SEC Form 4 · accession 0001104659-18-047445
Replimune Group, Inc. · REPL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Period of report
Jul 24, 2018
Accepted (ET)
Jul 26, 2018 · 5:16 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001737953
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Jul 24, 2018 | C | 994,688 | — | A | 994,688 | I | See footnote |
| Common StockF1,F2 | Jul 24, 2018 | C | 2,579,881 | — | A | 3,574,569 | I | See footnote |
| Common StockF1,F2 | Jul 24, 2018 | C | 1,013,547 | — | A | 4,588,116 | I | See footnote |
| Common StockF2 | Jul 24, 2018 | P | 133,333 | $15.00 | A | 4,721,449 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant (right to buy)F4,F2,F3 | — | Jul 24, 2018 | C | 248,672 | A | — | — | Common Stock | 248,672 | 248,672 | I |
| Warrant (right to buy)F4,F2,F3 | — | Jul 24, 2018 | C | 248,672 | D | — | — | Series Seed Convertible Preferred Stock | 248,672 | 0 | I |
| Series Seed Convertible Preferred StockF4,F2,F1 | — | Jul 24, 2018 | C | 994,688 | D | — | — | Common Stock | 994,688 | 0 | I |
| Series A Convertible Preferred StockF4,F2,F1 | — | Jul 24, 2018 | C | 2,579,881 | D | — | — | Common Stock | 2,579,881 | 0 | I |
| Series B Convertible Preferred StockF4,F2,F1 | — | Jul 24, 2018 | C | 1,013,547 | D | — | — | Common Stock | 1,013,547 | 0 | I |
Explanation of responses
- F1In connection with the completion of the Issuer's initial public offering, each share of the Issuer's series seed convertible preferred stock, series A convertible preferred stock and series B convertible preferred stock (collectively, the "Preferred Stock") converted into shares of the Issuer's common stock on a 1-for-9.94688 basis without payment or consideration. The Preferred Stock had no expiration date.
- F2The securities are held directly by Forbion Capital Fund III Cooperatief U.A. ("Forbion Coop"). Forbion III Management B.V. ("Forbion Management") is the director of Forbion Coop and may be deemed to have voting, investment and dispositive power with respect to the shares held by Forbion Coop. Forbion Management disclaims Section 16 beneficial ownership of the shares held by Forbion Coop, except to the extent, if any, of its pecuniary interest therein.
- F3Reflects warrants to acquire shares of the Issuer's Series Seed Convertible Preferred Stock which automatically converted into warrants to acquire shares of the Issuer's common stock immediately prior to the completion of the Issuer's initial public offering on a 1-for-9.94688 basis without payment or consideration. The warrants have no expiration date. The exercise price is $1.01 per share of the Issuer's common stock.
- F4Reflects the number of shares of applicable series of preferred stock held by the Reporting Person on an as-converted to common stock basis.