SEC Form 4 · accession 0001104659-18-057814
Principia Biopharma Inc. · PRNB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Srinivas Akkaraju
Director
Period of report
Sep 18, 2018
Accepted (ET)
Sep 20, 2018 · 4:14 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001510487
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Sep 18, 2018 | C | 208,480 | — | A | 208,480 | I | See footnote |
| Common StockF2 | Sep 18, 2018 | P | 175,000 | $17.00 | A | 383,480 | I | See footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series C Preferred StockF1,F2 | — | Sep 18, 2018 | C | 208,480 | D | — | — | Common Stock | 208,480 | 0 | I |
Explanation of responses
- F1Each share of Series C Preferred Stock automatically converted into the Issuer's Common Stock on a 1-for-1 basis, for no additional consideration, upon the closing of the Issuer's initial public offering. The Series C Preferred Stock had no expiration date.
- F2Shares are held by Samsara BioCapital, L.P. ("Samsara BioCapital"). The reporting person is a managing member of Samsara BioCapital GP, LLC, the general partner of Samsara BioCapital. The Reporting Person disclaims beneficial ownership of these shares except to the extent of the Reporting Person's pecuniary interest therein.