1. Name and Address of Reporting Person*Polaris Venture Partners V, L.P. | ONE MARINA PARK DRIVE, 10TH | FLOOR | (Street) | 2. Date of Event Requiring Statement (Month/Day/Year) 03/28/2022 | 3. Issuer Name and Ticker or Trading Symbol Adagio Therapeutics, Inc. [ ADGI ] |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable) | Director | | 10% Owner | | Officer (give title below) | X | Other (specify below) | See Remarks | | 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*Polaris Venture Partners V, L.P. | ONE MARINA PARK DRIVE, 10TH | FLOOR | (Street) |
1. Name and Address of Reporting Person*Polaris Venture Partners Entrepreneurs' Fund V, L.P. | C/O POLARIS PARTNERS | ONE MARINA PARK DRIVE, 10TH FL. | (Street) |
1. Name and Address of Reporting Person*Polaris Venture Partners Founders' Fund V, L.P. | ONE MARINA PARK DRIVE | 10TH FLOOR | (Street) |
1. Name and Address of Reporting Person*Polaris Venture Partners Special Founders' Fund V, L.P. | ONE MARINA PARK DRIVE | 10TH FLOOR | (Street) |
1. Name and Address of Reporting Person*Polaris Venture Management Co. V, L.L.C. | ONE MARINA PARK DRIVE | 10TH FLOOR | (Street) |
1. Name and Address of Reporting Person*Polaris Partners IX, L.P. | ONE MARINA PARK DRIVE | 10TH FLOOR | (Street) |
1. Name and Address of Reporting Person*Polaris Partners GP IX, L.L.C. | ONE MARINA PARK DRIVE | 10TH FLOOR | (Street) |
1. Name and Address of Reporting Person*Polaris Healthcare Technology Opportunities Fund, L.P. | ONE MARINA PARK DRIVE | 10TH FLOOR | (Street) |
1. Name and Address of Reporting Person*Polaris Healthcare Technology Opportunities Fund GP, L.L.C. | ONE MARINA PARK DRIVE | 10TH FLOOR | (Street) |
1. Name and Address of Reporting Person* ONE MARINA PARK DRIVE | 10TH FLOOR | (Street) |
| /s/ Lauren Crockett, as attorney in fact for Polaris Venture Management Co. V, L.L.C., general partner of Polaris Venture Partners V, L.P. | 03/30/2022 |
| /s/ Lauren Crockett, as attorney in fact for Polaris Venture Management Co. V, L.L.C., general partner of Polaris Venture Partners Entrepreneurs' Fund V, L.P. | 03/30/2022 |
| /s/ Lauren Crockett, as attorney in fact for Polaris Venture Management Co. V, L.L.C., general partner of Polaris Venture Partners Founders' Fund V, L.P. | 03/30/2022 |
| /s/ Lauren Crockett, as attorney in fact for Polaris Venture Management Co. V, L.L.C., general partner of Polaris Venture Partners Special Founders' Fund V, L.P. | 03/30/2022 |
| /s/ Lauren Crockett, as attorney in fact for Polaris Venture Management Co. V, L.L.C. | 03/30/2022 |
| /s/ Lauren Crockett, general counsel for Polaris Partners GP IX, L.L.C., general partner of Polaris Partners IX, L.P. | 03/30/2022 |
| /s/ Lauren Crockett, as general counsel for Polaris Partners GP IX, L.L.C. | 03/30/2022 |
| /s/ Lauren Crockett, as general counsel for Polaris Healthcare Technology Opportunities Fund GP, L.L.C., general partner of Polaris Healthcare Technology Opportunities Fund, L.P. | 03/30/2022 |
| /s/ Lauren Crockett, as general counsel for Polaris Healthcare Technology Opportunities Fund GP, L.L.C. | 03/30/2022 |
| /s/ Lauren Crockett, Attorney-in-Fact Jonathan Flint | 03/30/2022 |
| ** 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. |