0000950170-24-070044.txt : 20240606 0000950170-24-070044.hdr.sgml : 20240606 20240606182041 ACCESSION NUMBER: 0000950170-24-070044 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20240606 FILED AS OF DATE: 20240606 DATE AS OF CHANGE: 20240606 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Behbahani Ali CENTRAL INDEX KEY: 0001613867 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39200 FILM NUMBER: 241026688 MAIL ADDRESS: STREET 1: 2855 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Black Diamond Therapeutics, Inc. CENTRAL INDEX KEY: 0001701541 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] ORGANIZATION NAME: 03 Life Sciences IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE MAIN STREET, 14TH FLOOR CITY: CAMBRIDGE STATE: MA ZIP: 02142 BUSINESS PHONE: 617-417-5868 MAIL ADDRESS: STREET 1: ONE MAIN STREET, 14TH FLOOR CITY: CAMBRIDGE STATE: MA ZIP: 02142 FORMER COMPANY: FORMER CONFORMED NAME: Aset Therapeutics, Inc. DATE OF NAME CHANGE: 20170321 4 1 ownership.xml 4 X0508 4 2024-06-06 0001701541 Black Diamond Therapeutics, Inc. BDTX 0001613867 Behbahani Ali 2855 SAND HILL RD MENLO PARK CA 94025 true false false false false Stock Option (Right to Buy) 4.65 2024-06-06 4 A false 30550 0 A 2034-06-05 Common Stock 30550 30550 D The shares subject to this option shall vest and become exercisable in full upon the earlier to occur of (i) June 6, 2025 or (ii) the Issuer's next annual meeting of stockholders, subject to the Reporting Person's continued service on such vesting date. /s/ Zachary Bambach, attorney-in-fact 2024-06-06 EX-24.POA 2 bdtx-ex24_poa.htm EX-24.POA EX-24.POA

 

POWER OF ATTORNEY

 

KNOW ALL MEN BY THESE PRESENTS, that the undersigned hereby constitutes and appoints Zachary Bambach, Nicole Hatcher and Stephanie Brecher, and each of them, with full power to act without the others, his or her true and lawful attorney-in-fact, with full power of substitution, to sign any and all instruments, certificates and documents that may be necessary, desirable or appropriate to be executed on behalf of himself as an individual or in his or her capacity as a direct or indirect general partner, director, officer or manager of any partnership, corporation or limited liability company, pursuant to section 13 or 16 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and any and all regulations promulgated thereunder, including, without limitation, Forms 3, 4 and 5 and Schedules 13D and 13G (and any amendments thereto), and to file the same, with all exhibits thereto, and any other documents in connection therewith, with the Securities and Exchange Commission (the “SEC”), including, but not limited to, signing a Form ID for and on behalf of the undersigned and filing such Form ID with the SEC, and with any other entity when and if such is mandated by the Exchange Act or by the Financial Industry Regulatory Authority, granting unto said attorney-in-fact full power and authority to do and perform each and every act and thing necessary, desirable or appropriate, fully to all intents and purposes as he or she might or could do in person, thereby ratifying and confirming all that said attorney-in-fact, or his or her substitutes, may lawfully do or cause to be done by virtue hereof. This power of attorney is perpetual, unless revoked by the undersigned in a signed writing delivered to each of the foregoing attorneys-in-fact.

 

IN WITNESS WHEREOF, this Power of Attorney has been signed as of the 29th day of February, 2024.

 

/s/ Peter J. Barris

Peter J. Barris

 

/s/ Forest Baskett

Forest Baskett

 

/s/ Ali Behbahani

Ali Behbahani

 

/s/ Ronald D. Bernal

Ronald D. Bernal

 

/s/ Ann Bordetsky

Ann Bordetsky

 

/s/ Carmen Chang

Carmen Chang

 

/s/ Philip Chopin

Philip Chopin

 

/s/ Anthony A. Florence, Jr.

Anthony A. Florence, Jr.

 

/s/ Jonathan Golden

Jonathan Golden

 

/s/ Scott Gottlieb

 


 

Scott Gottlieb

 

/s/ Mark Hawkins

Mark Hawkins

 

/s/ Jeffrey R. Immelt

Jeffrey R. Immelt

 

/s/ Aaron Jacobson

Aaron Jacobson

 

/s/ Patrick J. Kerins

Patrick J. Kerins

 

/s/ Hilarie Koplow-McAdams

Hilarie Koplow-McAdams

 

/s/ Vanessa Larco

Vanessa Larco

 

/s/ Julio C. Lopez

Julio C. Lopez

 

/s/ Tiffany Le

Tiffany Le

 

/s/ Mohamad H. Makhzoumi

Mohamad H. Makhzoumi

 

/s/ Edward T. Mathers

Edward T. Mathers

 

/s/ Gregory Papadopoulos

Gregory Papadopoulos

 

/s/ Kavita Patel

Kavita Patel

 

/s/ Scott D. Sandell

Scott D. Sandell

 

/s/ A. Brooke Seawell

A. Brooke Seawell

/s/ Peter Sonsini

Peter Sonsini

 

/s/ Melissa Taunton

Melissa Taunton

 

/s/ Paul E. Walker

2


 

Paul E. Walker

 

/s/ Rick Yang

Rick Yang

 

3