ITEM 1. | (a) Name of Issuer: |
MBX Biosciences, Inc. (the “Issuer”).
| (b) | Address of Issuer’s Principal Executive Offices: |
11711 N. Meridian Street, Suite 300, Carmel, Indiana 46032
ITEM 2. | (a) Name of Person Filing: |
P. Kent Hawryluk (the “Reporting Person”).
| (b) | Address or Principal Business Office: |
The business address of the Reporting Person is c/o MBX Biosciences, Inc., 11711 N. Meridian Street, Suite 300, Carmel, Indiana 46032.
| (c) | Citizenship of each Reporting Person is: |
The Reporting Person is a citizen of the United States of America.
| (d) | Title of Class of Securities: |
Common Stock, $0.0001 par value per share.
55287L101
Not applicable.
The ownership information below represents beneficial ownership of Common Stock of the Issuer as of September 30, 2024, based on (i) 33,376,058 shares of Common Stock outstanding as of September 30, 2024, as reported by the Issuer to the Reporting Person, plus (ii) an aggregate of 1,030,958 shares of Common Stock eligible to be issuable upon exercise of stock options exercisable within 60 days of September 30, 2024, which are deemed outstanding pursuant to SEC Rule 13-3(d)(1)(i) only for purposes of computing the percentage ownership of the Reporting Person.
| (a) | Amount beneficially owned: |
The Reporting Person may be deemed to be the beneficial owner of 1,910,632 shares of Common Stock, which includes: (i) 481,397 shares of Common Stock, $0.0001 par value per share (the “Common Stock”) held directly by the Reporting Person, (ii) 1,030,958 shares of Common Stock issuable upon exercise of stock options exercisable within 60 days of September 30, 2024 held directly by the Reporting Person, and (iii) 398,277 shares of Common Stock held by the P. Kent Hawryluk Revocable Trust dated January 25, 2011, of which the Reporting Person serves as trustee.
| (b) | Percent of class: 5.55% |
| (c) | Number of shares as to which the person has: |
| (i) | Sole power to vote or to direct the vote: 1,910,632 |
| (ii) | Shared power to vote or direct the vote: 0 |
| (iii) | Sole power to dispose or to direct the disposition of: 1,910,632 |
| (iv) | Shared power to dispose or to direct the disposition of: 0 |