SEC Form 4 · accession 0001209191-18-064343

Forty Seven, Inc. · FTSV

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

Reporting owner

Officer — President and CEO · Director

Period of report

Dec 26, 2018

Accepted (ET)

Dec 28, 2018 · 5:37 pm EST

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
Common Stock	Dec 26, 2018	M	9,032	$4.8825	A	18,064	D
Common Stock	Dec 26, 2018	M	2,968	$4.8825	A	21,032	D
Common Stock^F2	Dec 26, 2018	S	9,032	$15.9041	D	12,000	D
Common Stock^F3	Dec 26, 2018	S	2,968	$15.8895	D	9,032	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Stock Option (right to buy)^F4	$4.8825	Dec 26, 2018	M	9,032	D	—	Jun 7, 2027	Common Stock	9,032	474,838	D
Stock Option (right to buy)^F5	$4.8825	Dec 26, 2018	M	2,968	D	—	Aug 14, 2027	Common Stock	2,968	158,610	D

F1The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan.
F2The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $15.35 to $16.50, inclusive. The Reporting Person undertakes to provide the Issuer, any securityholder of the Issuer, or the Staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnotes (2) and (3) to this Form 4
F3The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $15.28 to $16.41, inclusive.
F496,773 shares subject to the option vested on May 1, 2018 and the balance of the shares subject to the option vest in a series of 36 successive equal monthly installments beginning June 1, 2018, subject to the Reporting Person's continuous service as of each such date.
F5The shares subject to the option vest in a series of 48 successive equal monthly installments beginning August 15, 2017, subject to the Reporting Person's continuous service as of each such date. The shares subject to this option may be exercised prior to vesting, subject to the Issuer's right to repurchase.