SEC Form 4 · accession 0000904454-19-000158
Clovis Oncology, Inc. · CLVS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James C Blair
Director
Period of report
Feb 1, 2019
Accepted (ET)
Feb 5, 2019 · 4:46 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 | Feb 1, 2019 | J | 1,000,000 | $0.00 | D | 0 | I | By Domain Partners VII, L.P. |
| Common StockF1,F2 | Feb 1, 2019 | J | 10,000 | $0.00 | A | 10,000 | I | By One Palmer Square Associates VII, LLC |
| Common StockF3 | holding | — | — | — | 9,404 | I | By Susan W. and James C. Blair Family L.P. | |
| Common Stock | holding | — | — | — | 12,917 | D | ||
| 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-in-kind of shares by Domain Partners VII, L.P. pro rata to its partners.
- F2The Reporting Person is a managing member 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.