0001209191-23-000211.txt : 20230103
0001209191-23-000211.hdr.sgml : 20230103
20230103162643
ACCESSION NUMBER: 0001209191-23-000211
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20230101
FILED AS OF DATE: 20230103
DATE AS OF CHANGE: 20230103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Clancy Annette
CENTRAL INDEX KEY: 0001959700
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37993
FILM NUMBER: 23502465
MAIL ADDRESS:
STREET 1: C/O OBSEVA SA
STREET 2: CHEMIN DES AULX, 12, 1228 PLAN-LES-OUATE
CITY: GENEVA
STATE: V8
ZIP: 1228
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ObsEva SA
CENTRAL INDEX KEY: 0001685316
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: V8
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: CHEMIN DES AULX, 12
CITY: PLAN-LES-OUATES
STATE: V8
ZIP: 1228
BUSINESS PHONE: 0041-0-22-552-1558
MAIL ADDRESS:
STREET 1: CHEMIN DES AULX, 12
CITY: PLAN-LES-OUATES
STATE: V8
ZIP: 1228
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2023-01-01
0
0001685316
ObsEva SA
OBSV
0001959700
Clancy Annette
C/O OBSEVA SA
C/O CHEMIN DES AULX, 12, PLAN-LES-OUATES
GENEVA
V8
1228
SWITZERLAND
1
0
0
0
Common Stock
97500
D
Stock Option (right to buy)
15.00
2027-01-24
Common Stock
9000
D
Stock Option (right to buy)
9.49
2027-12-06
Common Stock
23070
D
Stock Option (right to buy)
13.45
2028-11-26
Common Stock
24570
D
Stock Option (right to buy)
3.84
2030-01-27
Common Stock
24570
D
Stock Option (right to buy)
3.76
2031-02-03
Common Stock
24570
D
Stock Option (right to buy)
1.43
2032-02-01
Common Stock
32000
D
Fully vested and exercisable.
The shares underlying the option vested or will vest in 12 equal monthly installments from February 2, 2022, such that the option is fully vested on the one-year anniversary thereof, subject to the Reporting Person continuing to provide service through each such date.
Exhibit List - Exhibit 24 - Power of Attorney
/s/ Jason Minio, Attorney-in-Fact
2023-01-03
EX-24
2
poa.txt
POA DOCUMENT
Exhibit 24
POWER OF ATTORNEY
(For Executing Form ID and Forms 3, 4 and 5)
Know all by these presents, that the undersigned hereby constitutes and
appoints each of Brian O'Callaghan and William M. Brown of ObsEva SA (the
"Company") and Ryan Sansom, Su Lian Lu, Jonathan Robertson, Pengli Li, Ibe
Alozie, Trevor Bossi and Jason Minio of Cooley LLP, signing individually, the
undersigned's true and lawful attorneys-in-fact and agents to:
(1) Prepare, execute in the undersigned's name and on the undersigned's behalf,
and submit to the Securities and Exchange Commission (the "SEC"), a Form ID and
Forms 3, 4 and 5 (including amendments thereto and joint filing agreements in
connection therewith) in accordance with Section 16 of the Securities Exchange
Act of 1934, as amended (the "Exchange Act"), and the rules thereunder, in the
undersigned's capacity as an officer, director or beneficial owner of more than
10% of a registered class of securities of the Company;
(2) Do and perform any and all acts for and on behalf of the undersigned that
may be necessary or desirable to prepare and execute any such Form ID and Forms
3, 4 or 5 (including amendments thereto and joint filing agreements in
connection therewith) and file such forms with the SEC and any stock exchange,
self-regulatory association or any similar authority; and
(3) Take any other action of any type whatsoever in connection with the
foregoing that, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required of the undersigned, it being
understood that the documents executed by the attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as the attorney-in-fact may approve in the
attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney in fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney in fact, or such attorney
in fact's substitute or substitutes, shall lawfully do or cause to be done by
virtue of this power of attorney and the rights and powers herein granted. The
undersigned acknowledges that the foregoing attorneys-in-fact, and their
substitutes, in serving in such capacity at the request of the undersigned, are
not assuming (nor is the Company assuming) any of the undersigned's
responsibilities to comply with Section 16 of the Exchange Act.
This Power of Attorney shall remain in full force and effect until the earliest
to occur of (a) the undersigned is no longer required to file Forms 3, 4 and 5
with respect to the undersigned's holdings of and transactions in securities
issued by the Company, (b) revocation by the undersigned in a signed writing
delivered to the Company and the foregoing attorneys-in fact or (c) as to any
attorney-in-fact individually, until such attorney-in-fact is no longer employed
by the Company or employed by or a partner at Cooley LLP or another law firm
representing the Company, as applicable.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of the date written below.
Date: 09-Dec-2022
/s/ Annette Clancy
Annette Clancy