0000899243-17-027011.txt : 20171120
0000899243-17-027011.hdr.sgml : 20171120
20171120173808
ACCESSION NUMBER: 0000899243-17-027011
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171120
FILED AS OF DATE: 20171120
DATE AS OF CHANGE: 20171120
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Maris William J
CENTRAL INDEX KEY: 0001722210
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38295
FILM NUMBER: 171214894
MAIL ADDRESS:
STREET 1: 2033 SAN ELIJO AVE., #565
CITY: CARDIFF-BY-THE-SEA
STATE: CA
ZIP: 92007
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Section 32 Fund 1, LP
CENTRAL INDEX KEY: 0001691436
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38295
FILM NUMBER: 171214896
BUSINESS ADDRESS:
STREET 1: 2033 SAN ELIJO AVE., #565
CITY: CARDIFF-BY-THE-SEA
STATE: CA
ZIP: 92007
BUSINESS PHONE: 858-633-3232
MAIL ADDRESS:
STREET 1: 2033 SAN ELIJO AVE., #565
CITY: CARDIFF-BY-THE-SEA
STATE: CA
ZIP: 92007
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Section 32 GP 1, LLC
CENTRAL INDEX KEY: 0001691437
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38295
FILM NUMBER: 171214895
BUSINESS ADDRESS:
STREET 1: 2033 SAN ELIJO AVE., #565
CITY: CARDIFF-BY-THE-SEA
STATE: CA
ZIP: 92007
BUSINESS PHONE: 858-633-3232
MAIL ADDRESS:
STREET 1: 2033 SAN ELIJO AVE., #565
CITY: CARDIFF-BY-THE-SEA
STATE: CA
ZIP: 92007
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Arsanis, Inc.
CENTRAL INDEX KEY: 0001501697
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 273181608
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 890 WINTER STREET, SUITE 230
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 781-819-5704
MAIL ADDRESS:
STREET 1: 890 WINTER STREET, SUITE 230
CITY: WALTHAM
STATE: MA
ZIP: 02451
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-11-20
1
0001501697
Arsanis, Inc.
ASNS
0001691436
Section 32 Fund 1, LP
2071 SAN ELIJO AVENUE
CARDIFF-BY-THE-SEA
CA
92007
0
0
1
0
0001691437
Section 32 GP 1, LLC
2071 SAN ELIJO AVENUE
CARDIFF-BY-THE-SEA
CA
92007
0
0
1
0
0001722210
Maris William J
2071 SAN ELIJO AVENUE
CARDIFF-BY-THE-SEA
CA
92007
0
0
1
0
Common Stock
2017-11-20
4
C
0
451362
A
451362
D
Series D Convertible Preferred Stock
2017-11-20
4
C
0
1540500
0.00
D
Common Stock
451362
0
D
The Series D Convertible Preferred Stock converted into Common Stock on a 0.29300-for-one basis upon the closing of the Issuer's initial public offering without payment of consideration. The Series D Convertible Preferred Stock was convertible at any time at the holder's election and automatically upon the closing at the Issuer's initial public offering. The shares had no expiration date.
The reported securities are held of record by Section 32 Fund 1, LP ("Fund 1"). Section 32 GP 1, LLC (the "GP"), the general partner of Fund 1, and William J. Maris, the managing member of the GP, may be deemed to share voting and dispositive power over the shares held by Fund 1. Such persons and entities disclaim beneficial ownership of shares held by Fund 1 except to the extent of any pecuniary interest therein.
/s/ Mike Gray, attorney-in-fact on behalf of Section 32 Fund 1, LP
2015-11-20
/s/ Mike Gray, attorney-in-fact on behalf of Section 32 GP 1, LLC
2015-11-20
/s/ Mike Gray, attorney-in-fact on behalf of William J. Maris
2015-11-20