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