SEC Form 3/A · accession 0000899243-17-022577
Molecular Templates, Inc. · MTEM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 3/A). It replaces an earlier filing for the same period.
Reporting owners
Douglas D French
10% Owner
SANTE HEALTH VENTURES I LP
10% Owner
SHV Management Services, LLC
10% Owner
SHV Management Services, LP
10% Owner
Joe H Cunningham
10% Owner
SHV Annex Services, LP
10% Owner
Period of report
Aug 1, 2017
Accepted (ET)
Sep 25, 2017 · 8:06 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 Joe Cunningham, M.D. and Douglas D. French, who are managing directors (the "SHV Directors") of SHV Management Services, LLC ("SHV Management"). SHV Management 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. Each of the SHV Directors, SHV Management, SHV Management Services, LP and SHV Annex Services, LP disclaims beneficial ownership of the reported securities except to the extent of his or its pecuniary interest therein.
Remarks
(1) This amended Form 3 is being filed in order to add SHV Annex Services, LP ("Annex Services") as a Reporting Owner. Annex Services was disclosed in Explanation (1) above as the general partner of Sante Health Ventures I Annex Fund, L.P. but omitted on the table of Reporting Owners in the original filing on August 11, 2017.