0001144204-18-035850.txt : 20180626 0001144204-18-035850.hdr.sgml : 20180626 20180626165402 ACCESSION NUMBER: 0001144204-18-035850 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180625 FILED AS OF DATE: 20180626 DATE AS OF CHANGE: 20180626 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PAPPAS ARTHUR M CENTRAL INDEX KEY: 0001189543 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38542 FILM NUMBER: 18919793 MAIL ADDRESS: STREET 1: 8995 WESTSIDE PARKWAY CITY: ALPHARETTA STATE: 2Q ZIP: 30004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: A.M. Pappas Life Science Ventures V, LP CENTRAL INDEX KEY: 0001744566 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38542 FILM NUMBER: 18919794 BUSINESS ADDRESS: STREET 1: P.O. BOX 110287 CITY: RESEARCH TRIANGLE PARK STATE: NC ZIP: 27709 BUSINESS PHONE: 919-998-3300 MAIL ADDRESS: STREET 1: P.O. BOX 110287 CITY: RESEARCH TRIANGLE PARK STATE: NC ZIP: 27709 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PV V CEO Fund, LP CENTRAL INDEX KEY: 0001697808 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38542 FILM NUMBER: 18919795 BUSINESS ADDRESS: STREET 1: 2520 MERIDIAN PARKWAY, SUITE 400 CITY: DURHAM STATE: NC ZIP: 27713 BUSINESS PHONE: (919) 998-3300 MAIL ADDRESS: STREET 1: 2520 MERIDIAN PARKWAY, SUITE 400 CITY: DURHAM STATE: NC ZIP: 27713 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: AMP&A Management V, LLC CENTRAL INDEX KEY: 0001697810 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38542 FILM NUMBER: 18919796 BUSINESS ADDRESS: STREET 1: 2520 MERIDIAN PARKWAY, SUITE 400 CITY: DURHAM STATE: NC ZIP: 27713 BUSINESS PHONE: (919) 998-3300 MAIL ADDRESS: STREET 1: 2520 MERIDIAN PARKWAY, SUITE 400 CITY: DURHAM STATE: NC ZIP: 27713 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PAPPAS CAPITAL, LLC CENTRAL INDEX KEY: 0001320654 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38542 FILM NUMBER: 18919797 BUSINESS ADDRESS: STREET 1: POST OFFICE BOX 110287 CITY: RESEARCH TRIANGLE PARK STATE: NC ZIP: 27709 BUSINESS PHONE: (919) 998-3300 MAIL ADDRESS: STREET 1: POST OFFICE BOX 110287 CITY: RESEARCH TRIANGLE PARK STATE: NC ZIP: 27709 FORMER NAME: FORMER CONFORMED NAME: A.M. Pappas & Associates, LLC DATE OF NAME CHANGE: 20050315 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Kezar Life Sciences, Inc. CENTRAL INDEX KEY: 0001645666 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 473366145 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4000 SHORELINE COURT, SUITE 300 CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 BUSINESS PHONE: 650-822-5600 MAIL ADDRESS: STREET 1: 4000 SHORELINE COURT, SUITE 300 CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 4 1 tv497341_form4.xml FORM 4 X0306 4 2018-06-25 1 0001645666 Kezar Life Sciences, Inc. KZR 0001189543 PAPPAS ARTHUR M P.O. BOX 110287 RESEARCH TRIANGLE PARK NC 27709 0 0 1 0 0001744566 A.M. Pappas Life Science Ventures V, LP P.O. BOX 110287 RESEARCH TRIANGLE PARK NC 27709 0 0 1 0 0001697808 PV V CEO Fund, LP P.O. BOX 110287 RESEARCH TRIANGLE PARK NC 27709 0 0 1 0 0001697810 AMP&A Management V, LLC P.O. BOX 110287 RESEARCH TRIANGLE PARK NC 27709 0 0 1 0 0001320654 PAPPAS CAPITAL, LLC P.O. BOX 110287 RESEARCH TRIANGLE PARK NC 27709 0 0 1 0 Common Stock, par value $0.001 per share 2018-06-25 4 C 0 290924 A 290924 I See footnotes Common Stock, par value $0.001 per share 2018-06-25 4 C 0 23894 A 23894 I See footnotes Series B Preferred Stock, par value $0.001 per share 2018-06-25 4 C 0 290924 0 A Common Stock 290924 0 I See footnotes Series B Preferred Stock, par value $0.001 per share 2018-06-25 4 C 0 23894 0 A Common Stock 23894 0 I See footnotes The Series B Preferred Stock, par value $0.001 per share, converted into Common Stock, par value $0.001 per share, on a one-for-one basis and had no expiration date. These shares are held of record by A.M. Pappas Life Science Ventures V, LP ("Pappas Ventures"). These shares are held of record by PV V CEO Fund, LP ("CEO Fund" and, together with Pappas Ventures, the "Pappas Funds"). AMP&A Management V, LLC ("Management V") is the general partner of each of the Pappas Funds and has a management agreement with Pappas Capital, LLC ("Pappas Capital") whereby Pappas Capital's investment committee has sole power to vote or to direct the vote of, and sole power to dispose or to direct the disposition of, all shares owned by the Pappas Funds. Mr. Arthur Pappas is the sole managing member of Pappas Capital. By virtue of their respective relationships with the Pappas Funds, each of Management V, Pappas Capital and Mr. Pappas may be deemed to indirectly beneficially own the shares of which Pappas Ventures and CEO Fund are the record owners. (continue in footnote 5) Each of Management V, Pappas Capital and Mr. Pappas disclaims beneficial ownership of the shares reported herein, except to the extent of its or his respective pecuniary interests therein. This report shall not be deemed an admission that such reporting persons are the beneficial owners of such securities for purposes of Section 16 or for any other purpose. /s/ Amanda Keister, attorney-in-fact for Arthur M. Pappas 2018-06-26 /s/ Amanda Keister, attorney-in-fact for A.M. Pappas Life Science Ventures V, LP 2018-06-26 /s/ Amanda Keister, attorney-in-fact for PV V CEO Fund, LP 2018-06-26 /s/ Amanda Keister, attorney-in-fact for AMP&A Management V, LLC 2018-06-26 /s/ Amanda Keister, attorney-in-fact for Pappas Capital, LLC 2018-06-26