SEC Form 4 · accession 0000904454-18-000370
Clovis Oncology, Inc. · CLVS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James C Blair
Director
Period of report
May 21, 2018
Accepted (ET)
May 23, 2018 · 4:40 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 | May 21, 2018 | J | 32,760 | $0.00 | D | 0 | I | By Domain Associates, LLC |
| Common StockF1 | May 21, 2018 | J | 5,897 | $0.00 | A | 12,917 | D | |
| Common StockF3 | holding | — | — | — | 9,404 | I | By Susan W. and James C. Blair Family L.P. | |
| Common StockF2 | holding | — | — | — | 1,000,000 | I | By Domain Partners VII, L.P. | |
| Common StockF2 | holding | — | — | — | 17,056 | I | By DP VII Associates, L.P. |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Distribution of shares by Domain Associates, LLC to its members, a former member and an employee.
- F2The Reporting Person is a managing member of Domain Associates, LLC, and of One Palmer Square Associates VII, LLC, the sole general partner of Domain Partners VII, L.P. and DP VII Associates, L.P. Pursuant 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 each such entity, 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.
- F3The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.