0000899243-20-019480.txt : 20200716
0000899243-20-019480.hdr.sgml : 20200716
20200716215719
ACCESSION NUMBER: 0000899243-20-019480
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200716
FILED AS OF DATE: 20200716
DATE AS OF CHANGE: 20200716
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Access Industries Holdings LLC
CENTRAL INDEX KEY: 0001391297
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39381
FILM NUMBER: 201032667
BUSINESS ADDRESS:
STREET 1: C/O ACCESS INDUSTRIES MANAGEMENT, LLC.
STREET 2: 730 FIFTH AVENUE, 20TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10019
BUSINESS PHONE: 212 247 6400
MAIL ADDRESS:
STREET 1: C/O ACCESS INDUSTRIES MANAGEMENT, LLC.
STREET 2: 730 FIFTH AVENUE, 20TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10019
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: AI Pan LLC
CENTRAL INDEX KEY: 0001817216
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39381
FILM NUMBER: 201032668
BUSINESS ADDRESS:
STREET 1: C/O ACCESS INDUSTRIES, INC.
STREET 2: 40 WEST 57TH STREET, 28TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10019
BUSINESS PHONE: 212-247-6400
MAIL ADDRESS:
STREET 1: C/O ACCESS INDUSTRIES, INC.
STREET 2: 40 WEST 57TH STREET, 28TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10019
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ACCESS INDUSTRIES MANAGEMENT, LLC
CENTRAL INDEX KEY: 0001508226
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39381
FILM NUMBER: 201032669
BUSINESS ADDRESS:
STREET 1: 730 FIFTH AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10019
BUSINESS PHONE: 2122476400
MAIL ADDRESS:
STREET 1: 730 FIFTH AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10019
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Blavatnik Len
CENTRAL INDEX KEY: 0001326628
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39381
FILM NUMBER: 201032670
MAIL ADDRESS:
STREET 1: C/O ACCESS INDUSTRIES
STREET 2: 730 FIFTH AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10019
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Pandion Therapeutics, Inc.
CENTRAL INDEX KEY: 0001807901
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 833015614
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 134 COOLIDGE AVENUE
STREET 2: 2ND FLOOR
CITY: WATERTOWN
STATE: MA
ZIP: 02472
BUSINESS PHONE: 617-393-5925
MAIL ADDRESS:
STREET 1: 134 COOLIDGE AVENUE
STREET 2: 2ND FLOOR
CITY: WATERTOWN
STATE: MA
ZIP: 02472
FORMER COMPANY:
FORMER CONFORMED NAME: Pandion Therapeutics Holdco LLC
DATE OF NAME CHANGE: 20200327
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2020-07-16
0
0001807901
Pandion Therapeutics, Inc.
PAND
0001391297
Access Industries Holdings LLC
40 WEST 57TH ST, 28TH FL
NEW YORK
NY
10019
0
0
1
0
0001817216
AI Pan LLC
40 WEST 57TH ST, 28TH FL
NEW YORK
NY
10019
0
0
1
0
0001508226
ACCESS INDUSTRIES MANAGEMENT, LLC
40 WEST 57TH ST, 28TH FL
NEW YORK
NY
10019
0
0
1
0
0001326628
Blavatnik Len
40 WEST 57TH ST, 28TH FL
NEW YORK
NY
10019
0
0
1
0
Series B Preferred Stock
Common Stock
1878551
I
See footnote
The Series B Preferred Stock is convertible into Common Stock on a 5.0994-for-one basis into the number of shares of Common Stock shown in Column 3 at any time at the holder's election and automatically upon the closing of the Issuer's initial public offering. The shares have no expiration date.
The securities reported are held directly by AI Pan LLC ("AI Pan"). Each of Access Industries Holdings LLC, Access Industries Management, LLC and Len Blavatnik may be deemed to beneficially own the shares of the Issuer's Common Stock beneficially owned by AI Pan, a subsidiary in a multi-tier corporate structure of which Access Industries Holdings LLC is the parent holding company and is ultimately managed by Access Industries Management, LLC and controlled by Mr. Blavatnik.
/s/ Alejandro Moreno for AI Pan LLC
2020-07-16
/s/ Alejandro Moreno for Access Industries Holdings LLC
2020-07-16
/s/ Alejandro Moreno for Access Industries Management, LLC
2020-07-16
/s/ Alejandro Moreno, as Attorney-in-Fact for Mr. Blavatnik
2020-07-16