SEC Form 4 · accession 0001209191-15-074314
SYNLOGIC, INC. · SYBX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ravi Viswanathan
10% Owner
Period of report
Oct 5, 2015
Accepted (ET)
Oct 6, 2015 · 3:17 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 StockF1,F2 | Oct 5, 2015 | C | 1,241,650 | — | A | 1,241,650 | I | See Note 2 |
| Common StockF3,F2 | Oct 6, 2015 | J | 257,516 | $0.00 | A | 1,499,166 | I | See Note 2 |
| Common StockF4,F2 | Oct 5, 2015 | C | 583,559 | — | A | 2,082,725 | I | See Note 2 |
| Common StockF5,F2 | Oct 6, 2015 | J | 31,650 | $0.00 | A | 2,114,375 | I | See Note 2 |
| Common StockF2 | Oct 6, 2015 | P | 857,142 | $7.00 | A | 2,971,517 | I | See Note 2 |
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 StockF6,F1,F2,F7 | — | Oct 5, 2015 | C | 1,241,650 | D | — | — | Common Stock | 1,241,650 | 0 | I |
| Series D Preferred StockF3,F2,F4,F7 | — | Oct 5, 2015 | C | 583,559 | D | — | — | Common Stock | 583,559 | 0 | I |
Explanation of responses
- F1Each share of Series C Preferred Stock automatically converted on a one-to-one basis into Common Stock upon the consummation of the Issuer's initial public offering.
- F2The Reporting Person is a director of NEA 14 GP, LTD, which is the sole general partner of NEA Partners 14, L.P. ("NEA Partners 14"). NEA Partners 14 is the sole general partner of New Enterprise Associates 14, L.P. ("NEA 14"), which is the direct beneficial owner of the securities. The Reporting Person disclaims beneficial ownership, within the meaning of Section 16 of the Securities Exchange Act of 1934, as amended, or otherwise of such portion of the NEA 14 shares in which the Reporting Person has no pecuniary interest.
- F3The shares were issued for no additional consideration pursuant to an accruing paid-in-kind dividend on shares of Series C Preferred Stock of the Company.
- F4Each share of 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.
- F5The shares were issued for no additional consideration pursuant to an accruing paid-in-kind dividend on shares of Series D Preferred Stock of the Company.
- F6Due 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.
- F7The expiration date is not relevant to the conversion of these securities.