0001179110-19-008139.txt : 20190626
0001179110-19-008139.hdr.sgml : 20190626
20190626183126
ACCESSION NUMBER: 0001179110-19-008139
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20190626
FILED AS OF DATE: 20190626
DATE AS OF CHANGE: 20190626
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Omega Fund V, L.P.
CENTRAL INDEX KEY: 0001641354
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38940
FILM NUMBER: 19922675
BUSINESS ADDRESS:
STREET 1: 888 BOYLSTON ST., SUITE 1111
CITY: BOSTON
STATE: MA
ZIP: 02199
BUSINESS PHONE: 617-502-6538
MAIL ADDRESS:
STREET 1: 888 BOYLSTON ST., SUITE 1111
CITY: BOSTON
STATE: MA
ZIP: 02199
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Omega Fund V GP, L.P.
CENTRAL INDEX KEY: 0001641355
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38940
FILM NUMBER: 19922676
BUSINESS ADDRESS:
STREET 1: 888 BOYLSTON ST., SUITE 1111
CITY: BOSTON
STATE: MA
ZIP: 02199
BUSINESS PHONE: 617-502-6538
MAIL ADDRESS:
STREET 1: 888 BOYLSTON ST., SUITE 1111
CITY: BOSTON
STATE: MA
ZIP: 02199
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Omega Fund V GP Manager, Ltd.
CENTRAL INDEX KEY: 0001641348
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38940
FILM NUMBER: 19922677
BUSINESS ADDRESS:
STREET 1: 888 BOYLSTON ST., SUITE 1111
CITY: BOSTON
STATE: MA
ZIP: 02199
BUSINESS PHONE: 617-502-6538
MAIL ADDRESS:
STREET 1: 888 BOYLSTON ST., SUITE 1111
CITY: BOSTON
STATE: MA
ZIP: 02199
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lim Richard J.
CENTRAL INDEX KEY: 0001623720
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38940
FILM NUMBER: 19922678
MAIL ADDRESS:
STREET 1: 888 BOYLSTON ST., SUITE 1111
CITY: BOSTON
STATE: MA
ZIP: 02199
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Nessi Claudio
CENTRAL INDEX KEY: 0001722050
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38940
FILM NUMBER: 19922679
MAIL ADDRESS:
STREET 1: C/O NEOMED
STREET 2: 7 PLACE DU MOLARD
CITY: 1204 GENEVA
STATE: V8
ZIP: 1204
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Paster Anne-Mari
CENTRAL INDEX KEY: 0001652863
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38940
FILM NUMBER: 19922680
MAIL ADDRESS:
STREET 1: C/O OMEGA FUND MANAGEMENT, LLC
STREET 2: 888 BOYLSTON ST., SUITE 1111
CITY: BOSTON
STATE: MA
ZIP: 02199
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Stampacchia Otello
CENTRAL INDEX KEY: 0001361712
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38940
FILM NUMBER: 19922681
MAIL ADDRESS:
STREET 1: 888 BOYLSTON ST., SUITE 1111
CITY: BOSTON
STATE: MA
ZIP: 02199
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Morphic Holding, Inc.
CENTRAL INDEX KEY: 0001679363
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 473878772
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 35 GATEHOUSE DRIVE A2
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 9787296480
MAIL ADDRESS:
STREET 1: 35 GATEHOUSE DRIVE A2
CITY: WALTHAM
STATE: MA
ZIP: 02451
FORMER COMPANY:
FORMER CONFORMED NAME: Morphic Holding, LLC
DATE OF NAME CHANGE: 20160712
3
1
edgar.xml
FORM 3 -
X0206
3
2019-06-26
0
0001679363
Morphic Holding, Inc.
MORF
0001641354
Omega Fund V, L.P.
888 BOYLSTON STREET
SUITE 1111
BOSTON
MA
02199
0
0
1
0
0001641355
Omega Fund V GP, L.P.
888 BOYLSTON STREET
SUITE 1111
BOSTON
MA
02199
0
0
1
0
0001641348
Omega Fund V GP Manager, Ltd.
888 BOYLSTON STREET
SUITE 1111
BOSTON
MA
02199
0
0
1
0
0001623720
Lim Richard J.
888 BOYLSTON STREET
SUITE 1111
BOSTON
MA
02199
0
0
1
0
0001722050
Nessi Claudio
888 BOYLSTON STREET
SUITE 1111
BOSTON
MA
02199
0
0
1
0
0001652863
Paster Anne-Mari
888 BOYLSTON STREET
SUITE 1111
BOSTON
MA
02199
0
0
1
0
0001361712
Stampacchia Otello
888 BOYLSTON STREET
SUITE 1111
BOSTON
MA
02199
1
0
1
0
No securities beneficially held
0
D
Series A Preferred Stock
Common Stock
857470
D
Series B Preferred Stock
Common Stock
1978779
D
Each share of the issuer's Series A Preferred Stock will automatically convert into one share of the issuer's Common Stock immediately upon the closing of the issuer's initial public offering ("IPO") and has no expiration date.
