1. Name and Address of Reporting Person*SHV Management Services, LLC | C/O SANTE VENTURES | 201 WEST 5TH STREET, SUITE 1500 | (Street) | 2. Issuer Name and Ticker or Trading Symbol Molecular Templates, Inc. [ MTEM ] | 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) 09/16/2020 |
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 | |
1. Name and Address of Reporting Person*SHV Management Services, LLC | C/O SANTE VENTURES | 201 WEST 5TH STREET, SUITE 1500 | (Street) |
1. Name and Address of Reporting Person* C/O SANTE VENTURES | 201 WEST 5TH STREET, SUITE 1500 | (Street) |
1. Name and Address of Reporting Person* C/O SANTE VENTURES | 201 WEST 5TH STREET, SUITE 1500 | (Street) |
1. Name and Address of Reporting Person*SHV Management Services, LP | C/O SANTE VENTURES | 201 WEST 5TH STREET, SUITE 1500 | (Street) |
1. Name and Address of Reporting Person* C/O SANTE VENTURES | 201 WEST 5TH STREET, SUITE 1500 | (Street) |
1. Name and Address of Reporting Person*Sante Health Ventures I Annex Fund, LP | C/O SANTE VENTURES | 201 WEST 5TH STREET, SUITE 1500 | (Street) |
1. Name and Address of Reporting Person*SANTE HEALTH VENTURES I LP | C/O SANTE VENTURES | 201 WEST 5TH STREET, SUITE 1500 | (Street) |
| SHV MANAGEMENT SERVICES, LLC, By: /s/ Kevin Lalande, Its Managing Member | 09/18/2020 |
| /s/ Joe Cunningham, MD | 09/18/2020 |
| /s/ Douglas D. French | 09/18/2020 |
| SHV MANAGEMENT SERVICES, L.P., By: SHV Management Services, LLC, Its general partner, By: /s/ Kevin Lalande, Its Managing Member | 09/18/2020 |
| SHV ANNEX SERVICES, L.P., By: SHV Management Services, LLC, Its general partner, By: /s/ Kevin Lalande, Its Managing Member | 09/18/2020 |
| SANTE HEALTH VENTURES I, L.P., By: SHV Management Services, L.P., Its general partner, By: SHV Management Services, LLC, Its general partner, By: /s/ Kevin Lalande, Its Managing Member | 09/18/2020 |
| SANTE HEALTH VENTURES I, L.P., By: SHV Management Services, L.P., Its general partner, By: SHV Management Services, LLC, Its general partner, By: /s/ Kevin Lalande, Its Managing Member | 09/18/2020 |
| ** 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 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. |