SEC Form 4 · accession 0001140361-15-036953

SYNLOGIC, INC. · SYBX

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director · 10% Owner

Period of report

Oct 5, 2015

Accepted (ET)

Oct 6, 2015 · 1:36 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001527599

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1,F4	Oct 5, 2015	C	1,244,269	—	A	1,244,269	I	See Footnote
Common Stock^F1,F4	Oct 5, 2015	C	583,559	—	A	1,827,828	I	See Footnote
Common Stock^F3,F2	Oct 6, 2015	J	289,841	$0.00	A	2,117,669	I	See Footnote
Common Stock^F2	Oct 6, 2015	P	857,142	$7.00	A	2,974,811	I	See Footnote

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Series C Preferred Stock^F5,F1,F2,F4	—	Oct 5, 2015	C	1,244,269	D	—	—	Common Stock	1,244,269	0	I
Series D Preferred Stock^F1,F2,F4	$0.00	Oct 5, 2015	C	583,559	D	—	—	Common Stock	583,559	0	I

F1Each share of Series C and Series D Preferred Stock automatically converted on a one-to-one basis into Common Stock upon the consummation of the Issuer's initial public offering.
F2The shares are held by Sofinnova Venture Partners VIII, L.P. ("SVP VIII"). Sofinnova Management VIII, L.L.C. ("SM VIII") is the general partner of SVP VIII. The individual Managers, or the Managing Members, of SM VIII are Michael Powell, James Healy, Srinivas Akkaraju and Anand Mehra. The Managers share voting and dispositive power with regard to the shares held directly by SVP VIII. Such persons and entities disclaim beneficial ownership over the shares owned by SVP VIII except to the extent of any pecuniary interest therein.
F3The shares were issued for no additional consideration pursuant to an accruing paid-in-kind dividend on shares of Series C and Series D Preferred Stock of the Company.
F4The expiration date is not relevant to the conversion of these securities.
F5Due to a clerical error, the Reporting Person's Form 3 which previously reported the holding of these shares understated his total by one (1) share.