0001209191-20-052335.txt : 20200929
0001209191-20-052335.hdr.sgml : 20200929
20200929163522
ACCESSION NUMBER: 0001209191-20-052335
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200925
FILED AS OF DATE: 20200929
DATE AS OF CHANGE: 20200929
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: INTERWEST PARTNERS X LP
CENTRAL INDEX KEY: 0001443898
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39539
FILM NUMBER: 201209285
BUSINESS ADDRESS:
STREET 1: C/O INTERWEST PARTNERS
STREET 2: 467 FIRST STREET SUITE 201
CITY: LOS ALTOS
STATE: CA
ZIP: 94022
BUSINESS PHONE: 650-854-8585
MAIL ADDRESS:
STREET 1: C/O INTERWEST PARTNERS
STREET 2: 467 FIRST STREET SUITE 201
CITY: LOS ALTOS
STATE: CA
ZIP: 94022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: InterWest Management Partners X, LLC
CENTRAL INDEX KEY: 0001460207
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39539
FILM NUMBER: 201209286
BUSINESS ADDRESS:
STREET 1: 467 FIRST STREET
STREET 2: SUITE 201
CITY: LOS ALTOS
STATE: CA
ZIP: 94022
BUSINESS PHONE: 650-854-8585
MAIL ADDRESS:
STREET 1: 467 FIRST STREET
STREET 2: SUITE 201
CITY: LOS ALTOS
STATE: CA
ZIP: 94022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NASR KHALED
CENTRAL INDEX KEY: 0001276600
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39539
FILM NUMBER: 201209287
MAIL ADDRESS:
STREET 1: 467 FIRST STREET
STREET 2: SUITE 201
CITY: LOS ALTOS
STATE: X1
ZIP: 94022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Desai Keval
CENTRAL INDEX KEY: 0001553019
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39539
FILM NUMBER: 201209288
MAIL ADDRESS:
STREET 1: 467 FIRST STREET
STREET 2: SUITE 201
CITY: LOS ALTOS
STATE: X1
ZIP: 94022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kliman Gilbert H
CENTRAL INDEX KEY: 0001293171
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39539
FILM NUMBER: 201209289
MAIL ADDRESS:
STREET 1: C/O INTERWEST PARTNERS
STREET 2: 467 FIRST STREET SUITE 201
CITY: LOS ALTOS
STATE: CA
ZIP: 94022
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PMV Pharmaceuticals, Inc.
CENTRAL INDEX KEY: 0001699382
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 463218129
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 8 CLARKE DRIVE
CITY: CRANBURY
STATE: NJ
ZIP: 08512
BUSINESS PHONE: (609) 642-6664
MAIL ADDRESS:
STREET 1: 8 CLARKE DRIVE
CITY: CRANBURY
STATE: NJ
ZIP: 08512
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-09-25
0
0001699382
PMV Pharmaceuticals, Inc.
PMVP
0001443898
INTERWEST PARTNERS X LP
467 FIRST STREET, SUITE 201
LOS ALTOS
CA
94022
0
0
1
0
0001460207
InterWest Management Partners X, LLC
467 FIRST STREET, SUITE 201
LOS ALTOS
CA
94022
0
0
1
0
0001276600
NASR KHALED
467 FIRST STREET, SUITE 201
LOS ALTOS
CA
94022
0
0
1
0
0001553019
Desai Keval
467 FIRST STREET, SUITE 201
LOS ALTOS
CA
94022
0
0
1
0
0001293171
Kliman Gilbert H
467 FIRST STREET, SUITE 201
LOS ALTOS
CA
94022
0
0
1
0
Commonn Stock
2020-09-25
4
P
0
55000
18.00
A
55000
D
Common Stock
2020-09-29
4
C
0
1620101
A
1675101
D
Common Stock
2020-09-29
4
C
0
3488398
A
5163499
D
Common Stock
2020-09-29
4
C
0
1040654
A
6204153
D
Common Stock
2020-09-29
4
C
0
265203
A
6469356
D
Series Seed Preferred Stock
2020-09-29
4
C
0
1620101
0.00
D
Common Stock
1620101
0
D
Series A Preferred Stock
2020-09-29
4
C
0
3488398
0.00
D
Common Stock
3488398
0
D
Series B Preferred Stock
2020-09-29
4
C
0
1040654
0.00
D
Common Stock
1040654
0
D
Series C Preferred Stock
2020-09-29
4
C
0
265203
0.00
D
Common Stock
265203
0
D
The securities are directly held by InterWest Partners X, LP ("IW10"). InterWest Management Partners X, LLC ("IMP10"), as the general partner of IW10, may be deemed to beneficially own the shares held by IW10. Arnold L. Oronsky and Gilbert H. Kliman are Managing Directors of IMP10, and Khaled A. Nasr and Keal Desai are Venture Members of IMP10. Each of the foregoing persons may be deemed to beneficially own the shares held by IW10, and each foregoing person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.
The shares of each of the Series Seed Preferred Stock, Series A Preferred Stock, Series B Preferred Stock and Series C Preferred Stock automatically converted into shares of Common Stock on a one to one basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and have no expiration date.
Arnold L. Oronsky, a Managing Director of IMP X, is also a Director of the Issuer and has filed a separate Form 4 in his own name.
/s/ Karen Wilson, Attorney-in-Fact for InterWest Partners X, LP
2020-09-29
/s/ Karen Wilson, Attorney-in-Fact for InterWest Management Partners X, LLC
2020-09-29
/s/ Karen Wilson, Attorney-in-Fact for Khaled A. Nasr
2020-09-29
/s/ Karen Wilson, Attorney-in-Fact for Keval Desai
2020-09-29
/s/ Karen Wilson, Attorney-in-Fact for Gilbert H. Kliman
2020-09-29