SEC Form 3
FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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1. Name and Address of Reporting Person*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 04/03/2019 | 3. Issuer Name and Ticker or Trading Symbol NGM BIOPHARMACEUTICALS INC [ NGM ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. 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 Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 475,957(1) | I | See Footnotes(2)(3) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series A Convertible Preferred Stock | (1) | (1) | Common Stock | 6,000,000(1) | (1) | I | See Footnote(4) |
Series B Convertible Preferred Stock | (1) | (1) | Common Stock | 4,204,467(1) | (1) | I | See Footnote(5) |
Series C Convertible Preferred Stock | (1) | (1) | Common Stock | 1,188,667(1) | (1) | I | See Footnote(6) |
Series D Convertible Preferred Stock | (1) | (1) | Common Stock | 1,700,000(1) | (1) | I | See Footnote(7) |
Explanation of Responses: |
1. The number of shares of common stock reflects a 1-for-2 reverse stock split, which became effective March 22, 2019. Each share of the Issuer's Series A Preferred Stock, Series B Preferred Stock, Series C Preferred Stock and Series D Preferred Stock is convertible into the Issuer's common stock on a 1-for-2 basis and has no expiration date. The number of underlying shares of common stock reported in Column 3 of Table II reflects the 1-for-2 reverse stock split pursuant to which every 2 shares of Preferred Stock will convert into one share of common stock of the Issuer, effective upon the closing of the Issuer's initial public offering, for no additional consideration. |
2. Consists of 100,000 shares beneficially owned by The Column Group GP, LP, 275,957 shares beneficially owned by The Column Group II, L.P., and 100,000 shares beneficially owned by The Column Group Management, LP ("TCGM LP"). The Reporting Person disclaims beneficial ownership of the securities except to the extent of his pecuniary interest therein. |
3. The securities are directly held by The Column Group II, LP and indirectly held by The Column Group II GP, LP ("TCG II GP") the general partner of The Column Group II, LP. TCG II GP shares voting and dispositive power with respect to these shares. The individual managing partners of TCG GP, TCG II GP and TCGM LP are Peter Svennilson and David Goeddel, who may be deemed to have shared voting, investment and dispositive power with respect to these shares. Each individual managing partner disclaims beneficial ownership of these shares, except to the extent of their pecuniary interest in such shares. |
4. Consists of 6,000,000 shares beneficially owned by The Column Group LP. The Reporting Person disclaims beneficial ownership of the securities except to the extent of his pecuniary interest therein. |
5. Consists of 604,467 shares beneficially owned by The Column Group II, LP and 3,600,000 shares beneficially owned by The Column Group, LP. The Reporting Person disclaims beneficial ownership of the securities except to the extent of his pecuniary interest therein. |
6. Consists of 18,667 shares beneficially owned by The Column Group II, LP and 1,170,000 shares beneficially owned by The Column Group, LP. The Reporting Person disclaims beneficial ownership of the securities except to the extent of his pecuniary interest therein. |
7. Consists of 1,366,667 shares beneficially owned by The Column Group II, LP and 333,333 shares beneficially owned by The Column Group, LP. The Reporting Person disclaims beneficial ownership of the securities except to the extent of his pecuniary interest therein. |
Remarks: |
/s/ Aetna Wun Trombley, Attorney-in-Fact | 04/03/2019 | |
** 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. |