0001209191-18-040039.txt : 20180629
0001209191-18-040039.hdr.sgml : 20180629
20180629163657
ACCESSION NUMBER: 0001209191-18-040039
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180601
FILED AS OF DATE: 20180629
DATE AS OF CHANGE: 20180629
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Makhzoumi Mohamad
CENTRAL INDEX KEY: 0001630226
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36323
FILM NUMBER: 18929732
MAIL ADDRESS:
STREET 1: 2855 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Achaogen Inc
CENTRAL INDEX KEY: 0001301501
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 680533693
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 7000 SHORELINE COURT
STREET 2: SUITE 371
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
BUSINESS PHONE: 650-800-3636
MAIL ADDRESS:
STREET 1: 7000 SHORELINE COURT
STREET 2: SUITE 371
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2018-06-01
0
0001301501
Achaogen Inc
AKAO
0001630226
Makhzoumi Mohamad
2855 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
Common Stock
5215128
I
See Note 1
Common Stock Warrants (right to buy)
3.66
2021-06-03
Common Stock
1178782
I
See Note 1
The Reporting Person is a manager of NEA 15 GP, LLC, ("NEA 15 GP") which is the sole general partner of NEA Partners 15, L.P. ("NEA Partners 15"). NEA Partners 15 is the sole general partner of New Enterprise Associates 15, L. P. ("NEA 15"). NEA 15 is the sole member of Growth Equity Opportunities Fund IV, LLC ("GEO IV"), which is the direct beneficial owner of the shares. The Reporting Person disclaims beneficial ownership within the meaning of Section 16 of the Securities Exchange Act of 1934, as amended, or otherwise of such portion of the shares held by GEO IV in which the Reporting Person has no pecuniary interest.
The Warrants are immediately exercisable upon issuance, however the Warrants may not be exercised to the extent such exercise would cause the holder of such Warrants (together with the holder's affiliates, and any other persons acting as a group together with the holder or any of the holder's affiliates) to beneficially own more than 19.99% of the Common Stock of the Issuer then outstanding.
/s/ Sasha Keough, attorney-in-fact
2018-06-29