0000899243-21-013532.txt : 20210325
0000899243-21-013532.hdr.sgml : 20210325
20210325193402
ACCESSION NUMBER: 0000899243-21-013532
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210324
FILED AS OF DATE: 20210325
DATE AS OF CHANGE: 20210325
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NASR KHALED
CENTRAL INDEX KEY: 0001276600
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39539
FILM NUMBER: 21774095
MAIL ADDRESS:
STREET 1: 467 FIRST STREET
STREET 2: SUITE 201
CITY: LOS ALTOS
STATE: X1
ZIP: 94022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kliman Gilbert H
CENTRAL INDEX KEY: 0001293171
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39539
FILM NUMBER: 21774093
MAIL ADDRESS:
STREET 1: C/O INTERWEST PARTNERS
STREET 2: 467 FIRST STREET SUITE 201
CITY: LOS ALTOS
STATE: CA
ZIP: 94022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: INTERWEST PARTNERS X LP
CENTRAL INDEX KEY: 0001443898
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39539
FILM NUMBER: 21774097
BUSINESS ADDRESS:
STREET 1: C/O INTERWEST PARTNERS
STREET 2: 467 FIRST STREET SUITE 201
CITY: LOS ALTOS
STATE: CA
ZIP: 94022
BUSINESS PHONE: 650-854-8585
MAIL ADDRESS:
STREET 1: C/O INTERWEST PARTNERS
STREET 2: 467 FIRST STREET SUITE 201
CITY: LOS ALTOS
STATE: CA
ZIP: 94022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: InterWest Management Partners X, LLC
CENTRAL INDEX KEY: 0001460207
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39539
FILM NUMBER: 21774096
BUSINESS ADDRESS:
STREET 1: 467 FIRST STREET
STREET 2: SUITE 201
CITY: LOS ALTOS
STATE: CA
ZIP: 94022
BUSINESS PHONE: 650-854-8585
MAIL ADDRESS:
STREET 1: 467 FIRST STREET
STREET 2: SUITE 201
CITY: LOS ALTOS
STATE: CA
ZIP: 94022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Desai Keval
CENTRAL INDEX KEY: 0001553019
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39539
FILM NUMBER: 21774094
MAIL ADDRESS:
STREET 1: 467 FIRST STREET
STREET 2: SUITE 201
CITY: LOS ALTOS
STATE: X1
ZIP: 94022
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PMV Pharmaceuticals, Inc.
CENTRAL INDEX KEY: 0001699382
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 463218129
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 8 CLARKE DRIVE
CITY: CRANBURY
STATE: NJ
ZIP: 08512
BUSINESS PHONE: (609) 642-6664
MAIL ADDRESS:
STREET 1: 8 CLARKE DRIVE
CITY: CRANBURY
STATE: NJ
ZIP: 08512
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-03-24
0
0001699382
PMV Pharmaceuticals, Inc.
PMVP
0001443898
INTERWEST PARTNERS X LP
467 FIRST STREET SUITE 201
LOS ALTOS
CA
94022
0
0
1
0
0001460207
InterWest Management Partners X, LLC
467 FIRST STREET, SUITE 201
LOS ALTOS
CA
94022
0
0
1
0
0001276600
NASR KHALED
467 FIRST STREET, SUITE 201
LOS ALTOS
CA
94022
0
0
1
0
0001553019
Desai Keval
467 FIRST STREET, SUITE 201
LOS ALTOS
CA
94022
0
0
1
0
0001293171
Kliman Gilbert H
467 FIRST STREET, SUITE 201
LOS ALTOS
CA
94022
0
0
1
0
Common Stock
2021-03-24
4
J
0
1000000
0.00
D
5469911
D
Common Stock
2021-03-24
4
J
0
10000
0.00
A
10000
I
By: InterWest Management Partners X, LLC
Common Stock
2021-03-24
4
J
0
10000
0.00
D
0
I
By: InterWest Management Partners X, LLC
Common Stock
2021-03-24
4
J
0
373
0.00
A
373
I
By: Khaled A. Nasr
Common Stock
2021-03-24
4
J
0
250
0.00
A
250
I
By: Keval Desai
Common Stock
2021-03-24
4
J
0
2269
0.00
A
2269
I
By Gilbert H. Kliman
Represents pro rata in-kind distribution by InterWest Partners X, LP ("IW10") without consideration to its limited and general partners in accordance with the terms of the InterWest Partners X, LP Limited Partnership Agreement. Includes 10,000 shares distributed to InterWest Management Partners X, LLC ("IMP10") its general partner.
Represents pro rata in-kind distribution by IMP10 without consideration to its members in accordance with the terms of the InterWest Management Partners X, LLC Operating Agreement. Includes 373 shares distributed to Khaled A. Nasr ("Nasr"), 250 shares distributed to Keval Desai ("Desai") and 2,269 shares distributed to Gilbert H. Kliman ("Kliman").
The shares are held directly by IW10. The general partner of IW10 is IMP10. Kliman is a Managing Director of IMP10 and Nasr and Desai are Venture Members of IMP10. Each of Nasr, Desai and Kliman share voting and investment control over the shares owned by IW10, and may be deemed to beneficially own the shares held by IW10. Each of Nasr, Desai and Kliman disclaims beneficial ownership of such shares except to the extent of his pecuniaryinterest theriein.
/s/ Karen A. Wilson, Attorney-in Fact for InterWest Partners X, LP
2021-03-25
/s/ Karen A. Wilson, Attorney-in Fact for InterWest Management Partners X, LLC
2021-03-25
/s/ Karen A. Wilson, Attorney-in Fact for Khlaed A. Nasr
2021-03-25
/s/ Karen A. Wilson, Attorney-in Fact for Keval Desai
2021-03-25
/s/ Karen A. Wilson, Attorney-in Fact for Gilbert H. Kliman
2021-03-25