0001012975-17-000069.txt : 20170131
0001012975-17-000069.hdr.sgml : 20170131
20170131161640
ACCESSION NUMBER: 0001012975-17-000069
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170131
FILED AS OF DATE: 20170131
DATE AS OF CHANGE: 20170131
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ANAPTYSBIO INC
CENTRAL INDEX KEY: 0001370053
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 203828755
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 10421 PACIFIC CENTER COURT, SUITE 200
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
BUSINESS PHONE: 858-362-6295
MAIL ADDRESS:
STREET 1: 10421 PACIFIC CENTER COURT, SUITE 200
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
FORMER COMPANY:
FORMER CONFORMED NAME: ANAPTYS BIOSCIENCES INC
DATE OF NAME CHANGE: 20060724
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Heron Patrick J
CENTRAL INDEX KEY: 0001365617
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37985
FILM NUMBER: 17561329
MAIL ADDRESS:
STREET 1: 550 HAMILTON AVE., SUITE 100
CITY: PALO ALTO
STATE: CA
ZIP: 94301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Every Nathan R
CENTRAL INDEX KEY: 0001531105
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37985
FILM NUMBER: 17561330
MAIL ADDRESS:
STREET 1: FRAZIER HEALTHCARE VENTURES
STREET 2: 601 UNION TWO UNION SQUARE SUITE 3200
CITY: SEATTLE
STATE: WA
ZIP: 98101
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Naini Nader J
CENTRAL INDEX KEY: 0001344203
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37985
FILM NUMBER: 17561331
MAIL ADDRESS:
STREET 1: 601 UNION STREET, SUITE 3200
CITY: SEATTLE
STATE: WA
ZIP: 98101
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FRAZIER ALAN D
CENTRAL INDEX KEY: 0001018534
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37985
FILM NUMBER: 17561332
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FHM V, LP
CENTRAL INDEX KEY: 0001346948
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37985
FILM NUMBER: 17561334
BUSINESS ADDRESS:
STREET 1: 601 UNION STREET, SUITE 3200
CITY: SEATTLE
STATE: WA
ZIP: 98101
BUSINESS PHONE: (206) 621-7200
MAIL ADDRESS:
STREET 1: 601 UNION STREET, SUITE 3200
CITY: SEATTLE
STATE: WA
ZIP: 98101
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Frazier Healthcare V, LP
CENTRAL INDEX KEY: 0001341169
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37985
FILM NUMBER: 17561335
BUSINESS ADDRESS:
STREET 1: 601 UNION STREET, SUITE 3200
CITY: SEATTLE
STATE: WA
ZIP: 98101
BUSINESS PHONE: (206) 621-7200
MAIL ADDRESS:
STREET 1: 601 UNION STREET, SUITE 3200
CITY: SEATTLE
STATE: WA
ZIP: 98101
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FHM V, LLC
CENTRAL INDEX KEY: 0001346944
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37985
FILM NUMBER: 17561333
BUSINESS ADDRESS:
STREET 1: 601 UNION STREET, SUITE 3200
CITY: SEATTLE
STATE: WA
ZIP: 98101
BUSINESS PHONE: (206) 621-7200
MAIL ADDRESS:
STREET 1: 601 UNION STREET, SUITE 3200
CITY: SEATTLE
STATE: WA
ZIP: 98101
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2017-01-31
0001370053
ANAPTYSBIO INC
ANAB
0001341169
Frazier Healthcare V, LP
601 UNION STREET, SUITE 3200
SEATTLE
WA
98101
0
0
1
0
0001346948
FHM V, LP
601 UNION STREET, SUITE 3200
SEATTLE
WA
98101
0
0
1
0
0001346944
FHM V, LLC
601 UNION STREET, SUITE 3200
SEATTLE
WA
98101
0
0
1
0
0001018534
FRAZIER ALAN D
601 UNION STREET, SUITE 3200
SEATTLE
WA
98101
0
0
1
0
0001344203
Naini Nader J
601 UNION STREET, SUITE 3200
SEATTLE
WA
98101
0
0
1
0
0001531105
Every Nathan R
601 UNION STREET, SUITE 3200
SEATTLE
WA
98101
0
0
1
0
0001365617
Heron Patrick J
601 UNION STREET, SUITE 3200
SEATTLE
WA
98101
0
0
1
0
Common Stock
2017-01-31
4
C
0
1428571
A
1428571
D
Common Stock
2017-01-31
4
C
0
604055
A
604055
D
Common Stock
2017-01-31
4
C
0
195751
A
195751
D
Common Stock
2017-01-31
4
C
0
733740
A
733740
I
See footnote
Common Stock
2017-01-31
4
C
0
209095
A
209095
I
See footnote
Common Stock
2017-01-31
4
P
0
311291
15.00
A
311291
I
See footnote
Common Stock
2017-01-31
4
P
0
88709
15.00
A
88709
I
See footnote
Series B Preferred Stock
2017-01-31
4
C
0
1428571
0
D
Common Stock
1428571
0
D
Series C Preferred Stock
2017-01-31
4
C
0
604055
0
D
Common Stock
604055
0
D
Series C-1 Preferred Stock
2017-01-31
4
C
0
195751
0
D
Common Stock
195751
0
D
Series D Preferred Stock
2017-01-31
4
C
0
733740
0
D
Common Stock
733740
0
I
See footnote
Series D Preferred Stock
2017-01-31
4
C
0
209095
0
D
Common Stock
209095
0
I
See footnote
The Series B Preferred Stock converted into Common Stock on a 1-to-1 basis immediately prior to the consummation of the Issuer's initial public offering without payment of considerations. The Series B Preferred stock were convertible automatically immediately prior to the consummation of the Issuer's initial public offering, and the shares had no expiration date.
