FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
KALOBIOS PHARMACEUTICALS INC [ KBIO ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 02/05/2013 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 02/05/2013 | C | 498,038(1) | A | (2)(3)(4)(5) | 721,228 | D(6) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series B-1 Preferred Stock | (2) | 02/05/2013 | C | 125,185(7) | (2) | (8) | Common Stock | 125,185 | $0 | 0 | D(9) | ||||
Series B-2 Preferred Stock | (3) | 02/05/2013 | C | 175,488(7) | (3) | (8) | Common Stock | 175,488 | $0 | 0 | D(10) | ||||
Series C Preferred Stock | (4) | 02/05/2013 | C | 79,886(7) | (4) | (8) | Common Stock | 87,434.2 | $0 | 0 | D(11) | ||||
Series D Preferred Stock | (5) | 02/05/2013 | C | 96,612(7) | (5) | (8) | Common Stock | 109,932.1 | $0 | 0 | D(12) |
Explanation of Responses: |
1. Represents the sum of all converted shares described in Table II of this Form 4. The converted shares were first aggregated on a per Reporting Person basis and then rounded down to the next whole share. The shares are held as follows: 436,069 shares by 5AM Ventures LLC ("Ventures") and 61,969 shares by 5AM Co-Investors LLC ("Co-Investors"). 5AM Partners LLC is the general partner of Ventures and Co-Investors. The managing directors of 5AM Partners LLC are Dr. John D. Diekman and Andrew J. Schwab. |
2. Each share of Series B-1 Preferred Stock automatically converted into one share of Common Stock in connection with the consummation of Issuer's initial public offering. |
3. Each share of Series B-2 Preferred Stock automatically converted into one share of Common Stock in connection with the consummation of Issuer's initial public offering. |
4. Each share of Series C Preferred Stock automatically converted into approximately 1.09 shares of Common Stock, including applicable anti-dilution adjustments, in connection with the consummation of Issuer's initial public offering. |
5. Each share of Series D Preferred Stock automatically converted into approximately 1.14 shares of Common Stock, including applicable anti-dilution adjustments, in connection with the consummation of Issuer's initial public offering. |
6. The shares are held as follows: 631,418 shares by Ventures and 89,810 shares by Co-Investors. |
7. Reflects 1-for-3.56147 reverse stock split which became effective on January 15, 2013. |
8. No expiration date. |
9. The shares are held as follows: 109,537 shares by Ventures and 15,648 shares by Co-Investors. |
10. The shares are held as follows: 153,552 shares by Ventures and 21,936 shares by Co-Investors. |
11. The shares are held as follows: approximately 76,631.6 shares by Ventures and approximately 10,802.6 shares by Co-Investors. Fractional shares were rounded as described in Footnote 1 of this Form 4. |
12. The shares are held as follows: approximately 96,349.3 shares by Ventures and approximately 13,582.8 shares by Co-Investors. Fractional shares were rounded as described in Footnote 1 of this Form 4. |
Remarks: |
All Reporting Persons disclaim beneficial ownership of shares of KaloBios Pharmaceuticals, Inc. stock held by the other Reporting Persons herein, except to the extent of their respective pecuniary interest therein, if any. The filing of this statement shall not be deemed an admission that, for purposes of Section 16 of the Securities Exchange Act of 1934, or otherwise, any of the Reporting Persons are the beneficial owners of all of the equity securities covered by this statement. Upon the consummation of Issuer's initial public offering the Reporting Person ceased to be a 10% owner and therefore no longer is subject to Section 16. |
/s/ Andrew J. Schwab, Managing Director of 5AM Partners LLC | 02/07/2013 | |
/s/ Andrew J. Schwab, Managing Director of 5AM Partners LLC, the general partner of 5AM Ventures LLC | 02/07/2013 | |
/s/ Andrew J. Schwab, Managing Director of 5AM Partners LLC, the general partner of 5AM Co-Investors LLC | 02/07/2013 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |