0001104659-16-130148.txt : 20160629
0001104659-16-130148.hdr.sgml : 20160629
20160629164705
ACCESSION NUMBER: 0001104659-16-130148
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160627
FILED AS OF DATE: 20160629
DATE AS OF CHANGE: 20160629
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SELECTA BIOSCIENCES INC
CENTRAL INDEX KEY: 0001453687
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 480 ARSENAL STREET
STREET 2: BUILDING ONE
CITY: WATERTOWN
STATE: MA
ZIP: 02472
BUSINESS PHONE: 617-923-1400
MAIL ADDRESS:
STREET 1: 480 ARSENAL STREET
STREET 2: BUILDING ONE
CITY: WATERTOWN
STATE: MA
ZIP: 02472
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Osage Partners, LLC
CENTRAL INDEX KEY: 0001677536
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37798
FILM NUMBER: 161739354
BUSINESS ADDRESS:
STREET 1: 50 MONUMENT RD., SUITE 201
CITY: BALA CYNWYD
STATE: PA
ZIP: 19004
BUSINESS PHONE: 484 270 3260
MAIL ADDRESS:
STREET 1: 50 MONUMENT RD., SUITE 201
CITY: BALA CYNWYD
STATE: PA
ZIP: 19004
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Osage University GP II, L.P.
CENTRAL INDEX KEY: 0001677537
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37798
FILM NUMBER: 161739355
BUSINESS ADDRESS:
STREET 1: 50 MONUMENT RD., SUITE 201
CITY: BALA CYNWYD
STATE: PA
ZIP: 19004
BUSINESS PHONE: 484 270 3260
MAIL ADDRESS:
STREET 1: 50 MONUMENT RD., SUITE 201
CITY: BALA CYNWYD
STATE: PA
ZIP: 19004
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Osage University Partners II, L.P.
CENTRAL INDEX KEY: 0001621636
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37798
FILM NUMBER: 161739356
BUSINESS ADDRESS:
STREET 1: 50 MONUMENT ROAD
CITY: BALA CYNWYD
STATE: PA
ZIP: 19004
BUSINESS PHONE: 484-434-2255
MAIL ADDRESS:
STREET 1: 50 MONUMENT ROAD
CITY: BALA CYNWYD
STATE: PA
ZIP: 19004
4
1
a4.xml
4
X0306
4
2016-06-27
1
0001453687
SELECTA BIOSCIENCES INC
SELB
0001621636
Osage University Partners II, L.P.
50 MONUMENT ROAD,
SUITE 201
BALA CYNWYD
PA
19004
0
0
1
0
0001677537
Osage University GP II, L.P.
50 MONUMENT ROAD,
SUITE 201
BALA CYNWYD
PA
19004
0
0
1
0
0001677536
Osage Partners, LLC
50 MONUMENT ROAD,
SUITE 201
BALA CYNWYD
PA
19004
0
0
1
0
Common Stock
2016-06-27
4
C
0
441628
0
A
512543
I
See Footnote
Common Stock
2016-06-27
4
P
0
350000
14.00
A
862543
I
See Footnote
Series E Convertible Preferred Stock
2016-06-27
4
C
0
284900
0
D
Common Stock
441628
0
I
See Footnote
Held by Osage University Partners II, L.P. ("Osage"). Osage Partners, LLC ("Osage Partners") is the general parter of Osage University GP II, LP ("Osage GP"), which is the general partner of Osage. Osage Partners and Osage GP may be deemed to share voting and investment power with respect to all shares held by Osage. Each of the filing persons disclaims beneficial ownership of the securities reported herein except to the extent of their pecuniary interest therein.
The Series E Convertible Preferred Stock is convertible at any time, at the holder's election and has no expiration date. The Series E Convertible Preferred Stock automatically converted into common stock on an approximately 1-for-1.550115 basis upon the closing of the Issuer's initial public offering.
OSAGE UNIVERSITY PARTNERS II, L.P. By: Osage University GP II, LP, its GP By: Osage Partners, LLC, its GP By: /s/ William Harrington, Member
2016-06-29
OSAGE UNIVERSITY GP II, LP By: Osage Partners, LLC, its GP By: /s/ William Harrington, Member
2016-06-29
OSAGE PARTNERS, LLC By: /s/ William Harrington, Member
2016-06-29