SEC Form 4 · accession 0001104659-16-130151
SELECTA BIOSCIENCES INC · SELB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owners
Samuel D Isaly
Director · 10% Owner
ORBIMED ADVISORS LLC
Director · 10% Owner
OrbiMed Capital GP III LLC
Director · 10% Owner
Period of report
Jun 27, 2016
Accepted (ET)
Jun 29, 2016 · 4:49 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 StockF1,F5 | Jun 27, 2016 | C | 11,111 | $0.00 | A | 12,193 | I | See Footnote |
| Common StockF2,F5 | Jun 27, 2016 | C | 1,166,884 | $0.00 | A | 1,280,604 | I | See Footnote |
| Common StockF1,F5 | Jun 27, 2016 | P | 5,189 | $14.00 | A | 17,382 | I | See Footnote |
| Common StockF2,F5 | Jun 27, 2016 | P | 544,811 | $14.00 | A | 1,825,415 | 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 C Convertible Preferred StockF1,F5,F3 | — | Jun 27, 2016 | C | 3,628 | D | — | — | Common Stock | 3,628 | 0 | I |
| Series C Convertible Preferred StockF2,F5,F3 | — | Jun 27, 2016 | C | 380,986 | D | — | — | Common Stock | 380,986 | 0 | I |
| Series D Convertible Preferred StockF1,F5,F3 | — | Jun 27, 2016 | C | 739 | D | — | — | Common Stock | 739 | 0 | I |
| Series D Convertible Preferred StockF2,F5,F3 | — | Jun 27, 2016 | C | 77,697 | D | — | — | Common Stock | 77,697 | 0 | I |
| Series E Convertible Preferred StockF1,F5,F4 | — | Jun 27, 2016 | C | 4,351 | D | — | — | Common Stock | 6,744 | 0 | I |
| Series E Convertible Preferred StockF2,F5,F4 | — | Jun 27, 2016 | C | 456,870 | D | — | — | Common Stock | 708,201 | 0 | I |
Explanation of responses
- F1The reportable securities are owned directly by OrbiMed Associates III, LP ("Associates III"). OrbiMed Advisors LLC ("Advisors") is the general partner of Associates III. Samuel D. Isaly ("Isaly"), a natural person, is the managing member of and owner of a controlling interest in Advisors. By virtue of such relationships, Advisors and Isaly may be deemed to have voting and investment power over the securities held by Associates III and as a result may be deemed to have beneficial ownership over such securities.
- F2The reportable securities are owned directly by OrbiMed Private Investments III, LP ("OPI III"). OrbiMed Capital GP III LLC ("GP III") is the general partner of OPI III, and Advisors is the managing member of GP III. Isaly is the managing member of and owner of a controlling interest in Advisors. By virtue of such relationships, GP III, Advisors and Isaly may be deemed to have voting and investment power over the securities held by OPI III and as a result may be deemed to have beneficial ownership over such securities.
- F3The 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.
- F4The Series E Convertible Preferred Stock is convertible at any time, at the holder's election and has no expiration date. The Series E Convertible Preferred Stock automatically converted into common stock on an approximately 1-for-1.550115 basis upon the closing of the Issuer's initial public offering.
- F5This report on Form 4 is jointly filed by GP III, Advisors, and Isaly. Each of the Reporting Persons disclaims beneficial ownership of the securities reported herein for purposes of Rule 16a-1(a) under the Securities Exchange Act of 1934, as amended (the "Exchange Act"), except to the extent of its or his pecuniary interest therein, if any. The Reporting Persons have designated Dr. Carl Gordon, a member of Advisors, to serve on the Issuer's board of directors. This report shall not be deemed an admission that any of the Reporting Persons is a beneficial owner for the purpose of Section 16 of the Exchange Act, or for any other purpose.