SEC Form 4 · accession 0000899243-18-009445
Q32 Bio Inc. · QTTB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kush Parmar
Director · 10% Owner
Period of report
Apr 2, 2018
Accepted (ET)
Apr 4, 2018 · 4:24 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001661998
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2,F3 | Apr 2, 2018 | C | 5,392,037 | $0.00 | A | 6,722,076 | I | See footnote |
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 StockF2,F3,F4 | — | Apr 2, 2018 | C | 4,204,502 | D | — | — | Common Stock | 4,204,502 | 0 | I |
| Series B Preferred StockF2,F3,F4 | — | Apr 2, 2018 | C | 1,187,535 | D | — | — | Common Stock | 1,187,535 | 0 | I |
Explanation of responses
- F1Following the transactions reported herein, includes 1,276,838 shares of common stock held of record by 5AM Ventures IV, L.P. ("Ventures IV") and 53,201 shares of common stock held of record by 5AM Co-Investors IV, L.P. ("Co-Investors IV").
- F25AM Partners IV, LLC ("Partners IV") is the sole general partner of Ventures IV and Co-Investors IV. Dr. John Diekman, Andrew J. Schwab and Dr. Scott M. Rocklage, are the managing members of Partners IV, and have shared voting and investment power over the shares beneficially owned by Ventures IV and Co-Investors IV. Each of Partners IV, Dr. Diekman, Mr. Schwab and Dr. Rocklage disclaim beneficial ownership of such shares except to the extent of its or their recurring interest therein.
- F3The Reporting Person is an affiliate of Partners IV and disclaims beneficial ownership of such shares, except to the extent of any pecuniary interest therein.
- F4Upon closing of the Issuer's initial public offering, each share of preferred stock was automatically converted into one share of the Issuer's common stock.