0000899243-20-015994.txt : 20200610 0000899243-20-015994.hdr.sgml : 20200610 20200610185037 ACCESSION NUMBER: 0000899243-20-015994 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200610 FILED AS OF DATE: 20200610 DATE AS OF CHANGE: 20200610 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Green Park & Golf Ventures II, LLC CENTRAL INDEX KEY: 0001782733 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39318 FILM NUMBER: 20955769 BUSINESS ADDRESS: STREET 1: 5910 N. CENTRAL EXPY STREET 2: SUITE1400 CITY: DALLAS STATE: TX ZIP: 75206 BUSINESS PHONE: 2149165750 MAIL ADDRESS: STREET 1: 5910 N. CENTRAL EXPY STREET 2: SUITE1400 CITY: DALLAS STATE: TX ZIP: 75206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GPG LPI Investment, LLC CENTRAL INDEX KEY: 0001814288 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39318 FILM NUMBER: 20955770 BUSINESS ADDRESS: STREET 1: 5910 N. CENTRAL EXPRESSWAY, SUITE 200 CITY: DALLAS STATE: TX ZIP: 75206 BUSINESS PHONE: 214-916-5750 MAIL ADDRESS: STREET 1: 5910 N. CENTRAL EXPRESSWAY, SUITE 200 CITY: DALLAS STATE: TX ZIP: 75206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lantern 3-19 Investment, LLC CENTRAL INDEX KEY: 0001814295 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39318 FILM NUMBER: 20955771 BUSINESS ADDRESS: STREET 1: 5910 N. CENTRAL EXPRESSWAY, SUITE 200 CITY: DALLAS STATE: TX ZIP: 75206 BUSINESS PHONE: 214-916-5750 MAIL ADDRESS: STREET 1: 5910 N. CENTRAL EXPRESSWAY, SUITE 200 CITY: DALLAS STATE: TX ZIP: 75206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Health Wildcatters Fund II, LLC CENTRAL INDEX KEY: 0001814292 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39318 FILM NUMBER: 20955772 BUSINESS ADDRESS: STREET 1: 5910 N. CENTRAL EXPRESSWAY, SUITE 200 CITY: DALLAS STATE: TX ZIP: 75206 BUSINESS PHONE: 214-916-5750 MAIL ADDRESS: STREET 1: 5910 N. CENTRAL EXPRESSWAY, SUITE 200 CITY: DALLAS STATE: TX ZIP: 75206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Health Wildcatters, LLC CENTRAL INDEX KEY: 0001814291 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39318 FILM NUMBER: 20955773 BUSINESS ADDRESS: STREET 1: 5910 N. CENTRAL EXPRESSWAY, SUITE 200 CITY: DALLAS STATE: TX ZIP: 75206 BUSINESS PHONE: 214-916-58750 MAIL ADDRESS: STREET 1: 5910 N. CENTRAL EXPRESSWAY, SUITE 200 CITY: DALLAS STATE: TX ZIP: 75206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Green Park & Golf Ventures, LLC CENTRAL INDEX KEY: 0001598984 STATE OF INCORPORATION: TX FISCAL YEAR END: 1214 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39318 FILM NUMBER: 20955774 BUSINESS ADDRESS: STREET 1: 5910 N. CENTRAL EXPRESSWAY, SUITE 200 CITY: DALLAS STATE: TX ZIP: 75206 BUSINESS PHONE: 214-916-5750 MAIL ADDRESS: STREET 1: 5910 N. CENTRAL EXPRESSWAY, SUITE 200 CITY: DALLAS STATE: TX ZIP: 75206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Garcia Gilbert G. II CENTRAL INDEX KEY: 0001814289 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39318 FILM NUMBER: 20955775 MAIL ADDRESS: STREET 1: 5910 N. CENTRAL EXPRESSWAY, SUITE 200 CITY: DALLAS STATE: TX ZIP: 75206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Heighten Clay M CENTRAL INDEX KEY: 0001599114 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39318 FILM NUMBER: 20955776 MAIL ADDRESS: STREET 1: 5910 N. CENTRAL EXPRESSWAY, SUITE 200 CITY: DALLAS STATE: TX ZIP: 75206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Soderstrom Carl D CENTRAL INDEX KEY: 0001598985 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39318 FILM NUMBER: 20955777 MAIL ADDRESS: STREET 1: 5910 N. CENTRAL EXPRESSWAY, SUITE 200 CITY: DALLAS STATE: TX ZIP: 75206 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Lantern Pharma Inc. CENTRAL INDEX KEY: 0001763950 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 463973463 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1920 MCKINNEY AVENUE STREET 2: 7TH FLOOR CITY: DALLAS STATE: TX ZIP: 75201 BUSINESS PHONE: 972-277-1136 MAIL ADDRESS: STREET 1: 1920 MCKINNEY AVENUE STREET 2: 7TH FLOOR CITY: DALLAS STATE: TX ZIP: 75201 FORMER COMPANY: FORMER CONFORMED NAME: Lantern Pharma DATE OF NAME CHANGE: 20190108 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2020-06-10 0 0001763950 Lantern Pharma Inc. LTRN 0001782733 Green Park & Golf Ventures II, LLC 5910 N. CENTRAL EXPY, SUITE 1400 DALLAS TX 75206 0 0 1 0 0001814288 GPG LPI Investment, LLC 5910 N. CENTRAL EXPY, SUITE 1400 DALLAS TX 75206 0 0 1 0 0001814295 Lantern 3-19 Investment, LLC 5910 N. CENTRAL EXPY, SUITE 1400 DALLAS TX 75206 0 0 1 0 0001814292 Health Wildcatters Fund II, LLC 5910 N. CENTRAL EXPY, SUITE 1400 DALLAS TX 75206 0 0 1 0 0001814291 Health Wildcatters, LLC 5910 N. CENTRAL EXPY, SUITE 1400 DALLAS TX 75206 0 0 1 0 0001598984 Green Park & Golf Ventures, LLC 5910 N. CENTRAL EXPY, SUITE 1400 DALLAS TX 75206 0 0 1 0 0001814289 Garcia Gilbert G. II 5910 N. CENTRAL EXPY, SUITE 1400 DALLAS TX 75206 0 0 1 0 0001599114 Heighten Clay M 5910 