0000899243-18-019866.txt : 20180713 0000899243-18-019866.hdr.sgml : 20180713 20180713210420 ACCESSION NUMBER: 0000899243-18-019866 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20180531 FILED AS OF DATE: 20180713 DATE AS OF CHANGE: 20180713 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kim Jason S. CENTRAL INDEX KEY: 0001713925 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-32979 FILM NUMBER: 18953440 MAIL ADDRESS: STREET 1: 9301 AMBERGLEN BOULEVARD, SUITE 100 STREET 2: C/O MOLECULAR TEMPLATES, INC. CITY: AUSTIN STATE: TX ZIP: 78729 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Molecular Templates, Inc. CENTRAL INDEX KEY: 0001183765 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 943409596 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 9301 AMBERGLEN BLVD STREET 2: SUITE 100 CITY: AUSTIN STATE: TX ZIP: 78729 BUSINESS PHONE: 512 896 1555 MAIL ADDRESS: STREET 1: 9301 AMBERGLEN BLVD STREET 2: SUITE 100 CITY: AUSTIN STATE: TX ZIP: 78729 FORMER COMPANY: FORMER CONFORMED NAME: THRESHOLD PHARMACEUTICALS INC DATE OF NAME CHANGE: 20020828 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2018-05-31 2018-06-04 0 0001183765 Molecular Templates, Inc. MTEM 0001713925 Kim Jason S. C/O MOLECULAR TEMPLATES, INC. 9301 AMBERGLEN BLVD., SUITE 100 AUSTIN TX 78729 0 1 0 0 See Remarks Stock Option (right to buy) 6.31 2018-05-31 4 A 0 196161 0.00 A 2028-05-31 Common Stock 196161 196161 D 25% of the total number of shares subject to the option shall vest on May 31, 2019, and thereafter, the remaining 75% of the shares subject to the option shall vest pro rata on a monthly basis over 36 months. President and Chief Operating Officer Exhibit 24.1 Power of Attorney This amendment to Form 4 is filed to reflect that the correct number options granted in the reported transaction is 196,161. /s/ Nishant M. Dharia, attorney-in-fact 2018-07-13 EX-24.1 2 attachment1.htm EX-24.1 DOCUMENT
                               POWER OF ATTORNEY

     Know all by these present, that the undersigned hereby constitutes and
appoints each of Matthew Gardella, Matthew Tikonoff, Nishant Dharia, Adam Davey,
Jacqueline Cannata, Anne Leland and Brenda Meyette of Mintz, Levin, Cohn,
Ferris, Glovsky and Popeo, P.C., signing singly, with full power of
substitution, the undersigned's true and lawful attorney-in-fact to:

     (1)  execute for and on behalf of the undersigned, forms and authentication
          documents for EDGAR Filing Access;

     (2)  execute for and on behalf of the undersigned, in the undersigned's
          capacity as an officer, director and/or 10% shareholder of Company,
          forms and authentication documents for EDGAR Filing Access;

     (3)  do and perform any and all acts for and on behalf of the undersigned
          which may be necessary or desirable to complete and execute any such
          forms and authentication documents;

     (4)  execute for and on behalf of the undersigned, in the undersigned's
          capacity as an officer, director and/or 10% shareholder of the
          Company, Forms 3, 4 and 5 (including any amendments thereto) in
          accordance with Section 16(a) of the Securities Exchange Act of 1934,
          as amended, and the rules thereunder (collectively, the "Exchange
          Act");

     (5)  do and perform any and all acts for and on behalf of the undersigned
          which may be necessary or desirable to complete and execute any such
          Form 3, 4 or 5, prepare, complete and execute any amendment or
          amendments thereto, and timely file such form with the U.S. Securities
          and Exchange Commission and any stock exchange or similar authority;
          and

     (6)  take any other action of any type whatsoever in connection with the
          foregoing which, in the opinion of such attorney-in-fact, may be of
          benefit to, in the best interest of, or legally required by, the
          undersigned, it being understood that the documents executed by such
          attorney-in-fact on behalf of the undersigned pursuant to this Power
          of Attorney shall be in such form and shall contain such terms and
          conditions as such attorney-in-fact may approve in such attorney-in-
          fact's discretion.

     The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming nor
relieving, nor is the Company assuming nor relieving, any of the undersigned's
responsibilities to comply with Section 16 of the Exchange Act. The undersigned
acknowledges that neither the Company nor the foregoing attorneys-in-fact assume
(i) any liability for the undersigned's responsibility to comply with the
requirements of the Exchange Act, (ii) any liability of the undersigned for any
failure to comply with such requirements or (iii) any obligation or liability of
the undersigned for profit disgorgement under Section 16(b) of the Exchange Act.

     This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file forms and execute authentication
documents with respect to the undersigned's EDGAR Filing Access or to file Forms
3, 4 and 5 with respect to the undersigned's holdings of and transactions in
securities issued by the Company, unless earlier revoked by the undersigned in a
signed writing delivered to the foregoing attorneys-in-fact.

                            [Signature page follows]

     IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of the date set forth below.

                                   Signature: /s/Jason Kim
                                              ------------
                                   Name: Jason Kim
                                         ---------
                                   Date: July 25, 2017


                     [Signature page to Power of Attorney]