0001209191-20-059088.txt : 20201118
0001209191-20-059088.hdr.sgml : 20201118
20201118162213
ACCESSION NUMBER: 0001209191-20-059088
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201117
FILED AS OF DATE: 20201118
DATE AS OF CHANGE: 20201118
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: 5:01 Acquisition LLC
CENTRAL INDEX KEY: 0001826636
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39612
FILM NUMBER: 201325369
BUSINESS ADDRESS:
STREET 1: 501 SECOND STREET, SUITE 350
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
BUSINESS PHONE: 415-993-8570
MAIL ADDRESS:
STREET 1: 501 SECOND STREET, SUITE 350
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: 5AM Ventures VI, L.P.
CENTRAL INDEX KEY: 0001753037
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39612
FILM NUMBER: 201325370
BUSINESS ADDRESS:
STREET 1: 501 SECOND STREET, SUITE 350
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
BUSINESS PHONE: 415-993-8570
MAIL ADDRESS:
STREET 1: 501 SECOND STREET, SUITE 350
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: 5AM Partners VI, LLC
CENTRAL INDEX KEY: 0001829051
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39612
FILM NUMBER: 201325371
BUSINESS ADDRESS:
STREET 1: 501 SECOND STREET, SUITE 350
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
BUSINESS PHONE: 650 843 5000
MAIL ADDRESS:
STREET 1: 501 SECOND STREET, SUITE 350
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: 5:01 Acquisition Corp.
CENTRAL INDEX KEY: 0001823465
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 852790755
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 501 SECOND STREET, SUITE 350
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
BUSINESS PHONE: 415-993-8570
MAIL ADDRESS:
STREET 1: 501 SECOND STREET, SUITE 350
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-11-17
0
0001823465
5:01 Acquisition Corp.
FVAM
0001826636
5:01 Acquisition LLC
501 SECOND STREET, SUITE 350
SAN FRANCISCO
CA
94107
0
0
1
0
0001753037
5AM Ventures VI, L.P.
501 SECOND STREET, SUITE 350
SAN FRANCISCO
CA
94107
0
0
1
0
0001829051
5AM Partners VI, LLC
501 SECOND STREET, SUITE 350
SAN FRANCISCO
CA
94107
0
0
1
0
Class B Common Stock
2020-11-17
4
J
0
30000
0.00
D
Class A Common Stock
30000
2180000
D
The shares of Class B common stock are convertible into shares of the issuer's Class A common stock on a one-for-one basis, subject to adjustment pursuant to certain anti-dilution rights, and have no expiration date.
In connection with the issuer's appointment of Samantha L. Singer to the issuer's Board of Directors, the Reporting Person transferred 30,000 shares of Class B common stock to Samantha L. Singer.
The shares of Class B common stock owned by the Reporting Person includes up to 235,932 shares that are subject to forfeiture in the event the underwriters of the initial public offering of the issuer's securities do not exercise in full their over-allotment option as described in the issuer's registration statement.
5AM Partners VI, LLC is the general partner of 5AM Ventures VI, L.P., the sole member of the Reporting Person, and may be deemed to have sole investment and voting power over the shares held by the Reporting Person.
/s/ Nathan Jeffries, Attorney-in-Fact
2020-11-18
/s/ Nathan Jeffries, Attorney-in-Fact
2020-11-18
/s/ Nathan Jeffries, Attorney-in-Fact
2020-11-18