0000899243-19-022285.txt : 20190822
0000899243-19-022285.hdr.sgml : 20190822
20190822161519
ACCESSION NUMBER: 0000899243-19-022285
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190820
FILED AS OF DATE: 20190822
DATE AS OF CHANGE: 20190822
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ATWOOD BRIAN G
CENTRAL INDEX KEY: 0001266567
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35347
FILM NUMBER: 191046251
MAIL ADDRESS:
STREET 1: ONE SANSOME STREET
STREET 2: SUITE 3630
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94104
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Clovis Oncology, Inc.
CENTRAL INDEX KEY: 0001466301
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 900475355
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5500 FLATIRON PARKWAY
STREET 2: SUITE 100
CITY: BOULDER
STATE: CO
ZIP: 80301
BUSINESS PHONE: (303) 625-5000
MAIL ADDRESS:
STREET 1: 5500 FLATIRON PARKWAY
STREET 2: SUITE 100
CITY: BOULDER
STATE: CO
ZIP: 80301
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-08-20
0
0001466301
Clovis Oncology, Inc.
CLVS
0001266567
ATWOOD BRIAN G
C/O CLOVIS ONCOLOGY, INC.
5500 FLATIRON PARKWAY, SUITE 100
BOULDER
CO
80301
1
0
0
0
Common Stock
2019-08-20
4
M
0
25862
0.29
A
25862
D
Common Stock
25577
I
By Atwood-Edminster Trust dated 4/2/2000
Common Stock
101217
I
By Versant Venture Capital IV, L.P.
Common Stock
638
I
By Versant Side Fund IV, L.P.
Stock Option (right to buy)
0.29
2019-08-20
4
M
0
25862
0.00
D
2019-08-26
Common Stock
25862
0
D
The Reporting Person is is a trustee and a named beneficiary of the Atwood-Edminster Trust dated 4/2/2000.
The Reporting Person is a managing member of Versant Ventures IV, LLC. Voting and investment power over the shares held of record by Versant Venture Capital IV, L.P. and Versant Side Fund IV, L.P is held by Versant Ventures IV, LLC, their sole general partner. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and the options held by him.
The option was immediately exercisable as to both vested and unvested shares. 25% of the shares subject to the option vested on each of August 26, 2009, August 26, 2010, August 26, 2011 and August 26, 2012.
/s/ Brian G. Atwood
2019-08-22