0000899243-18-017995.txt : 20180625
0000899243-18-017995.hdr.sgml : 20180625
20180625190720
ACCESSION NUMBER: 0000899243-18-017995
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180625
FILED AS OF DATE: 20180625
DATE AS OF CHANGE: 20180625
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Omega Fund IV, L.P.
CENTRAL INDEX KEY: 0001528382
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38542
FILM NUMBER: 18918021
BUSINESS ADDRESS:
STREET 1: 185 DARTMOUTH STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: 617-502-6538
MAIL ADDRESS:
STREET 1: 185 DARTMOUTH STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Omega Fund IV GP, L.P.
CENTRAL INDEX KEY: 0001528383
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38542
FILM NUMBER: 18918022
BUSINESS ADDRESS:
STREET 1: 185 DARTMOUTH STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: 617-502-6538
MAIL ADDRESS:
STREET 1: 185 DARTMOUTH STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Omega Fund IV G.P. Manager, Ltd.
CENTRAL INDEX KEY: 0001624456
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38542
FILM NUMBER: 18918023
BUSINESS ADDRESS:
STREET 1: 185 DARTMOUTH STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: 617-502-6538
MAIL ADDRESS:
STREET 1: 185 DARTMOUTH STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Stampacchia Otello
CENTRAL INDEX KEY: 0001361712
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38542
FILM NUMBER: 18918024
MAIL ADDRESS:
STREET 1: 185 DARTMOUTH STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lim Richard J.
CENTRAL INDEX KEY: 0001623720
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38542
FILM NUMBER: 18918025
MAIL ADDRESS:
STREET 1: 185 DARTMOUTH STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Paster Anne-Mari
CENTRAL INDEX KEY: 0001652863
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38542
FILM NUMBER: 18918026
MAIL ADDRESS:
STREET 1: C/O OMEGA FUND MANAGEMENT, LLC
STREET 2: 185 DARTMOUTH STREET, SUITE 502
CITY: BOSTON
STATE: MA
ZIP: 02116
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Kezar Life Sciences, Inc.
CENTRAL INDEX KEY: 0001645666
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 473366145
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4000 SHORELINE COURT, SUITE 300
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
BUSINESS PHONE: 650-822-5600
MAIL ADDRESS:
STREET 1: 4000 SHORELINE COURT, SUITE 300
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-06-25
1
0001645666
Kezar Life Sciences, Inc.
KZR
0001528382
Omega Fund IV, L.P.
185 DARTMOUTH STREET
BOSTON
MA
02116
0
0
0
1
Former 10% Owner
0001528383
Omega Fund IV GP, L.P.
185 DARTMOUTH STREET
BOSTON
MA
02116
0
0
0
1
Former 10% Owner
0001624456
Omega Fund IV G.P. Manager, Ltd.
185 DARTMOUTH STREET
BOSTON
MA
02116
0
0
0
1
Former 10% Owner
0001361712
Stampacchia Otello
185 DARTMOUTH STREET
BOSTON
MA
02116
0
0
0
1
Former 10% Owner
0001623720
Lim Richard J.
185 DARTMOUTH STREET
BOSTON
MA
02116
0
0
0
1
Former 10% Owner
0001652863
Paster Anne-Mari
185 DARTMOUTH STREET
BOSTON
MA
02116
0
0
0
1
Former 10% Owner
Common Stock
2018-06-25
4
C
0
315489
0.00
A
315489
D
Common Stock
2018-06-25
4
C
0
315489
0.00
A
315489
I
By Omega IV
Common Stock
2018-06-25
4
C
0
377783
0.00
A
693272
D
Common Stock
2018-06-25
4
C
0
377783
0.00
A
693272
I
By Omega IV
Series A Redeemable Convertible Preferred Stock
2018-06-25
4
C
0
315489
0.00
D
Common Stock
315489
0
D
Series A Redeemable Convertible Preferred Stock
2018-06-25
4
C
0
315489
0.00
D
Common Stock
315489
0
I
By Omega IV
Series B Redeemable Convertible Preferred Stock
2018-06-25
4
C
0
377783
0.00
D
Common Stock
377783
0
D
Series B Redeemable Convertible Preferred Stock
2018-06-25
4
C
0
377783
0.00
D
Common Stock
377783
0
I
By Omega IV
The Series A Redeemable Convertible Preferred Stock ("Series A") converted automatically into shares of the issuer's common stock on a one-for-one basis upon the completion of the issuer's public offering of common stock pursuant the issuer's amended registration statement under the Securities Act of 1933, as amended, filed with the Commission on June 18, 2018 (the "IPO"). The Series A had no expiration date.
The reported securities are beneficially owned by Omega Fund IV GP, L.P. ("Omega IV GP"), as the general partner of Omega Fund IV, L.P. ("Omega IV"). Omega Fund IV G.P. Manager, Ltd. ("Omega IV GP Manager"), is the general partner of Omega IV GP. Otello Stampacchia, Richard Lim and Anne-Mari Paster are all the shareholders and directors of Omega IV GP Manager and have shared voting and investment power over the shares held by Omega Fund IV, L.P. Each of the Reporting Persons disclaims beneficial ownership of these securities, except to the extent of his, her or its pecuniary interest therein.
The Series B Redeemable Convertible Preferred Stock ("Series B") converted automatically into shares of the issuer's common stock on a one-for-one basis upon the completion of the IPO. The Series B had no expiration date.
By: /s/ Anne-Mari Paster, Signature of Anne-Mari Paster as an authorized signatory of each Reporting Person
2018-06-25