SEC Form 4 · accession 0000904454-15-000168
Clovis Oncology, Inc. · CLVS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James C Blair
Director
Period of report
Mar 3, 2015
Accepted (ET)
Mar 5, 2015 · 5:34 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001466301
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2,F3,F4,F5,F6 | Mar 3, 2015 | J | 500,000 | — | D | 2,081,745 | I | By Domain Partners VII, L.P. |
| Common StockF7,F2,F3,F4,F5,F6 | Mar 5, 2015 | S | 8,528 | $77.70 | D | 35,506 | I | By DP VII Associates, L.P. |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Distribution of shares in kind by Domain Partners VII, L.P. to its partners, including 41,813 shares to One Palmer Square Associates VII, LLC, the sole general partner of Domain Partners VII, L.P.
- F2As a managing member of the sole general partner of Domain Partners VII, L.P., the Reporting Person may be deemed to indirectly beneficially own the securities of the Issuer held by Domain Partners VII, L.P.
- F3As a managing member of the sole general partner of DP VII Associates, L.P., the Reporting Person may also be deemed to indirectly beneficially own the securities of the Issuer held by DP VII Associates, L.P.
- F4As a managing member of One Palmer Square Associates VII, LLC, the Reporting Person may also be deemed to indirectly beneficially own 41,813 shares of Common Stock held by One Palmer Square Associates VII, LLC.
- F5As a managing member of Domain Associates, LLC, the Reporting Person may also be deemed to indirectly beneficially own 32,760 shares of Common Stock held by Domain Associates, LLC.
- F6Pursuant to Instruction 4(b)(iv) of Form 4, the Reporting Person has elected to report as indirectly beneficially owned the entire number of securities owned by Domain Partners VII, L.P., DP VII Associates, L.P., One Palmer Square Associates VII, LLC and Domain Associates, LLC , however he disclaims beneficial ownership of any securities, and any proceeds thereof, that exceed his pecuniary interest therein and/or that are not actually distributed to him.
- F7The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $77.00 to $78.24 . The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote.