0001104659-20-131801.txt : 20201203 0001104659-20-131801.hdr.sgml : 20201203 20201203070109 ACCESSION NUMBER: 0001104659-20-131801 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201201 FILED AS OF DATE: 20201203 DATE AS OF CHANGE: 20201203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOTT DAVID M CENTRAL INDEX KEY: 0001219871 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38129 FILM NUMBER: 201365676 MAIL ADDRESS: STREET 1: 1119 ST. PAUL STREET CITY: BALTIMORE STATE: MD ZIP: 21202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Mersana Therapeutics, Inc. CENTRAL INDEX KEY: 0001442836 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 840 MEMORIAL DRIVE CITY: CAMBRIDGE STATE: MA ZIP: 02139 BUSINESS PHONE: 617-498-0020 MAIL ADDRESS: STREET 1: 840 MEMORIAL DRIVE CITY: CAMBRIDGE STATE: MA ZIP: 02139 FORMER COMPANY: FORMER CONFORMED NAME: MERSANA THERAPEUTICS INC DATE OF NAME CHANGE: 20080813 4 1 a4.xml 4 X0306 4 2020-12-01 0 0001442836 Mersana Therapeutics, Inc. MRSN 0001219871 MOTT DAVID M C/O MERSANA THERAPEUTICS, INC. 840 MEMORIAL DRIVE CAMBRIDGE MA 02139 1 0 0 0 Common Stock 2020-12-01 4 J 0 1117 0 A 7517 I See Note 2 Common Stock 2020-12-01 4 J 0 496 0 A 8013 I See Note 2 Common Stock 538599 D The Dave Mott Declaration of Trust dated May 31, 2001 (the "Mott Trust") received 1,117 shares of Common Stock of the Issuer in a distribution by NEA Partners 14, L.P. on December 1, 2020. The securities are held directly by the Mott Trust. The Reporting Person disclaims beneficial ownership within the meaning of Section 16 of the 1934 Act, as amended, of such portion of the shares of Common Stock of the Issuer held by the Mott Trust in which the Reporting Person has no pecuniary interest. The Mott Trust received 496 shares of Common Stock of the Issuer in a distribution by NEA 14 Manager Fund, L.P. on December 1, 2020. /s/ Brian DeSchuytner , as Attorney-in-Fact 2020-12-03