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