0000899243-20-016196.txt : 20200611
0000899243-20-016196.hdr.sgml : 20200611
20200611185111
ACCESSION NUMBER: 0000899243-20-016196
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200609
FILED AS OF DATE: 20200611
DATE AS OF CHANGE: 20200611
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Founders Fund VI Principals Fund, LP
CENTRAL INDEX KEY: 0001669877
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39306
FILM NUMBER: 20958358
BUSINESS ADDRESS:
STREET 1: ONE LETTERMAN DRIVE
STREET 2: BUILDING D, SUITE 500
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94129
BUSINESS PHONE: (415) 230-5800
MAIL ADDRESS:
STREET 1: ONE LETTERMAN DRIVE
STREET 2: BUILDING D, SUITE 500
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94129
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Founders Fund VI Entrepreneurs Fund, LP
CENTRAL INDEX KEY: 0001669879
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39306
FILM NUMBER: 20958359
BUSINESS ADDRESS:
STREET 1: ONE LETTERMAN DRIVE
STREET 2: BUILDING D, SUITE 500
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94129
BUSINESS PHONE: (415) 230-5800
MAIL ADDRESS:
STREET 1: ONE LETTERMAN DRIVE
STREET 2: BUILDING D, SUITE 500
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94129
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Founders Fund VI, LP
CENTRAL INDEX KEY: 0001669874
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39306
FILM NUMBER: 20958360
BUSINESS ADDRESS:
STREET 1: ONE LETTERMAN DRIVE
STREET 2: BUILDING D, SUITE 500
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94129
BUSINESS PHONE: (415) 230-5800
MAIL ADDRESS:
STREET 1: ONE LETTERMAN DRIVE
STREET 2: BUILDING D, SUITE 500
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94129
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Founders Fund V Principals Fund, LP
CENTRAL INDEX KEY: 0001601424
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39306
FILM NUMBER: 20958361
BUSINESS ADDRESS:
STREET 1: ONE LETTERMAN DRIVE BUILDING D SUITE 500
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94129
BUSINESS PHONE: 415-230-5800
MAIL ADDRESS:
STREET 1: ONE LETTERMAN DRIVE BUILDING D SUITE 500
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94129
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Founders Fund V Entrepreneurs Fund, LP
CENTRAL INDEX KEY: 0001813981
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39306
FILM NUMBER: 20958362
BUSINESS ADDRESS:
STREET 1: ONE LETTERMAN DRIVE
STREET 2: BUILDING D, SUITE 500
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94129
BUSINESS PHONE: (415) 230-5800
MAIL ADDRESS:
STREET 1: ONE LETTERMAN DRIVE
STREET 2: BUILDING D, SUITE 500
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94129
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Founders Fund V, LP
CENTRAL INDEX KEY: 0001601419
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39306
FILM NUMBER: 20958363
BUSINESS ADDRESS:
STREET 1: ONE LETTERMAN DRIVE BUILDING D SUITE 500
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94129
BUSINESS PHONE: 415-230-5800
MAIL ADDRESS:
STREET 1: ONE LETTERMAN DRIVE BUILDING D SUITE 500
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94129
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Applied Molecular Transport Inc.
CENTRAL INDEX KEY: 0001801777
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 814481426
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1 TOWER PLACE, SUITE 850
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
BUSINESS PHONE: 650-392-0420
MAIL ADDRESS:
STREET 1: 1 TOWER PLACE, SUITE 850
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
FORMER COMPANY:
FORMER CONFORMED NAME: Applied Molecular Transport LLC
DATE OF NAME CHANGE: 20200130
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-06-09
0
0001801777
Applied Molecular Transport Inc.
