0000899243-20-011683.txt : 20200430
0000899243-20-011683.hdr.sgml : 20200430
20200430193510
ACCESSION NUMBER: 0000899243-20-011683
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200430
FILED AS OF DATE: 20200430
DATE AS OF CHANGE: 20200430
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: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39273
FILM NUMBER: 20837797
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: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39273
FILM NUMBER: 20837798
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: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39273
FILM NUMBER: 20837799
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: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39273
FILM NUMBER: 20837800
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: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39273
FILM NUMBER: 20837801
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: MCGUIRE TERRANCE
CENTRAL INDEX KEY: 0001117003
STATE OF INCORPORATION: MA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39273
FILM NUMBER: 20837802
MAIL ADDRESS:
STREET 1: C/O POLARIS VENTURE PARTNERS LP
STREET 2: 1000 WINTER STREET, SUITE 3350
CITY: WALTHAM
STATE: MA
ZIP: 02154
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Flint Jonathan A
CENTRAL INDEX KEY: 0001295676
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39273
FILM NUMBER: 20837803
MAIL ADDRESS:
STREET 1: 1000 WINTER STREET
STREET 2: SUITE 3350
CITY: WALTHAM
STATE: MA
ZIP: 02451
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Lyra Therapeutics, Inc.
CENTRAL INDEX KEY: 0001327273
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 480 ARSENAL STREET
CITY: WATERTOWN
STATE: MA
ZIP: 02472
BUSINESS PHONE: 617-373-4600
MAIL ADDRESS:
STREET 1: 480 ARSENAL STREET
CITY: WATERTOWN
STATE: MA
ZIP: 02472
FORMER COMPANY:
FORMER CONFORMED NAME: 480 Biomedical, Inc.
DATE OF NAME CHANGE: 20120927
FORMER COMPANY:
FORMER CONFORMED NAME: Arsenal Vascular, Inc.
DATE OF NAME CHANGE: 20110826
FORMER COMPANY:
FORMER CONFORMED NAME: Arsenal Medical, Inc.
DATE OF NAME CHANGE: 20090414
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2020-04-30
0
0001327273
Lyra Therapeutics, Inc.
LYRA
0001439589
Polaris Venture Management Co. V, L.L.C.
ONE MARINA PARK DRIVE, 10TH FLOOR
BOSTON
MA
02210
0
0
1
0
0001439586
Polaris Venture Partners Special Founders' Fund V, L.P.
ONE MARINA PARK DRIVE, 10TH FLOOR
BOSTON
02210
0
0
1
0
0001439590
Polaris Venture Partners V, L.P.
ONE MARINA PARK DRIVE, 10TH FLOOR
BOSTON
MA
02210
0
0
1
0
0001439587
Polaris Venture Partners Entrepreneurs' Fund V, L.P.
ONE MARINA PARK DRIVE, 10TH FLOOR
BOSTON
MA
02210
0
0
1
0
0001439588
Polaris Venture Partners Founders' Fund V, L.P.
ONE MARINA PARK DRIVE, 10TH FLOOR
BOSTON
MA
02210
0
0
1
0
0001117003
MCGUIRE TERRANCE
ONE MARINA PARK DRIVE, 10TH FLOOR
BOSTON
MA
02210
0
0
1
0
0001295676
Flint Jonathan A
ONE MARINA PARK DRIVE, 10TH FLOOR
BOSTON
MA
02210
0
0
1
0
Series A-1/C Convertible Preferred Stock
Common Stock
181790
I
See footnote
Series A-1/C Convertible Preferred Stock
Common Stock
3543
I
See footnote
Series A-1/C Convertible Preferred Stock
Common Stock
1817
I
See footnote
Series A-1/C Convertible Preferred Stock
Common Stock
1245
I
See footnote
Series A-2 Convertible Preferred Stock
Common Stock
95583
I
See footnote
Series A-2 Convertible Preferred Stock
Common Stock
1862
I
See footnote
Series A-2 Convertible Preferred Stock
Common Stock
955
I
See footnote
Series A-2 Convertible Preferred Stock
Common Stock
654
I
See footnote
Series A-3 Convertible Preferred Stock
Common Stock
249690
I
See footnote
Series A-3 Convertible Preferred Stock
Common Stock
4866
I
See footnote
Series A-3 Convertible Preferred Stock
Common Stock
2496
I
See footnote
Series A-3 Convertible Preferred Stock
Common Stock
1710
I
See footnote
Series A-4 Convertible Preferred Stock
Common Stock
223107
I
See footnote
Series A-4 Convertible Preferred Stock
Common Stock
4348
I
See footnote
Series A-4 Convertible Preferred Stock
Common Stock
2231
I
See footnote
Series A-4 Convertible Preferred Stock
Common Stock
1528
I
See footnote
Series B Convertible Preferred Stock
Common Stock
186131
I
See footnote
Series B Convertible Preferred Stock
Common Stock
3627
I
See footnote
Series B Convertible Preferred Stock
Common Stock
1861
I
See footnote
Series B Convertible Preferred Stock
Common Stock
1275
I
See footnote
