SEC Form 4 · accession 0001104659-16-108203
Corvus Pharmaceuticals, Inc. · CRVS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard A Miller M.D.
Officer — President and CEO · Director
Period of report
Mar 29, 2016
Accepted (ET)
Mar 29, 2016 · 11:48 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001626971
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, $0.0001 par valueF1,F2,F3 | Mar 29, 2016 | C | 266,310 | — | A | 984,538 | I | By Trust |
| Common Stock, $0.0001 par valueF1,F2,F3 | Mar 29, 2016 | C | 62,455 | — | A | 1,046,993 | I | By Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Preferred StockF1,F3,F4 | — | Mar 29, 2016 | C | 266,310 | D | — | — | Common Stock | 266,310 | 0 | I |
| Series B Preferred StockF1,F3,F4 | — | Mar 29, 2016 | C | 62,455 | D | — | — | Common Stock | 62,455 | 0 | I |
Explanation of responses
- F1The Series A Convertible Preferred Stock and Series B Convertible Preferred Stock automatically converted into shares of Issuer's Common Stock, for no additional consideration, on a 1:1 basis at the consummation of Issuer's initial public offering.
- F2A portion of these shares is subject to a right of repurchase held by the Issuer.
- F3These shares are held by Richard A. Miller and Sandra J. Horning, Trustees of the Miller-Horning Family Trust u/a/d January 25, 1985 (the "Miller-Horning Trust"). Dr. Miller has shared voting, investment and dispositive power over the shares held by the Miller-Horning Trust.
- F4The expiration date is not relevant to the conversion of these securities.