0001209191-14-047295.txt : 20140715
0001209191-14-047295.hdr.sgml : 20140715
20140715202411
ACCESSION NUMBER: 0001209191-14-047295
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140708
FILED AS OF DATE: 20140715
DATE AS OF CHANGE: 20140715
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: GLOBEIMMUNE INC
CENTRAL INDEX KEY: 0001245104
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 841353925
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1450 INFINITE DRIVE
CITY: LOUISVILLE
STATE: CO
ZIP: 80027
BUSINESS PHONE: 3036252744
MAIL ADDRESS:
STREET 1: 1450 INFINITE DRIVE
CITY: LOUISVILLE
STATE: CO
ZIP: 80027
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Torres S. Edward
CENTRAL INDEX KEY: 0001552293
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35642
FILM NUMBER: 14976860
MAIL ADDRESS:
STREET 1: C/O LILLY VENTURES FUND I LLC
STREET 2: 115 W. WASHINGTON ST, STE 1680 SOUTH
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
4/A
1
doc4a.xml
FORM 4/A SUBMISSION
X0306
4/A
2014-07-08
2014-07-09
0
0001245104
GLOBEIMMUNE INC
GBIM
0001552293
Torres S. Edward
C/O LILLY VENTURES FUND I, LLC
115 W. WASHINGTON ST, S TOWER, STE. 1680
INDIANAPOLIS
IN
46204
1
0
0
0
Warrant to Purchase Common Stock (right to buy)
45.36
2014-07-08
4
C
0
1614
0.00
A
2019-07-08
Common Stock
1614
1614
I
By Lilly Ventures Fund I, LLC
Represents warrants to purchase shares of common stock of the Issuer following the conversion of the Series C Convertible Preferred Stock on a 1-for-31.39 share basis. The number of shares and price per share reported herein reflects such conversion. The Warrant is immediately exercisable at any time at the option of the holder.
The Reporting Person is a managing director of Lilly Ventures Fund I, LLC ("Lilly Ventures") and may be deemed to be the indirect beneficial owner of the shares owned by Lilly Ventures. The Reporting Person disclaims beneficial ownership of the shares held by Lilly Ventures, except to the extent of his pecuniary interest arising therein.
The Reporting Person is filing this amendment to correct the expiration date of the warrant.
/s/ Matthew P. Dubofsky, Attorney-in-Fact
2014-07-15