0001012975-15-000646.txt : 20150819
0001012975-15-000646.hdr.sgml : 20150819
20150819163136
ACCESSION NUMBER: 0001012975-15-000646
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150817
FILED AS OF DATE: 20150819
DATE AS OF CHANGE: 20150819
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Global Blood Therapeutics, Inc.
CENTRAL INDEX KEY: 0001629137
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 274825712
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 400 EAST JAMIE COURT, SUITE 101
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
BUSINESS PHONE: 650741-7700
MAIL ADDRESS:
STREET 1: 400 EAST JAMIE COURT, SUITE 101
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TEPPER ROBERT I
CENTRAL INDEX KEY: 0001192595
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37539
FILM NUMBER: 151064388
MAIL ADDRESS:
STREET 1: 40 LANDSDOWNE STREET
CITY: CAMBRIDGE
STATE: MA
ZIP: 02139
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LEVIN MARK J
CENTRAL INDEX KEY: 0001180428
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37539
FILM NUMBER: 151064389
MAIL ADDRESS:
STREET 1: 40 LANDSDOWNE STREET
CITY: CAMBRIDGE
STATE: MA
ZIP: 02139
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TRV GP III, LLC
CENTRAL INDEX KEY: 0001637299
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37539
FILM NUMBER: 151064390
BUSINESS ADDRESS:
STREET 1: 29 NEWBURY STREET
STREET 2: 3RD FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: (617)585-2000
MAIL ADDRESS:
STREET 1: 29 NEWBURY STREET
STREET 2: 3RD FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Third Rock Ventures GP III, L.P.
CENTRAL INDEX KEY: 0001637300
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37539
FILM NUMBER: 151064391
BUSINESS ADDRESS:
STREET 1: 29 NEWBURY STREET
STREET 2: 3RD FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: (617)585-2000
MAIL ADDRESS:
STREET 1: 29 NEWBURY STREET
STREET 2: 3RD FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Third Rock Ventures III, L.P.
CENTRAL INDEX KEY: 0001569705
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37539
FILM NUMBER: 151064392
BUSINESS ADDRESS:
STREET 1: 29 NEWBURY STREET, 3RD FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: 617-585-2000
MAIL ADDRESS:
STREET 1: 29 NEWBURY STREET, 3RD FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2015-08-17
0001629137
Global Blood Therapeutics, Inc.
GBT
0001569705
Third Rock Ventures III, L.P.
C/O THIRD ROCK VENTURES, LLC
29 NEWBURY STREET, 3RD FLOOR
BOSTON
MA
02116
0
0
1
0
0001637300
Third Rock Ventures GP III, L.P.
29 NEWBURY STREET, 3RD FLOOR
BOSTON
MA
02116
0
0
1
0
0001637299
TRV GP III, LLC
29 NEWBURY STREET, 3RD FLOOR
BOSTON
MA
02116
0
0
1
0
0001180428
LEVIN MARK J
29 NEWBURY STREET, 3RD FLOOR
BOSTON
MA
02116
0
0
1
0
0001192595
TEPPER ROBERT I
29 NEWBURY STREET, 3RD FLOOR
BOSTON
MA
02116
0
0
1
0
Common Stock
2015-08-17
4
C
0
2285713
A
2285713
D
Series A Preferred Stock
2015-08-17
4
C
0
8000000
0
D
Common Stock
8000000
0
D
The aggregate number of shares of Issuer's Preferred Stock held by the Reporting Person converted into Common Stock immediately prior to the closing of the Issuer's initial public offering and has no expiration date. These shares converted into Common Stock on a 3.5-for-1 basis.
Reflects the conversion of the Issuer's Preferred Stock into Common Stock on a 3.5-for-1 basis, which became effective immediately prior to the closing of the Issuer's initial public offering.
The shares are directly held by Third Rock Ventures III, L.P. ("TRV"). The general partner of TRV is Third Rock Ventures GP III, L.P. ("TRV GP"). The general partner of TRV GP is TRV GP III, LLC ("TRV GP LLC"). The individual managers of TRV GP LLC are Mark Levin ("Levin"), Kevin Starr ("Starr") and Dr. Robert Tepper ("Tepper") and, as such, each of TRV GP, TRV GP LLC, Levin, Starr and Tepper exercises shared voting and investment power over the shares held of record by TRV. Each of the Reporting Persons disclaims beneficial ownership of the shares except to the extent of their pecuniary interest therein, if any.
/s/ Third Rock Ventures III, L.P. by Third Rock Ventures GP III, L.P. its general partner by TRV GP III, LLC its general partner
2015-08-19
/s/ Third Rock Ventures GP III, L.P. by TRV GP III, LLC its general partner
2015-08-19
/s/ TRV GP III, LLC
2015-08-19
/s/ Kevin Gillis by power of attorney for Mark Levin
2015-08-19
/s/ Kevin Gillis by power of attorney for Dr. Robert Tepper
2015-08-19