SEC Form 4 · accession 0001104659-18-053568
Forty Seven, Inc. · FTSV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ravi Mhatre
10% Owner
Period of report
Aug 22, 2018
Accepted (ET)
Aug 24, 2018 · 6:38 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,F2 | Aug 22, 2018 | P | 44,000 | $14.974 | A | 44,000 | I | By Mhatre Investments LP - Fund 1 |
| Common StockF1 | Aug 22, 2018 | P | 44,000 | $14.974 | A | 44,000 | D | |
| Common StockF1,F3 | Aug 22, 2018 | P | 22,000 | $14.974 | A | 22,000 | I | By Mhatre 2011 Irrevocable Children's Trust |
| Common StockF4,F2 | Aug 23, 2018 | P | 22,743 | $15.2711 | A | 66,743 | I | By Mhatre Investments LP - Fund 1 |
| Common StockF4 | Aug 23, 2018 | P | 22,743 | $15.2711 | A | 66,743 | D | |
| Common StockF4,F3 | Aug 23, 2018 | P | 11,372 | $15.2711 | A | 33,372 | I | By Mhatre 2011 Irrevocable Children's Trust |
| Common StockF5 | holding | — | — | — | 1,784,269 | I | By: Lightspeed Venture Partners Select II, L.P. | |
| Common StockF6 | holding | — | — | — | 67,036 | I | By: Lightspeed Affiliates X, L.P. | |
| Common StockF6 | 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 $14.25 to $15.245. The price reported above reflects the weighted average sale price. Mr. Mhatre 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.
- F2Shares held by Mhatre Investments LP- Fund 1. Ravi Mhatre serves as trustee of the general partner of such entity.
- F3Shares held by Mhatre 2011 Irrevocable Children's Trust. Ravi Mhatre serves as trustee of such entity.
- F4These sales were executed in multiple trades at prices ranging from $15.00 to $15.50. The price reported above reflects the weighted average sale price. Mr. Mhatre 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.
- F5Lightspeed 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. Mhatre disclaims beneficial ownership of the shares held by Lightspeed Select II except to the extent of his pecuniary interest therein.
- F6Lightspeed 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. Mhatre disclaims beneficial ownership of the shares held by Lightspeed X and Lightspeed Affiliates except to the extent of his pecuniary interest therein.