N. CENTRAL EXPY, SUITE 1400 DALLAS TX 75206 0 0 1 0 0001598985 Soderstrom Carl D 5910 N. CENTRAL EXPY, SUITE 1400 DALLAS TX 75206 0 0 1 0 Common Stock, par value $0.0001 169756 I See Footnote Series A Preferred Stock, par value $0.01 Common Stock 41535 I See Footnote Series A Preferred Stock, par value $0.01 Common Stock 292605 I See Footnote Series A Preferred Stock, par value $0.01 Common Stock 131697 I See Footnote Series A Preferred Stock Warrant (right to buy) 5.45 Common Stock 23733 I See Footnote Series A Preferred Stock Warrant (right to buy) 5.45 Common Stock 15804 I See Footnote These securities are directly held by Health Wildcatters Fund II, LLC ("HWF II"). Carl D. Soderstrom and Clay M. Heighten, M.D. are the managing members of Green Park & Golf Ventures, LLC ("GPG"), which is the managing member of Health Wildcatters, LLC ("HW"), which is the managing member of HWF II. Therefore, Carl D. Soderstrom, Clay M. Heighten, M.D., GPG, and HW may be deemed to beneficially own these securities. The Reporting Person acquired these shares of the Issuer's Common Stock, par value $0.0001 (the "Common Stock"), in connection with a series of private transactions conducted prior to the Issuer's initial public offering which commenced on June 10, 2020 (the "Initial Public Offering"). The number of shares of Common Stock set forth in Table I gives effect to the Stock Split (as defined below), which resulted in HWF II's beneficial ownership of Common Stock increasing from 97,561 shares to 169,756 shares. The number of underlying shares of Common Stock reported in Column 3 of Table II reflects and gives effect to a 1.74-for-1 stock split (the "Stock Split"), to be made effective immediately prior to the closing of the Initial Public Offering. The Issuer's Series A Preferred Stock, par value $0.01 (the "Series A Preferred Stock"), is convertible at any time, at the holder's election, on a one-for-one basis (subject to adjustments for anti-dilution) for Common Stock, and has no expiration date. In addition, the Series A Preferred Stock will automatically convert into Common Stock upon the closing of an initial public offering meeting certain specified conditions, and it will also convert into Common Stock in the event holders of at least 75% of the Series A Preferred Stock approve a mandatory conversion. These securities are directly held by GPG LPI Investment, LLC ("GPG LPI"). Carl D. Soderstrom and Clay M. Heighten, M.D. are the managing members of GPG, which is the managing member GPG LPI. Therefore, Carl D. Soderstrom, Clay M. Heighten, M.D., and GPG may be deemed to beneficially own these securities. These securities are directly held by Lantern 3-19 Investment, LLC ("Lantern 3-19"). Carl D. Soderstrom, Clay M. Heighten, M.D., and Gilbert G. Garcia II are the managing members of Green Park & Golf Ventures II, LLC ("GPG II"), which is the managing member Lantern 3-19. Therefore, Carl D. Soderstrom, Clay M. Heighten, M.D., Gilbert G. Garcia II, and GPG II may be deemed to beneficially own these securities. The Series A Preferred Stock Warrant is exercisable at any time, at the holder's election, up to and until the Expiration Date (as defined below). Each Series A Preferred Stock Warrant will expire and no longer be exercisable upon the earliest to occur of (a) 5:00 PM (pacific time) on the fifth anniversary of the date of issuance of such Series A Preferred Stock Warrant and (b) the consummation of a Change of Control (as such term is set forth in the Form of Preferred Stock Warrant filed with the SEC on April 16, 2020, as subsequently amended by that certain Form of Amendment to Preferred Stock Warrant filed with the SEC on May 19, 2020) (collectively, the "Expiration Date"). (9) Signed by Gilbert G. Garcia II in his capacity as Principal of Green Park & Golf Ventures, LLC, the managing member of GPG LPI Investment, LLC. (10) Signed by Gilbert G. Garcia II in his capacity as Manager of Green Park & Golf Ventures II, LLC, the managing member of Lantern 3-19 Investment, LLC. (11) Signed by Gilbert G. Garcia II in his capacity as Principal of Green Park & Golf Ventures, LLC, the managing member of Health Wildcatters, LLC, the managing member of Health Wildcatters Fund II, LLC. (12) Signed by Gilbert G. Garcia II in his capacity as Principal of Green Park & Golf Ventures, LLC, the managing member of Health Wildcatters, LLC. (13) Signed by Gilbert G. Garcia II in his capacity as Manager of Green Park & Golf Ventures II, LLC. (14) Signed by Gilbert G. Garcia II in his capacity as Principal of Green Park & Golf Ventures, LLC. /s/ Gilbert G. Garcia II (8) 2020-06-10 /s/ Gilbert G. Garcia II (9) 2020-06-10 /s/ Gilbert G. Garcia II (10) 2020-06-10 /s/ Gilbert G. Garcia II (11) 2020-06-10 /s/ Gilbert G. Garcia II (12) 2020-06-10 /s/ Gilbert G. Garcia II (13) 2020-06-10 /s/ Gilbert G. Garcia II 2020-06-10 /s/ Clay M. Heighten, M.D. 2020-06-10 /s/ Carl D. Soderstrom 2020-06-10