SEC Form 4 · accession 0000899243-15-001490

CHIASMA, INC · CHMA

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Jul 21, 2015

Accepted (ET)

Jul 22, 2015 · 6:08 am EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001339469

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1	Jul 21, 2015	C	1,209	—	A	69,375	D
Common Stock^F1,F2	Jul 21, 2015	C	27,376	—	A	96,751	I	See Footnote

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Series B1' Preferred Stock^F1	—	Jul 21, 2015	C	11,041	D	—	—	Common Stock	1,209	0	D
Series E Preferred Stock^F1,F2	—	Jul 21, 2015	C	250,000	D	—	—	Common Stock	27,376	0	I

F1Each share of the Issuer's Series B1' preferred stock and Series E preferred stock was automatically converted on a 9.132-for-1 basis into common stock immediately prior to the closing of the Issuer's initial public offering. The shares of Series B1' and Series E preferred stock had no expiration date.
F2The securities are directly held by Minick Family Trust ("MFT"). The Reporting Person is the co-trustee of MFT and disclaims beneficial ownership of all shares except to the extent of his pecuniary interest, if any, therein.