0001072613-15-000135.txt : 20150213 0001072613-15-000135.hdr.sgml : 20150213 20150213160618 ACCESSION NUMBER: 0001072613-15-000135 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20150213 DATE AS OF CHANGE: 20150213 GROUP MEMBERS: MARK LEVIN GROUP MEMBERS: THIRD ROCK VENTURES GP L.P. GROUP MEMBERS: TRV GP LLC SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: Foundation Medicine, Inc. CENTRAL INDEX KEY: 0001488613 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 271316416 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-87922 FILM NUMBER: 15614375 BUSINESS ADDRESS: STREET 1: 150 SECOND STREET CITY: CAMBRIDGE STATE: MA ZIP: 02141 BUSINESS PHONE: 617-418-2200 MAIL ADDRESS: STREET 1: 150 SECOND STREET CITY: CAMBRIDGE STATE: MA ZIP: 02141 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: THIRD ROCK VENTURES LP CENTRAL INDEX KEY: 0001408591 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 29 NEWBURY STREET STREET 2: SUITE 401 CITY: BOSTON STATE: MA ZIP: 02116 BUSINESS PHONE: 617-859-3099 MAIL ADDRESS: STREET 1: 29 NEWBURY STREET STREET 2: SUITE 401 CITY: BOSTON STATE: MA ZIP: 02116 SC 13G/A 1 foundation-sch13g_17761.htm FOUNDATION MEDICINE - AMEND. #1 foundation-sch13g_17761.htm


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 

 
SCHEDULE 13G
 
Under the Securities Exchange Act of 1934
 
(Amendment No. 1)*
 
 

Foundation Medicine, Inc.
(Name of Issuer)
 
 
Common Stock, $0.0001 par value per share
(Title of Class of Securities)
 
 
350465100
(CUSIP Number)
 

December 31, 2014
(Date of Event which Requires Filing of this Statement)
 
 
 
 
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

¨  Rule 13d-1(b)
o  Rule 13d-1(c)
x Rule 13d-1(d)
 
 
 
*The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
 


 
 
 
 
CUSIP No.  350465100
13G
Page 2 of 10
 
1
NAMES OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
 
Third Rock Ventures, L.P.
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
(a) o
(b) o
3
SEC USE ONLY
 
 
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
Delaware limited partnership
NUMBER OF
5
SOLE VOTING POWER
 
0
SHARES
BENEFICIALLY
OWNED BY
6
SHARED VOTING POWER
 
4,927,234
EACH
REPORTING
PERSON
7
SOLE DISPOSITIVE POWER
 
0
WITH
8
SHARED DISPOSITIVE POWER
 
4,927,234
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
4,927,234
10
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)     o
 
 
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
17.4%
12
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
 
PN
 
 
 

 
CUSIP No.  350465100
13G
Page 3 of 10
 
1
NAMES OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
 
Third Rock Ventures GP, L.P.
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
(a) o
(b) o
3
SEC USE ONLY
 
 
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
Delaware limited partnership
NUMBER OF
5
SOLE VOTING POWER
 
0
SHARES
BENEFICIALLY
OWNED BY
6
SHARED VOTING POWER
 
4,927,234
EACH
REPORTING
PERSON
7
SOLE DISPOSITIVE POWER
 
0
WITH
8
SHARED DISPOSITIVE POWER
 
4,927,234
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
4,927,234
10
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) o
 
 
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
17.4%
12
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
 
PN
 
 
 

 
CUSIP No.  350465100
13G
Page 4 of 10
 
1
NAMES OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
 
TRV GP, LLC
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
(a) o
(b) o
3
SEC USE ONLY
 
 
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
Delaware limited liability company
NUMBER OF
5
SOLE VOTING POWER
 
0
SHARES
BENEFICIALLY
OWNED BY
6
SHARED VOTING POWER
 
4,927,234
EACH
REPORTING
PERSON
7
SOLE DISPOSITIVE POWER
 
0
WITH
8
SHARED DISPOSITIVE POWER
 
4,927,234
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
4,927,234
10
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) o
 
