SEC Form 4/A · accession 0000904454-17-000394
Clovis Oncology, Inc. · CLVS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
James C Blair
Director
Period of report
Jul 16, 2015
Accepted (ET)
May 23, 2017 · 4:47 pm EDT
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 | Jul 16, 2015 | J | 41,813 | — | D | 0 | I | By One Palmer Square Associates VII, LLC |
| Common StockF1,F3,F4,F5,F6 | Jul 16, 2015 | J | 2,185 | — | A | 2,185 | D | |
| Common StockF1,F7 | Jul 16, 2015 | J | 2,927 | — | A | 2,927 | I | By Susan W. and James C. Blair Family L.P. |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Distribution of shares in kind by One Palmer Square Associates VII, LLC to its members.
- F2As a managing member of One Palmer Square Associates VII, LLC, the Reporting Person may be deemed to indirectly beneficially own the securities of the Issuer held by One Palmer Square Associates VII, LLC.
- F3As a managing member of the sole general partner of Domain Partners VII, L.P., the Reporting Person may be deemed to indirectly beneficially own 2,081,745 shares of Common Stock held by Domain Partners VII, L.P.
- F4As 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 35,506 shares of Common Stock held by DP VII Associates, L.P.
- 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 Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein. This amendment is being filed solely to report the acquisition of shares of Common Stock by this entity on 07/16/2015, which was inadvertently omitted from the Form 4 filed on 07/17/2015.