SEC Form 4 · accession 0001104659-16-139254

MetaVia Inc. · MTVA

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

Reporting owner

Officer — Chair & Chief Scientific Off. · Director · 10% Owner

Period of report

Aug 10, 2016

Accepted (ET)

Aug 12, 2016 · 12:47 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001638287

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1,F2	Aug 10, 2016	C	59,561	—	A	59,561	I	Held by The Charles L. Bisgaier Trust
Common Stock^F2	Aug 10, 2016	J	6,515	$6.7059	A	66,076	I	Held by The Charles L. Bisgaier Trust
Common Stock^F2	Aug 10, 2016	C	16,144	$6.7059	A	82,220	I	Held by The Charles L. Bisgaier Trust
Common Stock	Aug 10, 2016	C	19,228	$6.7059	A	19,228	I	Held by Bisgaier Family, LLC
Common Stock	Aug 10, 2016	P	51,750	$10.00	A	1,244,440	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	D/I
Series A Convertible Preferred Stock^F2,F1	—	Aug 10, 2016	C	59,561	D	—	—	Common Stock	59,561	I
8% Convertible Subordinated Promissory Notes^F4,F2	$6.7059	Aug 10, 2016	C	—	D	—	—	Common Stock	16,144	I
8% Convertible Subordinated Promissory Notes^F5	$6.7059	Aug 10, 2016	C	—	D	—	—	Common Stock	19,228	I

F1The Series A Convertible Preferred Stock converted into shares of common stock, par value $0.001 per share (the "Common Stock"), of Gemphire Therapeutics Inc. (the "Company") on a one-for-one basis immediately prior to the closing of the Company's initial public offering and had no expiration date.
F2These shares are indirectly owned by the reporting person as trustee of The Charles L. Bisgaier Trust.
F3Represents shares of Common Stock issued for payment of accrued dividends on the Series A Convertible Preferred Stock.
F4The notes were issued in the original principal amount of $100,000. The outstanding principal and $8,263 of accrued interest on the notes automatically converted into shares of Common Stock immediately prior to the closing of the Company's initial public offering.
F5The notes were issued in the original principal amount of $125,000. The outstanding principal and $3,945 of accrued interest on the notes automatically converted into shares of Common Stock immediately prior to the closing of the Company's initial public offering.