0000899243-20-016898.txt : 20200617
0000899243-20-016898.hdr.sgml : 20200617
20200617173514
ACCESSION NUMBER: 0000899243-20-016898
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200615
FILED AS OF DATE: 20200617
DATE AS OF CHANGE: 20200617
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39318
FILM NUMBER: 20970657
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39318
FILM NUMBER: 20970658
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39318
FILM NUMBER: 20970659
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39318
FILM NUMBER: 20970660
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39318
FILM NUMBER: 20970661
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39318
FILM NUMBER: 20970662
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39318
FILM NUMBER: 20970663
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39318
FILM NUMBER: 20970664
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39318
FILM NUMBER: 20970665
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-06-15
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
2020-06-15
4
C
0
41535
A
211291
I
See footnote
Common Stock, par value $0.0001
2020-06-15
4
C
0
292605
A
292605
I
See footnote
Common Stock, par value $0.0001
2020-06-15
4
C
0
131697
A
131697
I
See footnote
Series A Preferred Stock, par value $0.01
2020-06-15
4
C
0
23871
D
Common Stock
41535
0
I
See footnote
Series A Preferred Stock, par value $0.01
2020-06-15
4
C
0
168164
D
Common Stock
292605
0
I
See footnote
Series A Preferred Stock, par value $0.01
2020-06-16
4
C
0
75688
D
Common Stock
131697
0
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.
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.
In connection with the Issuer's initial public offering, which commenced on June 10, 2020 and closed on June 15, 2020 (the "Initial Public Offering"), the Issuer effected a 1.74-for-1 stock split on its outstanding common stock, par value $0.0001 (the "Common Stock"), which was made effective immediately prior to the closing of the Issuer's Initial Public Offering (the "Stock Split"). The share amounts set forth in this column reflect the Stock Split.
In connection with the Initial Public Offering, 23,871 shares of the Issuer's Series A Preferred Stock, par value $0.01 ("Series A Preferred Stock"), directly held by HWF II, which had no expiration date, were automatically converted into 41,535 shares of Common Stock for no additional consideration immediately prior to the closing of the Initial Public Offering.
In connection with the Initial Public Offering, 168,164 shares of Series A Preferred Stock directly held by GPG LPI, which had no expiration date, were automatically converted into 292,605 shares of Common Stock for no additional consideration immediately prior to the closing of the Initial Public Offering.
In connection with the Initial Public Offering, approximately 75,688 shares of Series A Preferred Stock directly held by Lantern 3-19, which had no expiration date, were automatically converted into 131,697 shares of Common Stock for no additional consideration immediately prior to the closing of the Initial Public Offering.
(8) 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.
(9) 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.
(10) 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.
(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.
(12) Signed by Gilbert G. Garcia II in his capacity as Manager of Green Park & Golf Ventures II, LLC.
(13) Signed by Gilbert G. Garcia II in his capacity as Principal of Green Park & Golf Ventures, LLC.
/s/ Gilbert G. Garcia II (8)
2020-06-17
/s/ Gilbert G. Garcia II (9)
2020-06-17
/s/ Gilbert G. Garcia II (10)
2020-06-17
/s/ Gilbert G. Garcia II (11)
2020-06-17
/s/ Gilbert G. Garcia II (12)
2020-06-17
/s/ Gilbert G. Garcia II (13)
2020-06-17
/s/ Gilbert G. Garcia II
2020-06-17
/s/ Clay M. Heighten M.D.
2020-06-17
/s/ Carl D. Soderstrom
2020-06-17