0000899243-19-029554.txt : 20191218
0000899243-19-029554.hdr.sgml : 20191218
20191218165046
ACCESSION NUMBER: 0000899243-19-029554
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191217
FILED AS OF DATE: 20191218
DATE AS OF CHANGE: 20191218
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Polaris Venture Management Co. V, L.L.C.
CENTRAL INDEX KEY: 0001439589
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38977
FILM NUMBER: 191293000
BUSINESS ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: 10TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
BUSINESS PHONE: 781-290-0770
MAIL ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: 10TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Polaris Venture Partners Founders' Fund V, L.P.
CENTRAL INDEX KEY: 0001439588
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38977
FILM NUMBER: 191293001
BUSINESS ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: 10TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
BUSINESS PHONE: 781-290-0770
MAIL ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: 10TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Polaris Venture Partners V, L.P.
CENTRAL INDEX KEY: 0001439590
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38977
FILM NUMBER: 191293002
BUSINESS ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: 10TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
BUSINESS PHONE: 781-290-0770
MAIL ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: 10TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Polaris Venture Partners Entrepreneurs' Fund V, L.P.
CENTRAL INDEX KEY: 0001439587
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38977
FILM NUMBER: 191293003
BUSINESS ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: 10TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
BUSINESS PHONE: 781-290-0770
MAIL ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: 10TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Polaris Venture Partners Special Founders' Fund V, L.P.
CENTRAL INDEX KEY: 0001439586
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38977
FILM NUMBER: 191293004
BUSINESS ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: 10TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
BUSINESS PHONE: 781-290-0770
MAIL ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: 10TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Flint Jonathan A
CENTRAL INDEX KEY: 0001295676
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38977
FILM NUMBER: 191293005
MAIL ADDRESS:
STREET 1: 1000 WINTER STREET
STREET 2: SUITE 3350
CITY: WALTHAM
STATE: MA
ZIP: 02451
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MCGUIRE TERRANCE
CENTRAL INDEX KEY: 0001117003
STATE OF INCORPORATION: MA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38977
FILM NUMBER: 191293006
MAIL ADDRESS:
STREET 1: C/O POLARIS VENTURE PARTNERS LP
STREET 2: 1000 WINTER STREET, SUITE 3350
CITY: WALTHAM
STATE: MA
ZIP: 02154
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Phreesia, Inc.
CENTRAL INDEX KEY: 0001412408
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 432 PARK AVENUE S.
STREET 2: 12TH FLOOR
CITY: New York
STATE: NY
ZIP: 10016
BUSINESS PHONE: 646-747-9959
MAIL ADDRESS:
STREET 1: 432 PARK AVENUE S.
STREET 2: 12TH FLOOR
CITY: New York
STATE: NY
ZIP: 10016
FORMER COMPANY:
FORMER CONFORMED NAME: Phreesia Inc
DATE OF NAME CHANGE: 20070914
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-12-17
1
0001412408
Phreesia, Inc.
PHR
0001439589
Polaris Venture Management Co. V, L.L.C.
C/O POLARIS PARTNERS
ONE MARINA PARK DRIVE, 10TH FLOOR
BOSTON
MA
02210
0
0
1
0
0001439588
Polaris Venture Partners Founders' Fund V, L.P.
C/O POLARIS PARTNERS
ONE MARINA PARK DRIVE, 10TH FLOOR
BOSTON
02210
0
0
1
0
0001439590
Polaris Venture Partners V, L.P.
C/O POLARIS PARTNERS
ONE MARINA PARK DRIVE, 10TH FLOOR
BOSTON
MA
02210
0
0
1
0
0001439587
Polaris Venture Partners Entrepreneurs' Fund V, L.P.
C/O POLARIS PARTNERS
ONE MARINA PARK DRIVE, 10TH FLOOR
BOSTON
MA
02210
0
0
1
0
0001439586
Polaris Venture Partners Special Founders' Fund V, L.P.
C/O POLARIS PARTNERS
ONE MARINA PARK DRIVE, 10TH FLOOR
BOSTON
MA
02210
0
0
1
0
0001295676
Flint Jonathan A
C/O POLARIS PARTNERS
ONE MARINA PARK DRIVE, 10TH FLOOR
BOSTON
MA
02210
0
0
1
0
0001117003
MCGUIRE TERRANCE
C/O POLARIS PARTNERS
ONE MARINA PARK DRIVE, 10TH FLOOR
BOSTON
MA
02210
0
0
1
0
Common Stock
2019-12-17
4
S
0
344599
24.479
D
3101386
I
By Polaris Venture Partners V, L.P.
Common Stock
2019-12-17
4
S
0
6716
24.479
D
60446
I
By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Common Stock
2019-12-17
4
S
0
2360
24.479
D
21245
I
By Polaris Venture Partners Founders' Fund V, L.P.
Common Stock
2019-12-17
4
S
0
3446
24.479
D
31015
I
By Polaris Venture Partners Special Founders' Fund V, L.P.
These shares were sold in a firm commitment underwritten public offering pursuant to an underwriting agreement dated as of December 12, 2019 by and among the Issuer, the several underwriters and the selling stockholders identified therein.
Jonathan A. Flint ("Flint") and Terrance G. McGuire ("McGuire") are the managing members of Polaris Venture Management Co. V, L.L.C. ("PVM"), which is the sole general partner for each of Polaris Venture Partners V, L.P. ("PVP V"), Polaris Venture Partners Entrepreneurs' Fund V, L.P. ("PVPEF V"), Polaris Venture Partners Founders' Fund V, L.P. ("PVPFF V"), and Polaris Venture Partners Special Founders' Fund V, L.P. ("PVPSF V", and together with PVP V, PVPEF V, and PVPFF V, the "Polaris Funds"). Each of Flint, McGuire, and PVM may be deemed to beneficially own the shares held by the Polaris Funds, but Flint, McGuire and PVM disclaim beneficial ownership of such shares except to the extent of their respective pecuniary interests therein.
Lauren Crockett, as attorney-in-fact for Polaris Venture Management Co. V, L.L.C.
2019-12-18
Lauren Crockett, as attorney-in-fact for Polaris Venture Partners V, L.P.
2019-12-18
Lauren Crockett, as attorney-in-fact for Polaris Venture Partners Entrepreneurs' Fund V, L.P.
2019-12-18
Lauren Crockett, as attorney-in-fact for Polaris Venture Partners Founders' Fund V, L.P.
2019-12-18
Lauren Crockett, as attorney-in-fact for Polaris Venture Partners Special Founders' Fund V, L.P.
2019-12-18
Lauren Crockett, as attorney-in-fact for Jonathan A. Flint
2019-12-18
Lauren Crockett, as attorney-in-fact for Terrance G. McGuire
2019-12-18