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