0001209191-20-018974.txt : 20200313
0001209191-20-018974.hdr.sgml : 20200313
20200313172032
ACCESSION NUMBER: 0001209191-20-018974
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200303
FILED AS OF DATE: 20200313
DATE AS OF CHANGE: 20200313
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ratcliffe Liam
CENTRAL INDEX KEY: 0001547100
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39231
FILM NUMBER: 20713974
MAIL ADDRESS:
STREET 1: C/O NEW LEAF VENTURE PARTNERS
STREET 2: 7 TIMES SQUARE - SUITE 3502
CITY: NEW YORK
STATE: NY
ZIP: 10036
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Passage BIO, Inc.
CENTRAL INDEX KEY: 0001787297
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 822729751
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: TWO COMMERCE SQUARE
STREET 2: 2001 MARKET STREET, 28TH FLOOR
CITY: PHILADELPHIA
STATE: PA
ZIP: 19103
BUSINESS PHONE: 2678660312
MAIL ADDRESS:
STREET 1: TWO COMMERCE SQUARE
STREET 2: 2001 MARKET STREET, 28TH FLOOR
CITY: PHILADELPHIA
STATE: PA
ZIP: 19103
4/A
1
doc4a.xml
FORM 4/A SUBMISSION
X0306
4/A
2020-03-03
2020-03-03
0
0001787297
Passage BIO, Inc.
PASG
0001547100
Ratcliffe Liam
TWO COMMERCE SQUARE
200 MARKET STREET, 28TH FLOOR
PHILADELPHIA
PA
19103
1
0
0
0
Common Stock
2020-03-03
4
C
0
2066630
A
2066630
I
By AI Passage LLC
Common Stock
2020-03-03
4
P
0
550000
18.00
A
2616630
I
By AI Passage LLC
Common Stock
2020-03-03
4
P
0
2800
18.00
A
2800
D
Series B Preferred Stock
2020-03-03
4
C
0
2066630
0.00
D
Common Stock
2066630
0
I
By AI Passage LLC
Each share of the issuer's Series B Preferred Stock automatically converted into one (1) share of the issuer's Common Stock immediately upon the closing of the issuer's initial public offering on March 3, 2020.
The reported shares are held indirectly by a limited liability company of which the Reporting Person is the holder of units that are treated as profits interest units. The units owned by the Reporting Person do not convey a right to vote or dispose of the shares of the issuer's Common Stock. The Reporting Person disclaims beneficial ownership of all shares held by AI Passage LLC and this report shall not be deemed an admission of beneficial ownership of such shares for the purposes of Section 16 or for any other purpose except to the extent of his pecuniary interest therein. The reported shares were erroneously excluded from the Reporting Person's original Form 4 due to an administrative error.
/s/ Richard Morris as attorney-in-fact for Liam Ratcliffe
2020-03-13