0000899243-15-001378.txt : 20150717
0000899243-15-001378.hdr.sgml : 20150717
20150717175100
ACCESSION NUMBER: 0000899243-15-001378
CONFORMED SUBMISSION TYPE: 3/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150715
FILED AS OF DATE: 20150717
DATE AS OF CHANGE: 20150717
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CHIASMA, INC
CENTRAL INDEX KEY: 0001339469
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 831 BEACON STREET
STREET 2: SUITE 313
CITY: NEWTON CENTRE
STATE: MA
ZIP: 02459
BUSINESS PHONE: 914-234-2268
MAIL ADDRESS:
STREET 1: 831 BEACON STREET
STREET 2: SUITE 313
CITY: NEWTON CENTRE
STATE: MA
ZIP: 02459
FORMER COMPANY:
FORMER CONFORMED NAME: CHIASMA INC
DATE OF NAME CHANGE: 20050922
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: F2 Capital I 2014 Ltd
CENTRAL INDEX KEY: 0001648355
STATE OF INCORPORATION: D8
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37500
FILM NUMBER: 15994671
BUSINESS ADDRESS:
STREET 1: PO BOX 3175, ROAD TOWN
CITY: TORTOLA
STATE: D8
ZIP: 1110
BUSINESS PHONE: 44(0) 1624 811 611
MAIL ADDRESS:
STREET 1: C/O LJ SKYE TRUSTEES LTD.
STREET 2: COMMERCE HOUSE, 1 BOWRING ROAD
CITY: RAMSEY
STATE: Y8
ZIP: IM8 2LQ
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LJ Skye Trustees Ltd.
CENTRAL INDEX KEY: 0001648354
STATE OF INCORPORATION: Y8
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37500
FILM NUMBER: 15994672
BUSINESS ADDRESS:
STREET 1: COMMERCE HOUSE, 1 BOWRING ROAD
CITY: RAMSEY
STATE: Y8
ZIP: IM8 2LQ
BUSINESS PHONE: 44(0) 1624 811 611
MAIL ADDRESS:
STREET 1: COMMERCE HOUSE, 1 BOWRING ROAD
CITY: RAMSEY
STATE: Y8
ZIP: IM8 2LQ
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Globeways Holdings Ltd
CENTRAL INDEX KEY: 0001600769
STATE OF INCORPORATION: D8
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37500
FILM NUMBER: 15994673
BUSINESS ADDRESS:
STREET 1: 3RD FLOOR, GENEVE PLACE
STREET 2: WATERFRONT DRIVE, PO BOX 3175
CITY: ROAD TOWN, TORTOLA
STATE: D8
ZIP: 00000
BUSINESS PHONE: 617-951-8000
MAIL ADDRESS:
STREET 1: 3RD FLOOR, GENEVE PLACE
STREET 2: WATERFRONT DRIVE, PO BOX 3175
CITY: ROAD TOWN, TORTOLA
STATE: D8
ZIP: 00000
3/A
1
doc3a.xml
FORM 3/A SUBMISSION
X0206
3/A
2015-07-15
2015-07-15
0
0001339469
CHIASMA, INC
CHMA
0001600769
Globeways Holdings Ltd
3RD FLOOR, GENEVE PLACE, WATERFRONT DR
PO BOX 3175, ROAD TOWN
TORTOLA
D8
VIRGIN ISLANDS, BRITISH
0
0
1
0
0001648354
LJ Skye Trustees Ltd.
COMMERCE HOUSE
1 BOWRING ROAD
RAMSEY
Y8
IM8 2LQ
ISLE OF MAN
0
0
1
0
0001648355
F2 Capital I 2014 Ltd
PO BOX 3175, ROAD TOWN
TORTOLA
D8
VIRGIN ISLANDS, BRITISH
0
0
1
0
Series D' Convertible Preferred Stock
Common Stock
36501
D
Series E Convertible Preferred Stock
Common Stock
1478318
I
See Footnote
Series E Convertible Preferred Stock
Common Stock
9249
D
Warrant to Purchase Common Stock (right to buy)
9.132
Common Stock
369579
I
See Footnote
Warrant to Purchase Common Stock (right to buy)
9.132
Common Stock
2312
D
The Series D' Convertible Preferred Stock is convertible into Common Stock on a 9.132-for-1 basis into the number of shares of Common Stock as shown in column 3 at any time at the holder's election, and automatically upon the closing of the Issuer's initial public offering, and has no expiration date.
The reported securities are owned directly by F2 Capital I 2014 Limited. Globeways Holdings Limited is a member of F2 Capital 1 2014 Limited and has sole power to vote upon the acquisition, holding and disposal of all shares and warrants held by F2 Capital 1 2014 Limited. LJ Skye Trustees Ltd. has the sole power to vote upon the acquisition, holding and disposal of all shares and warrants held by Globeways Holdings Limited. Each of the reporting persons disclaims beneficial ownership of the securities reported herein except to the extent of their pecuniary interest therein.
The Series E Convertible Preferred Stock is convertible into Common Stock on a 9.132-for-1 basis into the number of shares of Common Stock as shown in column 3 at any time at the holder's election, and automatically upon the closing of the Issuer's initial public offering, and has no expiration date
The Warrant to purchase Common Stock as shown in column 3 is exercisable at any time at the holder's election.
This amendment amends the Form 3 filed on July 15, 2015 and is made solely to add additional Reporting Persons.
/s/ Mark Veale for Globeways Holdings Limited
2015-07-17
/s/ Mark Veale for F2 Capital I 2014 Limited
2015-07-17
/s/ Mark Veale for LJ Skye Trustees Ltd.
2015-07-17