0001209191-20-003777.txt : 20200116 0001209191-20-003777.hdr.sgml : 20200116 20200116212131 ACCESSION NUMBER: 0001209191-20-003777 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200115 FILED AS OF DATE: 20200116 DATE AS OF CHANGE: 20200116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Majeti Ravindra CENTRAL INDEX KEY: 0001743839 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38554 FILM NUMBER: 20532155 MAIL ADDRESS: STREET 1: C/O FORTY SEVEN, INC. STREET 2: 1490 O'BRIEN DRIVE, SUITE A CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Forty Seven, Inc. CENTRAL INDEX KEY: 0001667633 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 474065674 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1490 O'BRIEN DRIVE, SUITE A CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: (650) 352-4150 MAIL ADDRESS: STREET 1: 1490 O'BRIEN DRIVE, SUITE A CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-01-15 0 0001667633 Forty Seven, Inc. FTSV 0001743839 Majeti Ravindra C/O FORTY SEVEN, INC. 1490 O'BRIEN DRIVE, SUITE A MENLO PARK CA 94025 1 0 0 0 Common Stock 2020-01-15 4 S 0 23989 36.3296 D 1087411 D Common Stock 2020-01-15 4 S 0 1011 36.7824 D 1086400 D Common Stock 100000 I By GRAT (RM) Common Stock 100000 I By GRAT (JZM) The sale reported in this Form 4 was effected pursuant to a 10b5-1 trading plan. The price reported in Column 4 is a weighted-average price. The shares were sold in multiple transactions ranging from $35.69 to $36.66, inclusive. The Reporting Person undertakes to provide the Issuer, any securityholder of the Issuer, or the Staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate within the ranges set forth in these footnotes. The price reported in Column 4 is a weighted-average price. The shares were sold in multiple transactions ranging from $36.73 to $36.84, inclusive. Shares held by Ravindra Majeti, Trustee of the Ravindra Majeti Annuity Trust dated September 20, 2019. Shares held by Ravindra Majeti, Trustee of the Jiangwen Zhu Majeti Annuity Trust dated September 20, 2019. /s/ John T. McKenna, Attorney-in-Fact for Ravindra Majeti 2020-01-16