SEC Form 4 · accession 0001012975-15-000400
Foundation Medicine, Inc. · FMI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owners
Mark J Levin
10% Owner
Robert I Tepper
10% Owner
Kevin P Starr
10% Owner
THIRD ROCK VENTURES LP
10% Owner
TRV GP, LLC
10% Owner
Third Rock Ventures GP, L.P.
10% Owner
Period of report
May 14, 2015
Accepted (ET)
May 15, 2015 · 2:07 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001488613
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF2 | May 14, 2015 | J | 828,456 | $0.00 | D | 0 | D | |
| Common StockF4 | May 14, 2015 | J | 312,498 | $0.00 | A | 312,498 | D | |
| Common StockF4 | May 14, 2015 | J | 312,498 | $0.00 | D | 0 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Distribution of shares in kind by Third Rock Ventures, L.P. ("TRV") to its partners.
- F2The shares are directly held by TRV. The general partner of TRV is Third Rock Ventures GP, L.P. ("TRV GP"). The general partner of TRV GP is TRV GP, LLC ("TRV GP LLC"). The individual managers of TRV GP LLC are Mark Levin ("Levin"), Kevin Starr ("Starr") and Dr. Robert Tepper ("Tepper") and, as such, each of TRV GP and TRV GP LLC, Levin, Starr and Tepper exercises shared voting and investment power over the shares held of record by TRV. Each of the Reporting Persons disclaims beneficial ownership of the shares except to the extent of their pecuniary interest therein, if any
- F3TRV GP received shares distributed in kind by TRV to its partners
- F4The shares are directly held by TRV GP. As such, each of TRV GP LLC, Levin, Starr and Tepper exercises voting and investment power over the shares of record by TRV GP.
- F5Distribution of shares in kind by TRV GP to its partners.