SEC Form 4 · accession 0001104659-18-052871
Forty Seven, Inc. · FTSV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Peter Nieh
10% Owner
Period of report
Aug 16, 2018
Accepted (ET)
Aug 20, 2018 · 6:51 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001667633
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Aug 16, 2018 | P | 65,000 | $15.1922 | A | 65,000 | D | |
| Common Stock | Aug 17, 2018 | P | 2,500 | $14.96 | A | 67,500 | D | |
| Common StockF2 | holding | — | — | — | 1,784,269 | I | By: Lightspeed Venture Partners Select II, L.P. | |
| Common StockF3 | holding | — | — | — | 67,036 | I | By: Lightspeed Affiliates X, L.P. | |
| Common StockF3 | holding | — | — | — | 2,474,368 | I | By: Lightspeed Venture Partners X, L.P. |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These sales were executed in multiple trades at prices ranging from $15.00 to $15.24. The price reported above reflects the weighted average sale price. Mr. Nieh hereby undertakes to provide full information regarding the number of shares and prices at which these sales were effected, upon request, to the staff of the Securities and Exchange Commission, the Issuer or a security holder of the Issuer.
- F2Lightspeed General Partner Select II, L.P. ("Select II GP") is the general partner of Lightspeed Venture Partners Select II, L.P. ("Lightspeed Select II"). Lightspeed Ultimate General Partner Select II, Ltd. ("Select II UGP") is the general partner of Select II GP. Christopher J. Schaepe, Barry Eggers, Jeremy Liew, Ravi Mhatre and Peter Nieh are the directors of Select II UGP and share voting and dispositive power with respect to the shares held by Lightspeed Select II. Mr. Nieh disclaims beneficial ownership of the shares held by Lightspeed Select II except to the extent of his pecuniary interest therein.
- F3Lightspeed General Partner X, L.P. ("Lightspeed GP X") is the general partner of Lightspeed Venture Partners X, L.P. ("Lightspeed X") and Lightspeed Affiliates X, L.P. ("Lightspeed Affiliates"). Lightspeed Ultimate General Partner X, Ltd. ("Lightspeed UGP X") is the general partner of Lightspeed GP X. Christopher J. Schaepe, Barry Eggers, Ravi Mhatre, Peter Nieh and Jeremy Liew are the directors of Lightspeed UGP X and share voting and dispositive power with respect to the shares held by Lightspeed X and Lightspeed Affiliates. Mr. Nieh disclaims beneficial ownership of the shares held by Lightspeed X and Lightspeed Affiliates except to the extent of his pecuniary interest therein.