0001209191-16-136479.txt : 20160810
0001209191-16-136479.hdr.sgml : 20160810
20160810203421
ACCESSION NUMBER: 0001209191-16-136479
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160810
FILED AS OF DATE: 20160810
DATE AS OF CHANGE: 20160810
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Protagonist Therapeutics, Inc
CENTRAL INDEX KEY: 0001377121
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 521 COTTONWOOD DRIVE, SUITE 100
CITY: MALPITAS
STATE: CA
ZIP: 95035-7404
BUSINESS PHONE: 408-649-7370
MAIL ADDRESS:
STREET 1: 521 COTTONWOOD DRIVE, SUITE 100
CITY: MALPITAS
STATE: CA
ZIP: 95035-7404
FORMER COMPANY:
FORMER CONFORMED NAME: Protagonist Therapeutics Inc
DATE OF NAME CHANGE: 20130605
FORMER COMPANY:
FORMER CONFORMED NAME: Protagonist Inc
DATE OF NAME CHANGE: 20061002
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hall Steven Edward
CENTRAL INDEX KEY: 0001602732
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37852
FILM NUMBER: 161822754
MAIL ADDRESS:
STREET 1: 15001 BARNHARDT CT
CITY: CHAPEL HILL
STATE: NC
ZIP: 27517
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Torres S. Edward
CENTRAL INDEX KEY: 0001552293
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37852
FILM NUMBER: 161822755
MAIL ADDRESS:
STREET 1: C/O LILLY VENTURES FUND I LLC
STREET 2: 115 W. WASHINGTON ST, STE 1680 SOUTH
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lilly Ventures Fund I LLC
CENTRAL INDEX KEY: 0001575852
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37852
FILM NUMBER: 161822756
BUSINESS ADDRESS:
STREET 1: 115 W WASHINGTON STREET
STREET 2: SUITE 1680 SOUTH
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
BUSINESS PHONE: (317) 429-0140
MAIL ADDRESS:
STREET 1: 115 W WASHINGTON STREET
STREET 2: SUITE 1680 SOUTH
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LV Management Group, LLC
CENTRAL INDEX KEY: 0001681884
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37852
FILM NUMBER: 161822757
BUSINESS ADDRESS:
STREET 1: 115 WEST WASHINGTON STREET
STREET 2: SUITE 1680 - SOUTH
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
BUSINESS PHONE: (317) 429-0140
MAIL ADDRESS:
STREET 1: 115 WEST WASHINGTON STREET
STREET 2: SUITE 1680 - SOUTH
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2016-08-10
0
0001377121
Protagonist Therapeutics, Inc
PTGX
0001681884
LV Management Group, LLC
115 WEST WAHINGTON STREET
SUITE 1680-SOUTH
INDIANAPOLIS
IN
46204
0
0
1
0
0001575852
Lilly Ventures Fund I LLC
115 WEST WASHINGTON STREET
SUITE 1680-SOUTH
INDIANAPOLIS
IN
46204
0
0
1
0
0001552293
Torres S. Edward
C/O LILLY VENTURES
115 WEST WASHINGTON ST., STE.1680-SOUTH
INDIANAPOLIS
IN
46204
0
0
1
0
0001602732
Hall Steven Edward
C/O LILLY VENTURES
115 WEST WASHINGTON ST., STE. 1680-SOUTH
INDIANAPOLIS
IN
46204
0
0
1
0
Series A Preferred Stock
Common Stock
206896
I
By Fund
Series B Preferred Stock
Common Stock
630541
I
By Fund
Series C Preferred Stock
Common Stock
678712
I
By Fund
Each share of the Issuer's Series A Preferred Stock, Series B Preferred Stock, and Series C Preferred Stock is convertible into the Issuer's common stock on a 1-for-14.5 basis and has no expiration date.
These shares are held directly by Lilly Ventures Fund I, LLC (LVFI). LV Management Group, LLC (LVMG) is the management company for LVFI and has voting and dispositive power over the shares held by LVFI. As such, LVMG may be deemed to indirectly beneficially own the shares held by LVFI. LVMG's voting and dispositive decisions with respect to the shares held by LVFI are made by LVMG's management committee, which consists of Ed Torres, Steve Hall and Armen Shanafelt. Each of the reporting persons disclaims beneficial ownership of the reported securities except to the extent of his or its respective proportionate pecuniary interest therein. Dr. Shanafelt is a director of the Issuer and,
accordingly, files separate Section 16 reports.
LV Management Group, LLC, by: S. Edward Torres, Managing Director
2016-08-10
Lilly Ventures Fund I, LLC, by LV Management Group, LLC, its Management Company, by: /s/ S. Edward Torres, Managing Director
2016-08-10
/s/ S. Edward Torres
2016-08-10
/s/ Steven E. Hall
2016-08-10