0001209191-16-152157.txt : 20161128 0001209191-16-152157.hdr.sgml : 20161128 20161128154445 ACCESSION NUMBER: 0001209191-16-152157 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161123 FILED AS OF DATE: 20161128 DATE AS OF CHANGE: 20161128 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FATE THERAPEUTICS INC CENTRAL INDEX KEY: 0001434316 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3535 GENERAL ATOMICS COURT STREET 2: SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: 858.875.1803 MAIL ADDRESS: STREET 1: 3535 GENERAL ATOMICS COURT STREET 2: SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RASTETTER WILLIAM H CENTRAL INDEX KEY: 0001205903 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36076 FILM NUMBER: 162019832 MAIL ADDRESS: STREET 1: 9885 TOWNE CENTRE DR. CITY: SAN DIEGO STATE: CA ZIP: 92121 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-11-23 0 0001434316 FATE THERAPEUTICS INC FATE 0001205903 RASTETTER WILLIAM H C/O FATE THERAPEUTICS, INC.; 3535 GENERAL ATOMICS COURT, SUITE 200 SAN DIEGO CA 92121 1 0 0 0 Common Stock 2016-11-23 4 P 0 375939 2.66 A 459272 I By The Investment 2002 Trust dated 11/11/02 Common Stock 118360 I By The Rastetter Family Trust, dated 09/02/10 Represents shares acquired in a private placement pursuant to the Securities Purchase Agreement dated November 21, 2016 by and among the issuer and the purchasers named therein. These shares are owned of record by The Investment 2002 Trust, dated November 11, 2002 for which William H. Rastetter is the sole trustee and owner. These shares are owned of record by The Rastetter Family Trust, dated September 2, 2010 for which William H. Rastetter and Marisa Gard Rastetter serve as co-trustees. /s/ Cindy R. Tahl, as Attorney-in-Fact 2016-11-28