The Series C Preferred Stock converted into Common Stock on a 1-to-1 basis immediately prior to the consummation of the Issuer's initial public offering without payment of considerations. The Series C Preferred stock were convertible automatically immediately prior to the consummation of the Issuer's initial public offering, and the shares had no expiration date.
The Series C-1 Preferred Stock converted into Common Stock on a 1-to-1 basis immediately prior to the consummation of the Issuer's initial public offering without payment of considerations. The Series C-1 Preferred stock were convertible automatically immediately prior to the consummation of the Issuer's initial public offering, and the shares had no expiration date.
The Series D Preferred Stock converted into Common Stock on a 1-to-1 basis immediately prior to the consummation of the Issuer's initial public offering without payment of considerations. The Series D Preferred stock were convertible automatically immediately prior to the consummation of the Issuer's initial public offering, and the shares had no expiration date.
Represents shares held by Frazier Healthcare V, L.P., an affiliate of Frazier Healthcare Partners. Each of the Reporting Persons disclaims beneficial ownership of the shares except to the extent of their pecuniary interest therein, if any.
Represents shares held by Frazier Healthcare VII, L.P., an affiliate of Frazier Healthcare Partners. Each of the Reporting Persons disclaims beneficial ownership of the shares except to the extent of their pecuniary interest therein, if any.
Represents shares held by Frazier Healthcare VII-A, L.P., an affiliate of Frazier Healthcare Partners. Each of the Reporting Persons disclaims beneficial ownership of the shares except to the extent of their pecuniary interest therein, if any.
This statement is filed by: (i) Frazier Healthcare V, L.P. ("Frazier Healthcare V"), Frazier Healthcare VII, L.P. ("Frazier Healthcare VII"), and Frazier Healthcare VII-A, L.P. ("Frazier Healthcare VII-A"), each a Delaware limited partnership and direct owners of the shares of Common Stock following conversion of convertible preferred stock of the Issuer (together, the "Shares"); (ii) FHM V, L.P., a Delaware limited partnership and general partner to Frazier Healthcare V; FHM V, LLC a Delaware limited liability company and general partner of FHM V, L.P.; FHM VII, L.P., a Delaware limited partnership and general partner to Frazier Healthcare VII and Frazier Healthcare VII-A; and FHM VII, LLC, a Delaware limited liability company and general partner of FHM VII, L.P.;and (iii) Alan Frazier, Nader Naini, Nathan Every and Patrick Heron, each of who are members of FHM V, LLC and FHM VII, LLC and may be deemed to share voting and investment power with respect to shares held by Frazier Healthcare V, Frazier Healthcare VII, and Frazier Healthcare VII-A. The Reporting Persons are jointly filing this Form 4 pursuant to Rule 16a-3(j) under the Exchange Act. Because no more than 10 reporting persons can file any one Form 4 through the Securities and Exchange Commission's EDGAR system, Frazier Healthcare VII, L.P., Frazier Healthcare VII-A, L.P., FHM VII, L.P., FHM VII, L.L.C. and certain other affiliates of the Reporting Persons have filed a separate Form 4, in which the direct and indirect transactions of Frazier Healthcare V, L.P., FHM V, L.P., FHM V, L.L.C. are also reported, in addition to being reported on this Form 4.
/s/ Frazier Healthcare V, L.P. by Steve R. Bailey,
Attorney-in-Fact
2017-01-31
/s/ FHM V, L.P. by Steve R. Bailey, Attorney-in-Fact
2017-01-31
/s/ FHM V, L.L.C. by Steve R. Bailey, Attorney-in-Fact
2017-01-31
/s/ Alan Frazier by Steve R. Bailey, Attorney-in-Fact
2017-01-31
/s/ Nader Naini by Steve R. Bailey, Attorney-in-Fact
2017-01-31
/s/ Nathan Every by Steve R. Bailey, Attorney-in-Fact
2017-01-31
/s/ Patrick Heron by Steve R. Bailey, Attorney-in-Fact
2017-01-31