0001209191-16-100628.txt : 20160219 0001209191-16-100628.hdr.sgml : 20160219 20160219170308 ACCESSION NUMBER: 0001209191-16-100628 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160217 FILED AS OF DATE: 20160219 DATE AS OF CHANGE: 20160219 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AveXis, Inc. CENTRAL INDEX KEY: 0001652923 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 901038273 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2275 HALF DAY ROAD STREET 2: SUITE 160 CITY: BANNOCKBURN STATE: IL ZIP: 60015 BUSINESS PHONE: 972-725-7797 MAIL ADDRESS: STREET 1: 2275 HALF DAY ROAD STREET 2: SUITE 160 CITY: BANNOCKBURN STATE: IL ZIP: 60015 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Koh Bong Y CENTRAL INDEX KEY: 0001615979 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37693 FILM NUMBER: 161442633 MAIL ADDRESS: STREET 1: 3340 HILLVIEW AVENUE CITY: PALO ALTO STATE: CA ZIP: 94304 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-02-17 0 0001652923 AveXis, Inc. AVXS 0001615979 Koh Bong Y C/O AVEXIS, INC. 2275 HALF DAY ROAD, SUITE 160 BANNOCKBURN IL 60015 1 0 0 0 Common Stock 2016-02-17 4 C 0 418158 0.00 A 935657 I See Footnote Common Stock 2016-02-17 4 P 0 100000 20.00 A 1035657 I See Footnote Class B-1 Common Stock 2016-02-17 4 C 0 103499 0.00 D Common Stock 103499 0 I See Footnote Class D Common Stock 2016-02-17 4 C 0 314659 0.00 D Common Stock 314569 0 I See Footnote The Reporting Person, a member of the Board of Directors of the Issuer, is a member of VHCP Management II, LLC, the sole general partner of Venrock Healthcare Capital Partners II, L.P. ("VHCPII") and the sole manager of VHCP Co-Investment Holdings II, LLC ("Co-Invest II") and, as such, may be deemed to beneficially own the securities owned by each of VHCPII and Co-Invest II. The Reporting Person disclaims beneficial ownership of the shares beneficially owned by VHCPII and Co-Invest II, except to the extent of his pecuniary interest therein. Consists of (i) 665,721 shares held by VHCPII, and (ii) 269,936 shares held by Co-Invest II. 71,150 of these shares were purchased by VHCPII and 28,850 of these shares were purchased by Co-Invest II. Consists of (i) 736,871 shares held by VHCPII, and (ii) 298,786 shares held by Co-Invest II. Each share of the Class B-1 Common Stock and the Class D Common Stock automatically converted into the same number of shares of Common Stock upon the closing of the Issuer's initial public offering. The Class B-1 Common Stock and the Class D Common Stock had no expiration date. Consists of (i) 73,640 shares of Class B-1 Common Stock which were held by VHCPII, and (ii) 29,859 shares of Class B-1 Common Stock which were held by Co-Invest II. Consists of (i) 223,880 shares of Class D Common Stock which were held by VHCPII, and (ii) 90,779 shares of Class D Common Stock which were held by Co-Invest II. /s/ Madison Jones, Attorney-in-Fact 2016-02-19