0000899243-15-007644.txt : 20151109
0000899243-15-007644.hdr.sgml : 20151109
20151105163030
ACCESSION NUMBER: 0000899243-15-007644
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151103
FILED AS OF DATE: 20151105
DATE AS OF CHANGE: 20151105
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: MyoKardia Inc
CENTRAL INDEX KEY: 0001552451
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 455500552
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 333 ALLERTON AVENUE
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
BUSINESS PHONE: 650-741-0900
MAIL ADDRESS:
STREET 1: 333 ALLERTON AVENUE
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: STARR KEVIN P
CENTRAL INDEX KEY: 0001192603
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37609
FILM NUMBER: 151201088
MAIL ADDRESS:
STREET 1: 75 SIDNEY STREET
CITY: CAMBRIDGE
STATE: MA
ZIP: 02139
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-11-03
0
0001552451
MyoKardia Inc
MYOK
0001192603
STARR KEVIN P
C/O MYOKARDIA, INC.
333 ALLERTON AVENUE
SOUTH SAN FRANCISCO
CA
94080
1
0
1
0
Common Stock
2015-11-03
4
C
0
8843537
A
9387754
I
By Third Rock Ventures II, L.P.
Common Stock
2015-11-03
4
C
0
1496598
A
1496598
I
By Third Rock Ventures III, L.P.
Series A Preferred Stock
2015-11-03
4
C
0
32500000
0.00
D
Common Stock
8843537
0
I
By Third Rock Ventures II, L.P.
Series A Preferred Stock
2015-11-03
4
C
0
5500000
0.00
D
Common Stock
1496598
0
I
By Third Rock Ventures III, L.P.
The shares of Issuer's Series A Preferred Stock beneficially owned by the Reporting Person converted into Common Stock on a 1-for-3.675 basis immediately prior to the closing of the Issuer's initial public offering and has no expiration date.
Reflects the conversion of the Issuer's Preferred Stock into Common Stock on a 1-for-3.675 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 II, L.P. ("TRV"). The general partner of TRV is Third Rock Ventures GP II, L.P. ("TRV GP"). The general partner of TRV GP is TRV GP II, 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.
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/ Steven Chan, as Attorney-in-Fact
2015-11-03