0000899243-16-019311.txt : 20160505
0000899243-16-019311.hdr.sgml : 20160505
20160505174639
ACCESSION NUMBER: 0000899243-16-019311
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160505
FILED AS OF DATE: 20160505
DATE AS OF CHANGE: 20160505
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Intellia Therapeutics, Inc.
CENTRAL INDEX KEY: 0001652130
STANDARD INDUSTRIAL CLASSIFICATION: IN VITRO & IN VIVO DIAGNOSTIC SUBSTANCES [2835]
IRS NUMBER: 364785571
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 130 BROOKLINE STREET
STREET 2: SUITE 201
CITY: CAMBRIDGE
STATE: MA
ZIP: 02139
BUSINESS PHONE: 857-285-6200
MAIL ADDRESS:
STREET 1: 130 BROOKLINE STREET
STREET 2: SUITE 201
CITY: CAMBRIDGE
STATE: MA
ZIP: 02139
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TLS Beta Pte. Ltd.
CENTRAL INDEX KEY: 0001673754
STATE OF INCORPORATION: U0
FISCAL YEAR END: 0331
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37766
FILM NUMBER: 161625273
BUSINESS ADDRESS:
STREET 1: 60B ORCHARD ROAD #06-18
STREET 2: THE ATRIUM@ORCHARD
CITY: SINGAPORE
STATE: U0
ZIP: 238891
BUSINESS PHONE: 65-6828-6828
MAIL ADDRESS:
STREET 1: 60B ORCHARD ROAD #06-18
STREET 2: THE ATRIUM@ORCHARD
CITY: SINGAPORE
STATE: U0
ZIP: 238891
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Temasek Life Sciences Private Ltd
CENTRAL INDEX KEY: 0001379349
STATE OF INCORPORATION: U0
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37766
FILM NUMBER: 161625274
BUSINESS ADDRESS:
STREET 1: 60B ORCHARD ROAD #06-18
STREET 2: THE ATRIUM@ORCHARD
CITY: SINGAPORE
STATE: U0
ZIP: 238891
BUSINESS PHONE: 0116568286762
MAIL ADDRESS:
STREET 1: 60B ORCHARD ROAD #06-18
STREET 2: THE ATRIUM@ORCHARD
CITY: SINGAPORE
STATE: U0
ZIP: 238891
FORMER NAME:
FORMER CONFORMED NAME: Temasek Life Sciences Private LTD
DATE OF NAME CHANGE: 20061027
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Fullerton Management Pte Ltd
CENTRAL INDEX KEY: 0001379348
STATE OF INCORPORATION: U0
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37766
FILM NUMBER: 161625275
BUSINESS ADDRESS:
STREET 1: 60B ORCHARD ROAD #06-18
STREET 2: THE ATRIUM@ORCHARD
CITY: SINGAPORE
STATE: U0
ZIP: 238891
BUSINESS PHONE: 0116568286762
MAIL ADDRESS:
STREET 1: 60B ORCHARD ROAD #06-18
STREET 2: THE ATRIUM@ORCHARD
CITY: SINGAPORE
STATE: U0
ZIP: 238891
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Temasek Holdings (Private) Ltd
CENTRAL INDEX KEY: 0001021944
FISCAL YEAR END: 0331
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37766
FILM NUMBER: 161625276
BUSINESS ADDRESS:
STREET 1: 60B ORCHARD ROAD #06-18
STREET 2: THE ATRIUM@ORCHARD
CITY: SINGAPORE
STATE: U0
ZIP: 238891
BUSINESS PHONE: 65 6828 6828
MAIL ADDRESS:
STREET 1: 60B ORCHARD ROAD #06-18
STREET 2: THE ATRIUM@ORCHARD
CITY: SINGAPORE
STATE: U0
ZIP: 238891
FORMER NAME:
FORMER CONFORMED NAME: TEMASEK HOLDINGS (PRIVATE) LTD
DATE OF NAME CHANGE: 20050912
FORMER NAME:
FORMER CONFORMED NAME: TEMASEK HOLDINGS LTD
DATE OF NAME CHANGE: 19960829
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2016-05-05
0
0001652130
Intellia Therapeutics, Inc.
NTLA
0001021944
Temasek Holdings (Private) Ltd
60B ORCHARD ROAD #06-18 TOWER 2
THE ATRIUM@ORCHARD
SINGAPORE
U0
238891
SINGAPORE
0
0
1
0
0001379348
Fullerton Management Pte Ltd
60B ORCHARD ROAD #06-18 TOWER 2
THE ATRIUM@ORCHARD
SINGAPORE
U0
238891
SINGAPORE
0
0
1
0
0001379349
Temasek Life Sciences Private Ltd
60B ORCHARD ROAD #06-18 TOWER 2
THE ATRIUM@ORCHARD
SINGAPORE
U0
238891
SINGAPORE
0
0
1
0
0001673754
TLS Beta Pte. Ltd.
60B ORCHARD ROAD #06-18 TOWER 2
THE ATRIUM@ORCHARD
SINGAPORE
U0
238891
SINGAPORE
0
0
1
0
Series B Preferred Stock
Common Stock
490527
I
Held by TLS Beta Pte. Ltd.
Each share of Series B Preferred Stock is convertible into 0.6465903 of a share of Common Stock at any time at the election of the Reporting Person and will automatically convert upon the closing of the Issuer's initial public offering into the number of shares of the Issuer's Common Stock shown in column 3 without payment or further consideration. The shares have no expiration date.
TLS Beta Pte. Ltd. is a wholly-owned subsidiary of Temasek Life Sciences Private Limited, which in turn is a wholly-owned subsidiary of Fullerton Management Pte Ltd, which in turn is a wholly-owned subsidiary of Temasek Holdings (Private) Limited.
TEMASEK HOLDINGS (PRIVATE) LIMITED, By: /s/ Christina Choo in her capacity as Authorised Signatory of Temasek Holdings (Private) Limited
2016-05-05
FULLERTON MANAGEMENT PTE LTD, By: /s/ Cheong Kok Tim in his capacity as Director of Fullerton Management Pte Ltd
2016-05-05
TEMASEK LIFE SCIENCES PRIVATE LIMITED, By: /s/ Lim Siew Lee Sherlyn in her capacity as Director of Temasek Life Sciences Private Limited
2016-05-05
TLS BETA PTE. LTD., By: /s/ Christina Choo in her capacity as Director of TLS Beta Pte. Ltd.
2016-05-05