Series C Convertible Preferred Stock
Common Stock
57680
I
See footnote
Series C Convertible Preferred Stock
Common Stock
1124
I
See footnote
Series C Convertible Preferred Stock
Common Stock
576
I
See footnote
Series C Convertible Preferred Stock
Common Stock
395
I
See footnote
Common Warrants
8.63
2020-01-10
2030-01-10
Common Stock
17304
I
See footnote
Common Warrants
8.63
2020-01-10
2030-01-10
Common Stock
337
I
See footnote
Common Warrants
8.63
2020-01-10
2030-01-10
Common Stock
173
I
See footnote
Common Warrants
8.63
2020-01-10
2030-01-10
Common Stock
118
I
See footnote
The preferred stock is convertible at any time, at the holder's election and has no expiration date. Each share of preferred stock shall be automatically converted into 0.0289998 shares of common stock upon the closing of the Issuer's initial public offering.
The reportable securities are owned directly by Polaris Venture Partners V, L.P. ("PVP V"). Polaris Venture Management Co. V, L.L.C. ("PVM V") is the general partner of PVP V. Each of Jonathan A. Flint ("Flint") and Terrance G. McGuire ("McGuire") are the managing members of PVM V and may be deemed to have shared voting and dispositive power over the shares held by PVP V. Each of PVM V, Flint and McGuire disclaims beneficial ownership of these securities and this report shall not be deemed an admission that any one of them is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of their respective pecuniary interests therein.
The reportable securities are owned directly by Polaris Venture Partners Entrepreneurs' Fund V, L.P. ("PVPE V"). PVM V is the general partner of PVPE V. Each of Flint and McGuire are the managing members of PVM V and may be deemed to have shared voting and dispositive power over the shares held by PVPE V. Each of PVM V, Flint and McGuire disclaims beneficial ownership of these securities and this report shall not be deemed an admission that any one of them is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of their respective pecuniary interests therein.
The reportable securities are owned directly by Polaris Venture Partners Special Founders' Fund V, L.P. ("PVPSFF V"). PVM V is the general partner of PVPSFF V. Each of Flint and McGuire are the managing members of PVM V and may be deemed to have shared voting and dispositive power over the shares held by PVPSFF V. Each of PVM V, Flint and McGuire disclaims beneficial ownership of these securities and this report shall not be deemed an admission that any one of them is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of their respective pecuniary interests therein.
The reportable securities are owned directly by Polaris Venture Partners Founders' Fund V, L.P. ("PVPFF V"). PVM V is the general partner of PVPFF V. Each of Flint and McGuire are the managing members of PVM V and may be deemed to have shared voting and dispositive power over the shares held by PVPFF V. Each of PVM V, Flint and McGuire disclaims beneficial ownership of these securities and this report shall not be deemed an admission that any one of them is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of their respective pecuniary interests therein.
Flint and McGuire are also the managing members of Polaris Venture Management Co. IV, L.L.C., the sole general partner of each of Polaris Venture Partners IV, L.P. and Polaris Venture Partners Entrepreneurs' Fund IV, L.P. Due to limitations of the EDGAR filing system, this report on Form 3 is one of two reports which are being filed to enable all joint filers to gain access to the EDGAR filing system.
/s/ Lauren Crockett, Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C.
2020-04-30
/s/ Lauren Crockett, Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C., general partner of Polaris Venture Partners Special Founders' Fund V, L.P.
2020-04-30
/s/ Lauren Crockett, Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C., general partner of Polaris Venture Partners V, L.P.
2020-04-30
/s/ Lauren Crockett, Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C., general partner of Polaris Venture Partners Entrepreneurs' Fund V, L.P.
2020-04-30
/s/ Lauren Crockett, Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C., general partner of Polaris Venture Partners Founders' Fund V, L.P.
2020-04-30
/s/ Lauren Crockett, Attorney-in-Fact for Terrance G. McGuire
2020-04-30
/s/ Lauren Crockett, Attorney-in-Fact for Jonathan A. Flint
2020-04-30