0001104659-16-121886.txt : 20160518
0001104659-16-121886.hdr.sgml : 20160518
20160518165204
ACCESSION NUMBER: 0001104659-16-121886
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160511
FILED AS OF DATE: 20160518
DATE AS OF CHANGE: 20160518
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Adverum Biotechnologies, Inc.
CENTRAL INDEX KEY: 0001501756
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 205258327
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1035 O'BRIEN DRIVE
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-272-6269
MAIL ADDRESS:
STREET 1: 1035 O'BRIEN DRIVE
CITY: MENLO PARK
STATE: CA
ZIP: 94025
FORMER COMPANY:
FORMER CONFORMED NAME: Avalanche Biotechnologies, Inc.
DATE OF NAME CHANGE: 20100921
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Versant Capital IV (Switzerland) GmbH
CENTRAL INDEX KEY: 0001674481
STATE OF INCORPORATION: V8
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36579
FILM NUMBER: 161661027
BUSINESS ADDRESS:
STREET 1: AESCHENVORSTADT 36
CITY: BASEL
STATE: V8
ZIP: 4051
BUSINESS PHONE: (415) 801-8100
MAIL ADDRESS:
STREET 1: AESCHENVORSTADT 36
CITY: BASEL
STATE: V8
ZIP: 4051
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Versant IV Luxco S.a r.l.
CENTRAL INDEX KEY: 0001674642
STATE OF INCORPORATION: N4
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36579
FILM NUMBER: 161661028
BUSINESS ADDRESS:
STREET 1: 5, RUE GUILLAUME KROLL
CITY: LUXEMBOURG
STATE: N4
ZIP: L-1882
BUSINESS PHONE: (415) 801-8100
MAIL ADDRESS:
STREET 1: 5, RUE GUILLAUME KROLL
CITY: LUXEMBOURG
STATE: N4
ZIP: L-1882
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Versant Venture Capital IV, L.P.
CENTRAL INDEX KEY: 0001456590
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36579
FILM NUMBER: 161661029
BUSINESS ADDRESS:
STREET 1: ONE SANSOME STREET
STREET 2: SUITE 3630
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94104
BUSINESS PHONE: 650-233-2211
MAIL ADDRESS:
STREET 1: ONE SANSOME STREET
STREET 2: SUITE 3630
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Versant Ventures IV, LLC
CENTRAL INDEX KEY: 0001456589
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36579
FILM NUMBER: 161661030
BUSINESS ADDRESS:
STREET 1: ONE SANSOME STREET
STREET 2: SUITE 3630
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94104
BUSINESS PHONE: 650-233-2211
MAIL ADDRESS:
STREET 1: ONE SANSOME STREET
STREET 2: SUITE 3630
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94104
3
1
a3.xml
3
X0206
3
2016-05-11
0
0001501756
Adverum Biotechnologies, Inc.
ADVM
0001456589
Versant Ventures IV, LLC
ONE SANSOME STREET
SUITE 3630
SAN FRANCISCO
CA
94104
0
0
1
0
0001456590
Versant Venture Capital IV, L.P.
ONE SANSOME STREET
SUITE 3630
SAN FRANCISCO
CA
94104
0
0
1
0
0001674642
Versant IV Luxco S.a r.l.
5, RUE GUILLAUME KROLL
LUXEMBOURG
N4
L-1882
LUXEMBOURG
0
0
1
0
0001674481
Versant Capital IV (Switzerland) GmbH
AESCHENVORSTADT 36
BASEL
V8
4051
SWITZERLAND
0
0
1
0
Common Stock
6660981
I
Through Versant Capital IV (Switzerland) GmbH
Common Stock
2176
I
Through Versant Side Fund IV, L.P.
Common Stock
340735
I
Through Versant Venture Capital IV, L.P.
The shares are owned directly by Versant Capital IV (Switzerland) GmbH ("Versant Switzerland"). Versant Switzerland is wholly owned by Versant IV Luxco S.a r.l. ("Versant Luxembourg") and Versant Luxembourg is majority owned by Versant Venture Capital IV, L.P. and minority owned by Versant Side Fund IV, L.P. (Versant Venture Capital IV, L.P. and Versant Side Fund IV, L.P., collectively, the "Versant Funds"). Versant Ventures IV, LLC ("Ventures IV") is the general partner of each of the Versant Funds. Each of Versant Switzerland, Versant Luxembourg, Versant Venture Capital IV, L.P. and Ventures IV may be deemed a beneficial owner of these shares, but each disclaims such beneficial ownership except to the extent of its pecuniary interest therein.
The shares are owned directly by Versant Side Fund IV, L.P. Each of Versant Side Fund IV, L.P. and Ventures IV may be deemed a beneficial owner of these shares, but each disclaims such beneficial ownership except to the extent of its pecuniary interest therein.
The shares are owned directly by Versant Venture Capital IV, L.P. Each of Versant Venture Capital IV, L.P. and Ventures IV may be deemed a beneficial owner of these shares, but each disclaims such beneficial ownership except to the extent of its pecuniary interest therein.
Versant Ventures IV, LLC By: Robin L. Praeger Its: Managing Director /s/ Robin L. Praeger
2016-05-18
Versant Venture Capital IV, L.P. By: Versant Ventures IV, LLC Its: General Partner By: Robin L. Praeger Its: Managing Director /s/ Robin L. Praeger
2016-05-18
Versant IV Luxco S.a r.l. By: Robin L. Praeger Its: Director /s/ Robin L. Praeger
2016-05-18
Versant Capital IV (Switzerland) GmbH By: Robin L. Praeger Its: Director /s/ Robin L. Praeger
2016-05-18