0000950142-19-001098.txt : 20190515 0000950142-19-001098.hdr.sgml : 20190515 20190515144928 ACCESSION NUMBER: 0000950142-19-001098 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190513 FILED AS OF DATE: 20190515 DATE AS OF CHANGE: 20190515 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FONDS DE SOLIDARITE DES TRAVAILLEURS DU QUEBEC CENTRAL INDEX KEY: 0000903337 STATE OF INCORPORATION: XX FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38899 FILM NUMBER: 19827274 BUSINESS ADDRESS: STREET 1: 545 CREMAZIE BLVD. EAST, SUITE 200 CITY: MONTREAL STATE: A8 ZIP: H2M 2W4 BUSINESS PHONE: 514-383-8383 MAIL ADDRESS: STREET 1: 545 CREMAZIE BLVD. EAST, SUITE 200 CITY: MONTREAL STATE: A8 ZIP: H2M 2W4 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Milestone Pharmaceuticals Inc. CENTRAL INDEX KEY: 0001408443 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: A8 BUSINESS ADDRESS: STREET 1: 1111 DR. FREDERIK-PHILIPS BLVD STREET 2: SUITE 420 CITY: MONTREAL STATE: A8 ZIP: H4M 2X6 BUSINESS PHONE: (514) 336-0444 MAIL ADDRESS: STREET 1: 1111 DR. FREDERIK-PHILIPS BLVD STREET 2: SUITE 420 CITY: MONTREAL STATE: A8 ZIP: H4M 2X6 4 1 es1900658_4-fonds.xml OWNERSHIP DOCUMENT X0306 4 2019-05-13 0 0001408443 Milestone Pharmaceuticals Inc. MIST 0000903337 FONDS DE SOLIDARITE DES TRAVAILLEURS DU QUEBEC 545 CREMAZIE EAST #200 MONTREAL QUEBEC MONTREAL A8 H2M 2W4 QUEBEC, CANADA 0 0 1 0 Common Shares 2019-05-13 4 C 0 139849 A 170416 D Common Shares 2019-05-13 4 C 0 798974 A 969390 D Common Shares 2019-05-13 4 C 0 574292 A 1543682 D Common Shares 2019-05-13 4 C 0 437203 A 1980885 D Common Shares 2019-05-13 4 C 0 306092 A 2286977 D Common Shares 2019-05-13 4 P 0 433333 15 A 2720310 D Series A-1 Preferred 2019-05-13 4 C 0 139849 D Common Shares 139849 0 D Series A-2 Preferred 2019-05-13 4 C 0 798974 D Common Shares 798974 0 D Series B Preferred 2019-05-13 4 C 0 574292 D Common Shares 574292 0 D Series C Preferred 2019-05-13 4 C 0 437203 D Common Shares 437203 0 D Series D-1 Preferred 2019-05-13 4 C 0 306092 D Common Shares 306092 0 D Each share of Class A-1 Preferred, Class A-2 Preferred, Class B Preferred, Class C Preferred and Class D-1 Preferred is convertible at any time, at the option of the holder, into Common Shares, on a one-for-one basis, has no expiration date and has converted into Common Shares upon the closing of the Issuer's initial public offering. /s/ Liette Leduc, Senior Director - Legal Affairs of Fonds de Solidarite des Travailleurs du Quebec 2019-05-15