SEC Form 4 · accession 0001012975-18-000083
Altimmune, Inc. · ALT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Truffle Capital S.A.S.
10% Owner
Period of report
Jan 17, 2018
Accepted (ET)
Jan 19, 2018 · 4:56 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001326190
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.0001F1,F2,F3 | Jan 17, 2018 | J | 11,655 | — | A | 157,155 | I | See Footnote |
| Common Stock, par value $0.0001F1,F2,F4 | Jan 17, 2018 | J | 15,541 | — | A | 109,488 | I | See Footnote |
| Common Stock, par value $0.0001F1,F2,F5 | Jan 17, 2018 | J | 11,655 | — | A | 54,428 | I | See Footnote |
| Common Stock, par value $0.0001F2,F6 | holding | — | — | — | 416,043 | I | See Footnote | |
| Common Stock, par value $0.0001F2,F7 | holding | — | — | — | 230,103 | I | See Footnote | |
| Common Stock, par value $0.0001F2,F8 | holding | — | — | — | 183,690 | I | See Footnote | |
| Common Stock, par value $0.0001F2,F9 | holding | — | — | — | 179,359 | I | See Footnote | |
| Common Stock, par value $0.0001F2,F10 | holding | — | — | — | 151,441 | I | See Footnote | |
| Common Stock, par value $0.0001F2,F11 | holding | — | — | — | 116,654 | I | See Footnote | |
| Common Stock, par value $0.0001F2,F12 | holding | — | — | — | 105,804 | I | See Footnote | |
| Common Stock, par value $0.0001F2,F13 | holding | — | — | — | 1,774 | I | See Footnote | |
| Common Stock, par value $0.0001F2,F14 | holding | — | — | — | 1,255 | I | See Footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series B Convertible Preferred StockF1,F2,F3,F15 | $2.67 | Jan 17, 2018 | J | 23 | D | Aug 21, 2017 | Aug 15, 2018 | Common Stock, par value $0.0001 | 8,527 | 137 | I |
| Series B Convertible Preferred StockF1,F2,F4,F15 | $2.67 | Jan 17, 2018 | J | 30 | D | Aug 21, 2017 | Aug 15, 2018 | Common Stock, par value $0.0001 | 11,369 | 182 | I |
| Series B Convertible Preferred StockF1,F2,F5,F15 | $2.67 | Jan 17, 2018 | J | 23 | D | Aug 21, 2017 | Aug 15, 2018 | Common Stock, par value $0.0001 | 8,527 | 137 | I |
Explanation of responses
- F1Pursuant to the terms of the Series B Convertible Preferred Stock (the "Preferred Stock"), the Issuer converted the Preferred Stock into shares of the Issuer's common stock, par value $0.0001 per share (the "Common Stock") at the installment conversion price of $1.6420 per share of Common Stock.
- F10Held directly by UFF Innovation 16 FCPI, a FCPI.
- F11Held directly by Truffle Fortune 5 FCPI, a FCPI.
- F12Held directly by Truffle InnoCroissance 2015 FCPI, a FCPI.
- F13Held directly by Europe Innovation 2006 (E106) FCPI, a FCPI.
- F14Held directly by Europe Innovation 2004 (E104) FCPI, a FCPI.
- F15The Issuer's Preferred Stock is convertible at any time at the option of the holder into shares of the Issuer's Common Stock, subject to certain restrictions, at an initial conversion price of $2.67 per share and a stated amount of $1,000 per share.
- F2Truffle Capital S.A.S., a French societe par actions simplifiee, is the fund manager for each of the funds listed in the following footnotes and as such manages and controls all voting and dispositive rights to shares held by each such fund. Philippe Pouletty, Bernard-Louis Roques and Henri Moulard may be deemed to possess voting and dispositive control over the shares held by funds managed by Truffle Capital S.A.S. and may be deemed to have indirect beneficial ownership of such shares. Each of these individuals disclaims beneficial ownership of such shares, except with respect to any pecuniary interest therein.
- F3Held directly by UFF Innovation 14 FCPI, a FCPI (Fonds Commun de Placement dans l'Innovation), which is a tax efficient French collective investment fund.
- F4Held directly by UFF Innovation 15 FCPI, a FCPI.
- F5Held directly by Truffle Fortune 4 FCPI, a FCPI.
- F6Held directly by UFF Innovation 5 (UFF5) FCPI, a FCPI.
- F7Held directly by UFF Innovation 17 FCPI, a FCPI.
- F8Held directly by Truffle Cap II (TCII) FCPR, a FCPR (Fonds Commun de Placement a Risque), which is a French venture capital fund for institutional subscribers.
- F9Held directly by Truffle Fortune 6 FCPI, a FCPI.