SEC Form 3 · accession 0000899243-17-020172
Molecular Templates, Inc. · MTEM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kevin M. Lalande
Director · 10% Owner
Period of report
Aug 1, 2017
Accepted (ET)
Aug 11, 2017 · 8:38 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001183765
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | holding | — | — | — | 7,897,298 | I | Held by Sante Health Ventures I, L.P. | |
| Common StockF1 | holding | — | — | — | 864,665 | I | Held by Sante Health Ventures I Annex Fund, L.P. |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantsF1 | $6.8423 | holding | — | — | — | Aug 1, 2017 | Aug 1, 2024 | Common Stock | 19,310 | — | I |
| WarrantsF1 | $6.8423 | holding | — | — | — | Aug 1, 2017 | Aug 1, 2024 | Common Stock | 4,827 | — | I |
Explanation of responses
- F1The securities held by Sante Health Ventures I, L.P. and Sante Health Ventures I Annex Fund, L.P. may be deemed to be beneficially owned by the Reporting Person, who is a managing director of SHV Management Services, LLC, which is the general partner of SHV Management Services, LP, which is the general partner of Sante Health Ventures I, L.P., and SHV Annex Services, LP, which is the general partner of Sante Health Ventures I Annex Fund, L.P. As a managing director of SHV Management Services, LLC, the Reporting Person may be deemed to share voting and investment power over these securities held by Sante Health Ventures I, L.P. and Sante Health Ventures I Annex Fund, L.P. The Reporting Person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.
Remarks
Exhibit 24.1 - Power of Attorney