0000908662-18-000174.txt : 20180628 0000908662-18-000174.hdr.sgml : 20180628 20180628084452 ACCESSION NUMBER: 0000908662-18-000174 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180620 FILED AS OF DATE: 20180628 DATE AS OF CHANGE: 20180628 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Palmetto Partners, Ltd. CENTRAL INDEX KEY: 0001744226 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-38536 FILM NUMBER: 18923284 BUSINESS ADDRESS: STREET 1: 109 N. POST OAK LANE, SUITE 600 CITY: HOUSTON STATE: TX ZIP: 77024 BUSINESS PHONE: 713-336-7700 MAIL ADDRESS: STREET 1: 109 N. POST OAK LANE, SUITE 600 CITY: HOUSTON STATE: TX ZIP: 77024 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Palmetto Partners 2014, LP CENTRAL INDEX KEY: 0001744227 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-38536 FILM NUMBER: 18923285 BUSINESS ADDRESS: STREET 1: 209 N. POST OAK LANE, SUITE 600 CITY: HOUSTON STATE: TX ZIP: 77024 BUSINESS PHONE: 713-336-7700 MAIL ADDRESS: STREET 1: 209 N. POST OAK LANE, SUITE 600 CITY: HOUSTON STATE: TX ZIP: 77024 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Palmetto Partners 2015, LP CENTRAL INDEX KEY: 0001744228 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-38536 FILM NUMBER: 18923286 BUSINESS ADDRESS: STREET 1: 109 N. POST OAK LANE, SUITE 600 CITY: HOUSTON STATE: TX ZIP: 77024 BUSINESS PHONE: 713-336-7700 MAIL ADDRESS: STREET 1: 109 N. POST OAK LANE, SUITE 600 CITY: HOUSTON STATE: TX ZIP: 77024 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: XERIS PHARMACEUTICALS INC CENTRAL INDEX KEY: 0001346302 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 203352427 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 180 NORTH LASALLE STREET STREET 2: STE 1800 CITY: CHICAGO STATE: IL ZIP: 60601 BUSINESS PHONE: 512-498-2670 MAIL ADDRESS: STREET 1: 180 NORTH LASALLE STREET STREET 2: STE 1800 CITY: CHICAGO STATE: IL ZIP: 60601 3/A 1 edgar.xml PRIMARY DOCUMENT X0206 3/A 2018-06-20 2018-06-20 0 0001346302 XERIS PHARMACEUTICALS INC XERS 0001744226 Palmetto Partners, Ltd. 109 N. POST OAK LANE, SUITE 600 HOUSTON 77024 0 0 1 0 0001744227 Palmetto Partners 2014, LP 109 N. POST OAK LANE, SUITE 600 HOUSTON TX 77024 0 0 1 0 0001744228 Palmetto Partners 2015, LP 109 N. POST OAK LANE, SUITE 600 HOUSTON TX 77024 0 0 1 0 Series B Preferred Stock Common Stock 930383 D Series C Preferred Stock Common Stock 581992 D Series C Preferred Stock Common Stock 447686 D This Form 3/A is being filed to correct the title of the derivative securities held by the Reporting Persons. The securities are owned by Palmetto Partners 2014, LP, who is a member of a group with Palmetto Partners, Ltd. and Palmetto Partners 2015, LP. The securities are owned by Palmetto Partners 2015, LP., who is a member of a group with Palmetto Partners, Ltd. and Palmetto Partners 2014, LP. The securities are owned by Palmetto Partners, Ltd., who is a member of a group with Palmetto Partners 2014, LP and Palmetto Partners 2015, LP. Each share of preferred stock is convertible on a 1.78112-for-1 basis into Common Stock at any time at the election of the Reporting Persons and will automatically convert upon the closing of the Issuer's initial public offering into the number of shares of the Issuer's Common Stock shown in column 3 without payment or further consideration. The shares have no expiration date. Palmetto Partners, Ltd., by /s/ Ben D. Smolij, attorney in fact 2018-06-28 Palmetto Partners 2014, LP, by /s/ Ben D. Smolij, attorney in fact 2018-06-28 Palmetto Partners 2015, LP, by /s/ Ben D. Smolij, attorney in fact 2018-06-28