*

Lightspeed Venture Partners X, L.P.

(Last) (First) (Middle)

2200 SAND HILL ROAD

(Street)

MENLO PARK CA 94025

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

Lightspeed General Partner X, L.P.

(Last) (First) (Middle)

2200 SAND HILL ROAD

(Street)

MENLO PARK CA 94025

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

Lightspeed Ultimate General Partner X, Ltd.

(Last) (First) (Middle)

2200 SAND HILL ROAD

(Street)

MENLO PARK CA 94025

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

Lightspeed Venture Partners Select II, L.P.

(Last) (First) (Middle)

2200 SAND HILL ROAD

(Street)

MENLO PARK CA 94025

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

Lightspeed General Partner Select II, L.P.

(Last) (First) (Middle)

2200 SAND HILL ROAD

(Street)

MENLO PARK CA 94025

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

Lightspeed Ultimate General Partner Select II, Ltd.

(Last) (First) (Middle)

2200 SAND HILL ROAD

(Street)

MENLO PARK CA 94025

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

Eggers Barry

(Last) (First) (Middle)

2200 SAND HILL ROAD

(Street)

MENLO PARK CA 94025

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

Liew Jeremy

(Last) (First) (Middle)

2200 SAND HILL ROAD

(Street)

MENLO PARK CA 94025

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

Mhatre Ravi

(Last) (First) (Middle)

2200 SAND HILL ROAD

(Street)

MENLO PARK CA 94025

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

Nieh Peter

(Last) (First) (Middle)

2200 SAND HILL ROAD

(Street)

MENLO PARK CA 94025

(City) (State) (Zip)

Explanation of Responses:

1. Represents in-kind distribution by Lightspeed Venture Partners X, L.P. ("Lightspeed X") without consideration to its partners (including Lightspeed General Partner X, L.P., the general partner of Lightspeed X).

2. Lightspeed General Partner X, L.P. ("LGP X") is the general partner of Lightspeed X and Lightspeed Affiliates X, L.P. ("Lightspeed Affiliates"). Lightspeed Ultimate General Partner X, Ltd. ("LUGP X") is the general partner of LGP X. Barry Eggers, Jeremy Liew, Ravi Mhatre and Peter Nieh are the directors of LUGP X and share voting and dispositive power with respect to the shares held by Lightspeed X and Lightspeed Affiliates. Messrs. Eggers, Liew, Mhatre and Nieh disclaim beneficial ownership of the shares held by Lightspeed X and Lightspeed Affiliates except to the extent of their pecuniary interest therein.

3. Represents in-kind distribution by LGP X without consideration to its partners

4. Barry Eggers serves as trustee of the general partner of Eggers Investments LP - Fund 2.

5. Ravi Mhatre serves as trustee of the general partner of Mhatre Investments LP- Fund 3.

6. Peter Nieh serves as co-trustee of the general partner of Nieh Investments LP - Fund 3.

7. Represents in-kind distribution by Lightspeed Venture Partners Select II, L.P. ("Select II") without consideration to its partners (including Lightspeed General Partner Select II, L.P., the general partner of Select II).

8. Lightspeed General Partner Select II, L.P. ("Select II GP") is the general partner of Select II. Lightspeed Ultimate General Partner Select II, Ltd. ("Select II UGP") is the general partner of Select II GP. Barry Eggers, Jeremy Liew, Ravi Mhatre and Peter Nieh are the directors of Select II UGP and share voting and dispositive power with respect to the shares held by Lightspeed Select II. Messrs. Eggers, Liew, Mhatre and Nieh disclaim beneficial ownership of the shares held by Lightspeed Select II except to the extent of their pecuniary interest therein.

9. Represents in-kind distribution by Select II GP without consideration to its partners

10. Peter Nieh serves as co-trustee of the general partner of Nieh Family Investments LP - Fund 4.

11. Ravi Mhatre serves as trustee of the general partner of Mhatre Investments LP- Fund 1.

12. Ravi Mhatre serves as trustee of Mhatre 2011 Irrevocable Children's Trust.

	LIGHTSPEED VENTURE PARTNERS X, L.P. By: Lightspeed General Partner X, L.P., its general partner By: Lightspeed Ultimate General Partner X, Ltd., its general partner By: /s/ Ravi Mhatre Duly Authorized Signatory	03/13/2020
	LIGHTSPEED GENERAL PARTNER X, L.P. By: Lightspeed Ultimate General Partner X, Ltd., its general partner By: /s/ Ravi Mhatre Duly Authorized Signatory	03/13/2020
	LIGHTSPEED ULTIMATE GENERAL PARTNER X, LTD. By: /s/ Ravi Mhatre Duly Authorized Signatory	03/13/2020
	LIGHTSPEED VENTURE PARTNERS SELECT II, L.P. By: Lightspeed General Partner Select II, L.P., its general partner By: Lightspeed Ultimate General Partner Select II, Ltd., its general partner By: /s/ Ravi Mhatre Duly Authorized Signatory	03/13/2020
	LIGHTSPEED GENERAL PARTNER SELECT II, L.P. By: Lightspeed Ultimate General Partner Select II, Ltd., its general partner By: /s/ Ravi Mhatre Duly Authorized Signatory	03/13/2020
	LIGHTSPEED ULTIMATE GENERAL PARTNER SELECT II, LTD. By: /s/ Ravi Mhatre Duly Authorized Signatory	03/13/2020
	/s/ Barry Eggers	03/13/2020
	/s/ Jeremy Liew	03/13/2020
	/s/ Ravi Mhatre	03/13/2020
	/s/ Peter Nieh	03/13/2020
	** Signature of Reporting Person	Date
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