SEC Form 4 · accession 0001104659-16-139272
MetaVia Inc. · MTVA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steven R. Gullans Ph.D.
Director
Period of report
Aug 10, 2016
Accepted (ET)
Aug 12, 2016 · 1:09 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 StockF1 | Aug 10, 2016 | C | 306,025 | $6.7059 | A | 306,025 | I | Held by Excel Venture Fund II, L.P. |
| Common StockF1 | Aug 10, 2016 | P | 500,000 | $10.00 | A | 806,025 | I | Held by Excel Venture Fund II, L.P. |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 8% Convertible Subordinated Promissory NoteF2,F1 | $6.7059 | Aug 10, 2016 | C | — | D | — | — | Common Stock | 306,025 | 0 | I |
Explanation of responses
- F1The reporting person, as the Manager of Excel Venture Fund II, L.P., beneficially owns the reported securities indirectly, but disclaims beneficial ownership of the securities except to the extent of his pecuniary interest therein.
- F2The note was issued in the original principal amount of $2,000,000. The outstanding principal and $52,164 of accrued interest on the note automatically converted into shares of Common Stock immediately prior to the closing of the Company's initial public offering.