Otello Stampacchia, a director of the issuer, Richard Lim, Claudio Nessi and Anne-Mari Paster are the directors of Omega Fund V GP Manager, Ltd. ("Omega Manager"), which is the sole general partner of Omega Fund GP, L.P. ("Omega GP"), which is the sole general partner of Omega Fund V, L.P. ("Omega L.P."). Such individuals may be deemed to share voting and dispositive power over the shares held by Omega L.P. Such individuals, together with Omega GP and Omega Manager, disclaim beneficial ownership of the shares held by Omega L.P. except to the extent of their respective pecuniary interest therein.
Each share of the issuer's Series B Preferred Stock will automatically convert into one share of the issuer's Common Stock immediately upon the closing of the issuer's IPO and has no expiration date.
By Omega Fund V, L.P., by Omega Fund GP, L.P., its general partner, by Omega Fund V GP Manager, Ltd., its general partner, /s/ Anne-Mari Paster, Director
2019-06-26
By Omega Fund GP, L.P., its general partner, by Omega Fund V GP Manager, Ltd., its general partner, /s/ Anne-Mari Paster, Director
2019-06-26
By Omega Fund V GP Manager, Ltd., its general partner, /s/ Anne-Mari Paster, Director
2019-06-26
/s/ Anne-Mari Paster, attorney-in-fact for Richard J. Lim
2019-06-26
/s/ Claudio Nessi
2019-06-26
/s/ Anne-Mari Paster
2019-06-26
/s/ Anne-Mari Paster, attorney-in-fact for Otello Stampacchia
2019-06-26
EX-24
2
ex24_stampacchia.txt
POWER OF ATTORNEY
Know all by these presents, that each of the undersigned hereby
constitutes and appoints each other undersigned, such person's true and lawful
attorney-in-fact, to:
(I) execute for and on behalf of each of such person Forms 3, 4, and 5
and Schedules 13D or 13G, as appropriate, and any required
amendments thereto (collectively, the "Repo11s"), with respect to
their current or future beneficial ownership of securities of any
public company, in accordance with Section 13(d) and/or Section
16(a) of the Securities Exchange Act of 1934, as amended, and the
respective rules (including Rule l3d-l) promulgated thereunder;
(2) do and perform any and all acts for and on behalf of such person
which may be necessary or desirable to complete and execute any
such Report and timely file such form with the United States
Securities and Exchange Commission and any stock exchange or
similar authority; and
(3) take any other action of any type whatsoever in connection with
the foregoing which, in the opinion of an attorney-in-fact, may be
of benefit to, in the best interest of, or legally required by,
such person, it being understood that the documents executed by an
attorney-in-fact on behalf of such person pursuant to this Power
of Attorney shall be in such form and shall contain such terms and
conditions as such attorney-in-fact may approve in such
attorney-in-fact's discretion.
Each of the undersigned hereby grants to each attorney-in-fact full power
and authority to do and perform any and every act and thing whatsoever
requisite, necessary, or proper to be done in the exercise of any of the rights
and powers herein granted, as fully to all intents and purposes as the
undersigned might or could do if personally present, with full power of
substitution or revocation, hereby ratifying and confirming all that each
attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall
lawfully do or cause to be done by virtue of this power of attorney and the
rights and powers herein granted. Each of the undersigned hereby ratifies and
confirms each Report that has been signed by any other undersigned prior to the
date hereof. Each of the undersigned acknowledges that each foregoing
attorney-in-fact, in serving in such capacity at the request of the
undersigned, is not assuming any of the undersigneds' responsibilities to
comply with Section 13(d) or Section 16 of the Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until the
undersigned are no longer required to file Reports with respect to the
undersigneds' current or future holdings of and transactions in securities
issued by any public company, unless earlier revoked by the undersigned in a
signed writing delivered to each foregoing attorney-in-fact.
[The remainder of this page is intentionally left blank.]
IN WITNESS WHEREOF, the undersigned have caused this Power of Attorney to
be executed as of dates set forth opposite their names.
Dated: 7/18/18 /s/Otello Stampacchia
-------- ----------------------
Otello Stampacchia
Dated: 7/18/18 /s/Richard Lim
-------- ----------------------
Dated: 7/18/18 /s/Anne-Mari Paster
-------- ----------------------
Anne-Mari Paster