0001104659-15-070703.txt : 20151014
0001104659-15-070703.hdr.sgml : 20151014
20151014175737
ACCESSION NUMBER: 0001104659-15-070703
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151014
FILED AS OF DATE: 20151014
DATE AS OF CHANGE: 20151014
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Foley Todd
CENTRAL INDEX KEY: 0001473930
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37590
FILM NUMBER: 151158845
MAIL ADDRESS:
STREET 1: THE JOHN HANCOCK TOWER
STREET 2: 200 CLARENDON STREET 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Scopa James Paul
CENTRAL INDEX KEY: 0001356950
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37590
FILM NUMBER: 151158846
MAIL ADDRESS:
STREET 1: 601 GATEWAY BOULEVARD
STREET 2: SUITE 350
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KAILIAN VAUGHN M
CENTRAL INDEX KEY: 0001180429
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37590
FILM NUMBER: 151158847
MAIL ADDRESS:
STREET 1: P.O. BOX 70
CITY: BODEGA
STATE: CA
ZIP: 94922
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: EVNIN LUKE
CENTRAL INDEX KEY: 0001134657
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37590
FILM NUMBER: 151158848
MAIL ADDRESS:
STREET 1: THE JOHN HANCOCK TOWER
STREET 2: 200 CLARENDON STREET, 54TH STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MPM ASSET MANAGEMENT INVESTORS BV5 LLC
CENTRAL INDEX KEY: 0001541412
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37590
FILM NUMBER: 151158852
BUSINESS ADDRESS:
STREET 1: C/O MPM ASSET MANAGEMENT
STREET 2: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: 617-425-9200
MAIL ADDRESS:
STREET 1: C/O MPM ASSET MANAGEMENT
STREET 2: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GADICKE ANSBERT
CENTRAL INDEX KEY: 0001134655
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37590
FILM NUMBER: 151158849
MAIL ADDRESS:
STREET 1: THE JOHN HANCOCK TOWER
STREET 2: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MPM BIOVENTURES V, L.P.
CENTRAL INDEX KEY: 0001482716
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37590
FILM NUMBER: 151158853
BUSINESS ADDRESS:
STREET 1: MPM ASSET MANAGEMENT
STREET 2: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: (617) 425-9200
MAIL ADDRESS:
STREET 1: MPM ASSET MANAGEMENT
STREET 2: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Cerecor Inc.
CENTRAL INDEX KEY: 0001534120
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 450705648
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 400 E. PRATT ST.
STREET 2: SUITE 606
CITY: BALTIMORE
STATE: MD
ZIP: 21202
BUSINESS PHONE: 410-522-8707
MAIL ADDRESS:
STREET 1: 400 E. PRATT ST.
STREET 2: SUITE 606
CITY: BALTIMORE
STATE: MD
ZIP: 21202
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MPM BIOVENTURES V LLC
CENTRAL INDEX KEY: 0001482715
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37590
FILM NUMBER: 151158850
BUSINESS ADDRESS:
STREET 1: MPM ASSET MANAGEMENT
STREET 2: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: (617) 425-9200
MAIL ADDRESS:
STREET 1: MPM ASSET MANAGEMENT
STREET 2: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MPM BIOVENTURES V GP LLC
CENTRAL INDEX KEY: 0001482714
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37590
FILM NUMBER: 151158851
BUSINESS ADDRESS:
STREET 1: MPM ASSET MANAGEMENT
STREET 2: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: (617) 425-9200
MAIL ADDRESS:
STREET 1: MPM ASSET MANAGEMENT
STREET 2: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
3
1
a3.xml
3
X0206
3
2015-10-14
0
0001534120
Cerecor Inc.
CERC
0001482716
MPM BIOVENTURES V, L.P.
C/O MPM ASSET MANAGEMENT
450 KENDALL STREET
CAMBRIDGE
MA
02142
0
0
1
0
0001541412
MPM ASSET MANAGEMENT INVESTORS BV5 LLC
C/O MPM ASSET MANAGEMENT
450 KENDALL STREET
CAMBRIDGE
MA
02142
0
0
1
0
0001482714
MPM BIOVENTURES V GP LLC
C/O MPM ASSET MANAGEMENT
450 KENDALL STREET
CAMBRIDGE
MA
02142
0
0
1
0
0001482715
MPM BIOVENTURES V LLC
C/O MPM ASSET MANAGEMENT
450 KENDALL STREET
CAMBRIDGE
MA
02142
0
0
1
0
0001134655
GADICKE ANSBERT
C/O MPM ASSET MANAGEMENT
450 KENDALL STREET
CAMBRIDGE
MA
02142
0
0
1
0
0001134657
EVNIN LUKE
C/O MPM ASSET MANAGEMENT
450 KENDALL STREET
CAMBRIDGE
MA
02142
0
0
1
0
0001180429
KAILIAN VAUGHN M
C/O MPM ASSET MANAGEMENT
450 KENDALL STREET
CAMBRIDGE
MA
02142
0
0
1
0
0001356950
Scopa James Paul
C/O MPM ASSET MANAGEMENT
450 KENDALL STREET
CAMBRIDGE
MA
02142
0
0
1
0
0001473930
Foley Todd
C/O MPM ASSET MANAGEMENT
450 KENDALL STREET
CAMBRIDGE
MA
02142
0
0
1
0
Series B Convertible Preferred Stock
Common Stock
595436
I
See Footnote
The shares of Series B Convertible Preferred Stock (the "Series B Shares") will convert automatically into Common Stock, on a 1-for-0.03571 basis, immediately prior to the closing of the Issuer's initial public offering, and have no expiration date.
Reflects the conversion of the Series B Shares into shares of Common Stock.
The shares are held as follows: 573,170 by MPM BioVentures V, L.P. ("BV V") and 22,266 by MPM Asset Management Investors BV5 LLC ("AM BV5"). MPM BioVentures V GP LLC ("BV GP") is the general partner of BV V. MPM BioVentures V LLC ("BV LLC") is the managing member of BV GP and AM BV5. Ansbert Gadicke, Luke Evnin, Vaughn M. Kailian, James Paul Scopa and Todd Foley are the members of BV LLC. Each Reporting Person disclaims beneficial ownership of the securities except to the extent of his or its respective pecuniary interest therein.
By Ansbert Gadicke, member of MPM BioVentures V LLC, the managing member of MPM BioVentures V GP LLC /s/ Ansbert Gadicke
2015-10-14
By Ansbert Gadicke, member of MPM BioVentures V LLC, the managing member of MPM BioVentures V GP LLC, the general partner of MPM BioVentures V, L.P. /s/ Ansbert Gadicke
2015-10-14
By Ansbert Gadicke, member of MPM BioVentures V LLC, the manager of MPM Asset Management Investors BV5 LLC /s/ Ansbert Gadicke
2015-10-14
/s/ Luke Evnin
2015-10-14
/s/ Todd Foley
2015-10-14
/s/ Ansbert Gadicke
2015-10-14
/s/ Vaughn M. Kailian
2015-10-14
/s/ James Paul Scopa
2015-10-14