SEC Form 4 · accession 0001209191-19-005057
Forty Seven, Inc. · FTSV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark Anthony McCamish
Officer — President and CEO · Director
Period of report
Jan 18, 2019
Accepted (ET)
Jan 23, 2019 · 7:42 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 | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jan 18, 2019 | M | 16,500 | $4.8825 | A | 25,532 | D | |
| Common Stock | Jan 18, 2019 | M | 3,500 | $4.8825 | A | 29,032 | D | |
| Common StockF2 | Jan 18, 2019 | S | 20,000 | $14.5946 | D | 9,032 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F3 | $4.8825 | Jan 18, 2019 | M | 16,500 | D | — | Jun 7, 2027 | Common Stock | 16,500 | 458,338 | D |
| Stock Option (right to purchase)F4 | $4.8825 | Jan 18, 2019 | M | 3,500 | D | — | Aug 14, 2027 | Common Stock | 3,500 | 155,110 | D |
Explanation of responses
- 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 $14.33 to $15.28, 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 this footnote.
- F396,773 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.
- F4The 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.