AMTI
0001601419
Founders Fund V, LP
C/O FOUNDERS FUND
ONE LETTERMAN DRIVE, BLDG. D, SUITE 500
SAN FRANCISCO
CA
94129
0
0
1
0
0001813981
Founders Fund V Entrepreneurs Fund, LP
C/O FOUNDERS FUND
ONE LETTERMAN DRIVE, BLDG. D, SUITE 500
SAN FRANCISCO
CA
94129
0
0
1
0
0001601424
Founders Fund V Principals Fund, LP
C/O FOUNDERS FUND
ONE LETTERMAN DRIVE, BLDG. D, SUITE 500
SAN FRANCISCO
CA
94129
0
0
1
0
0001669874
Founders Fund VI, LP
C/O FOUNDERS FUND
ONE LETTERMAN DRIVE, BLDG. D, SUITE 500
SAN FRANCISCO
CA
94129
0
0
1
0
0001669879
Founders Fund VI Entrepreneurs Fund, LP
C/O FOUNDERS FUND
ONE LETTERMAN DRIVE, BLDG. D, SUITE 500
SAN FRANCISCO
CA
94129
0
0
1
0
0001669877
Founders Fund VI Principals Fund, LP
C/O FOUNDERS FUND
ONE LETTERMAN DRIVE, BLDG. D, SUITE 500
SAN FRANCISCO
CA
94129
0
0
1
0
Common Stock
2020-06-09
4
C
0
656194
A
656194
I
See footnotes
Common Stock
2020-06-09
4
C
0
162255
A
162255
I
See footnotes
Common Stock
2020-06-09
4
C
0
2814640
A
2814640
I
See footnotes
Common Stock
2020-06-09
4
C
0
39836
A
39836
I
See footnotes
Common Stock
2020-06-09
4
C
0
8158
A
8158
I
See footnotes
Common Stock
2020-06-09
4
C
0
757139
A
757139
I
See footnotes
Series A Preferred Stock
2020-06-09
4
C
0
3619429
0.00
D
Common Stock
3619429
0
I
See footnotes
Series B Preferred Stock
2020-06-09
4
C
0
257400
0.00
D
Common Stock
257400
0
I
See footnotes
Series C Preferred Stock
2020-06-09
4
C
0
574052
0.00
D
Common Stock
574052
0
I
See footnotes
Each outstanding share of Series A Preferred Stock, Series B Preferred Stock and Series C Preferred Stock converted into one share of Issuer's Common Stock immediately prior to the completion of the issuer's initial public offering, and the shares of Series A Preferred Stock, Series B Preferred Stock and Series C Preferred had no expiration date.
These shares are held directly by The Founders Fund VI, LP.
These shares are held directly by The Founders Fund VI Principals Fund, LP.
These shares are held directly by The Founders Fund V, LP.
These shares are held directly by The Founders Fund V Entrepreneurs Fund, LP.
These shares are held directly by The Founders Fund VI Entrepreneurs Fund, LP.
These shares are held directly by The Founders Fund V Principals Fund, LP.
2,814,640 of these shares are owned directly by The Founders Fund V, LP, 757,139 of these shares are held by The Founders Fund V Principals Fund, LP., and 39,836 of these shares are owned directly by The Founders Fund V Entrepreneurs Fund, LP.
202,311 of these shares are owned directly by The Founders Fund VI, LP, 50,025 of these shares are owned directly by The Founders Fund VI Principals Fund, LP and 2,515 of these shares are owned directly by The Founders Fund VI Entrepreneurs Fund, LP.
453,883 of these shares are owned directly by The Founders Fund VI LP, 112,230 of these shares are owned directly by The Founders Fund VI Principals Fund, LP, and 5,643 of these shares are owned directly by The Founders Fund VI Entrepreneurs Fund, LP.
The Founders Fund V Management LLC is the general partner of each of The Founders Fund V, LP, The Founders Fund V Entrepreneurs Fund, LP and The Founders Fund V Principals Fund, LP (the FFV Funds) and exercises investment and voting control over the shares held by the FFV Funds through a management committee comprised of Peter Thiel and Brian Singerman.
The Founders Fund VI Management LLC is the general partner of each of The Founders Fund VI, LP, The Founders Fund VI Entrepreneurs Fund, LP and The Founders Fund VI Principals Fund, LP (the FFVI Funds) and exercises investment and voting control over the shares held by the FFVI Funds through a management committee comprised of Peter Thiel and Brian Singerman. Each of Messrs. Thiel and Singerman disclaim beneficial ownership of the shares held by the FFV Funds and the FFVI Funds, except to the extent of their pecuniary interest therein, if any.
/s/ Brian Singerman, Partner of Founders Fund Management V, LLC, General Partner of The Founders Fund V, LP
2020-06-11
/s/ Brian Singerman, Partner of Founders Fund Management V, LLC, General Partner of The Founders Fund V Entrepreneurs Fund, LP
2020-06-11
/s/ Brian Singerman, Partner of Founders Fund Management V, LLC, General Partner of The Founders Fund V Principals Fund, LP
2020-06-11
/s/ Brian Singerman, Partner of Founders Fund Management VI, LLC, General Partner of The Founders Fund VI, LP
2020-06-11
/s/ Brian Singerman, Partner of Founders Fund Management VI, LLC, General Partner of The Founders Fund VI Entrepreneurs Fund, LP
2020-06-11
/s/ Brian Singerman, Partner of Founders Fund Management VI, LLC, General Partner of The Founders Fund VI Principals Fund, LP
2020-06-11