FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 04/14/2015 |
3. Issuer Name and Ticker or Trading Symbol
ADURO BIOTECH, INC. [ ADRO ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 13,908 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series A Preferred Stock | (1) | (1) | Common Stock | 14,400 | (1) | D | |
Series A-1 Preferred Stock | (1) | (1) | Common Stock | 543,988 | (1) | D | |
Series B Preferred Stock | (1) | (1) | Common Stock | 2,193,460 | (1) | D | |
Series C Preferred Stock | (1) | (1) | Common Stock | 2,847,774 | (1) | D | |
Series D Preferred Stock | (1) | (1) | Common Stock | 231,171 | (1) | D | |
Common Stock Warrant (right to buy) | 04/15/2011 | 04/15/2021 | Common Stock | 23,322 | $0.0001 | D | |
Common Stock Warrant (right to buy) | 04/29/2011 | 04/15/2021 | Common Stock | 30,157 | $0.0001 | D | |
Common Stock Warrant (right to buy) | 10/31/2011 | 04/15/2021 | Common Stock | 15,078 | $0.0001 | D | |
Common Stock Warrant (right to buy) | 09/30/2013 | 09/30/2023 | Common Stock | 82,949 | $0.01 | D | |
Series B Preferred Stock Warrant (right to buy) | 04/15/2011 | 04/15/2016 | Series B Preferred Stock | 11,815 | $1.1937 | D | |
Series C Preferred Stock | (1) | (1) | Common Stock | 37,898 | (1) | I | By Buchholz Rogers Family Living Trust 2012(2) |
Series D Preferred Stock | (1) | (1) | Common Stock | 14,400 | (1) | I | By Buchholz Rogers Family Living Trust 2012(2) |
Common Stock Warrant (right to buy) | 12/31/2013 | 12/31/2023 | Common Stock | 1,858 | $0.01 | I | By Buchholz Rogers Family Living Trust 2012(2) |
Common Stock Warrant (right to buy) | 01/10/2014 | 01/10/2024 | Common Stock | 1,858 | $0.01 | I | By Buchholz Rogers Family Living Trust 2012(2) |
Series C Preferred Stock | (1) | (1) | Common Stock | 18,949 | (1) | I | By Christopher Hagerman(3) |
Series D Preferred Stock | (1) | (1) | Common Stock | 7,200 | (1) | I | By Christopher Hagerman(3) |
Common Stock Warrant (right to buy) | 12/31/2013 | 12/31/2023 | Common Stock | 928 | $0.01 | I | By Christopher Hagerman(3) |
Common Stock Warrant (right to buy) | 01/10/2014 | 01/10/2024 | Common Stock | 928 | $0.01 | I | By Christopher Hagerman(3) |
Series C Preferred Stock | (1) | (1) | Common Stock | 37,898 | (1) | I | By Phan Rogers Trust(4) |
Series D Preferred Stock | (1) | (1) | Common Stock | 14,400 | (1) | I | By Phan Rogers Trust(4) |
Common Stock Warrant (right to buy) | 12/31/2013 | 12/31/2023 | Common Stock | 1,858 | $0.01 | I | By Phan Rogers Trust(4) |
Common Stock Warrant (right to buy) | 01/10/2014 | 01/10/2024 | Common Stock | 1,858 | $0.01 | I | By Phan Rogers Trust(4) |
Series C Preferred Stock | (1) | (1) | Common Stock | 18,949 | (1) | I | By Joseph Rogers(5) |
Series D Preferred Stock | (1) | (1) | Common Stock | 7,200 | (1) | I | By Joseph Rogers(5) |
Common Stock Warrant (right to buy) | 12/31/2013 | 12/31/2023 | Common Stock | 928 | $0.01 | I | By Joseph Rogers(5) |
Common Stock Warrant (right to buy) | 01/10/2014 | 01/10/2024 | Common Stock | 928 | $0.01 | I | By Joseph Rogers(5) |
Common Stock Warrant (right to buy) | 07/07/2009 | 07/07/2019 | Common Stock | 52,941 | $1.89 | I | By John Rogers |
Explanation of Responses: |
1. Each share of Series A Preferred Stock, Series A-1 Preferred Stock, Series B Preferred Stock, Series C Preferred Stock, and Series D Preferred Stock will be automatically converted into 0.72 of a share of common stock immediately prior to the closing of the Issuer's initial public offering, and has no expiration date. |
2. The securities are held by Buchholz Rogers Family Living Trust 2012, over which John E. Rogers exercises voting control. |
3. The securities are held by Christopher Hagerman, over which John E. Rogers exercises voting control. |
4. The securities are held by Phan Rogers Trust, over which John E. Rogers exercises voting control. |
5. The securities are held by Joseph Rogers, over which John E. Rogers exercises voting control. |
Remarks: |
This is the first of two Forms 3 filed by the reporting person on the same date, April 14, 2015. |
/s/ Jennifer Lew, Attorney-in-Fact | 04/14/2015 | |
** 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 5 (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. |