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