SEC Form 4 · accession 0001104659-16-130149

SELECTA BIOSCIENCES INC · SELB

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

Reporting owners

10% Owner

10% Owner

Period of report

Jun 27, 2016

Accepted (ET)

Jun 29, 2016 · 4:47 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001453687

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock	Jun 27, 2016	C	178,890	$0.00	A	178,890	I	By VTB Capital I2BF Netherlands B.V.
Common Stock	Jun 27, 2016	C	178,890	$0.00	A	178,890	I	By Selecta RKFN Ltd.

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Series SRN Convertible Preferred Stock^F1	—	Jun 27, 2016	C	178,890	D	—	—	Common Stock	178,890	0	I
Series SRN Convertible Preferred Stock^F1	—	Jun 27, 2016	C	178,890	D	—	—	Common Stock	178,890	0	I

F1The preferred stock is convertible at any time, at the holder's election and has no expiration date. The preferred stock automatically converted into common stock on a 1-for-1 basis upon the closing of the Issuer's initial public offering.