 
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
17.4%
12
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
 
OO
 
 
 

 
CUSIP No.  350465100
13G
Page 5 of 10
 
1
NAMES OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
 
Mark Levin
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
(a) o
(b) o
3
SEC USE ONLY
 
 
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
United States
NUMBER OF
5
SOLE VOTING POWER
 
17,462
SHARES
BENEFICIALLY
OWNED BY
6
SHARED VOTING POWER
 
4,927,234
EACH
REPORTING
PERSON
7
SOLE DISPOSITIVE POWER
 
17,462
WITH
8
SHARED DISPOSITIVE POWER
 
4,927,234
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
4,944,696
10
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) o
 
 
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
17.5%
12
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
 
IN
 
 

 
CUSIP No.  350465100
13G
Page 6 of 10
 
 
Item 1(a).               Name of Issuer:

Foundation Medicine, Inc.
 
 
Item 1(b).               Address of Issuer’s Principal Executive Offices:

150 Second Street, Cambridge, MA 02141.

 
Item 2(a).               Names of Persons Filing:

This statement is being filed by Third Rock Ventures, L.P. (“TRV”); Third Rock Ventures GP, L.P. (“TRV GP”), which is the sole general partner of TRV; TRV GP, LLC (“TRV GP LLC”), which is the sole general partner of TRV GP; and Mark Levin (“Levin”), a managing member of TRV GP LLC.  TRV, TRV GP, TRV GP LLC and Levin are sometimes referred to collectively herein as the “Reporting Persons”.
 
 
Item 2(b).               Address of Principal Business Office or, if none, Residence:
 
The address of the principal business office of each Reporting Person is Third Rock Ventures, LLC, 29 Newbury Street, 3rd Floor, Boston, MA 02116.
 
 
Item 2(c).               Citizenship:

Each of TRV and TRV GP is a Delaware limited partnership.  TRV GP LLC is a Delaware limited liability company.  Levin is a United States citizen.
 
 
Item 2(d).              Title of Class of Securities:
 
Common Stock, $0.0001 par value (“Common Stock”).
 
 
Item 2(e).               CUSIP Number:

350465100.
 
 
Item 3.
If this statement is filed pursuant to §§ 240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:

Not applicable.
 
 
Item 4.                    Ownership.

(a)    
Amount Beneficially Owned: TRV is the record owner of 4,927,234 shares of Common Stock as of December 31, 2014 (the “Shares”).  As the sole general partner of TRV, TRV GP may be deemed to own beneficially the Shares.  As the sole general partner of TRV GP, TRV GP LLC likewise may be deemed to own beneficially the Shares.  As a managing member of TRV GP LLC, Levin also may be deemed to own beneficially the Shares.

 
As of December 31, 2014, Levin is the record owner of 17,462 shares of Common Stock (the “Levin Shares”). As a result, Levin may be deemed to own beneficially the Levin Shares in addition to the Shares for a total of 4,944,696 shares of Common Stock.
 
 
 
 

 
CUSIP No.  350465100
13G
Page 7 of 10
 
 
 
(b)    
Percent of Class:  See Line 11 of cover sheets.  The percentages set forth on the cover sheet for each Reporting Person are calculated based on 28,310,872 shares of Common Stock reported by the Issuer to be outstanding as of November 7, 2014 on Form 10-Q as filed with the Securities and Exchange Commission on November 13, 2014.
 
(c)     
Number of shares as to which such person has:

 
(i)
sole power to vote or to direct the vote:  See Line 5 of cover sheets.
     
 
(ii)
shared power to vote or to direct the vote:  See Line 6 of cover sheets.
     
 
(iii)
sole power to dispose or to direct the disposition of:  See Line 7 of cover sheets.
     
 
(iv)
shared power to dispose or to direct the disposition of: See Line 8 of cover sheets.
     
 
Each Reporting Person disclaims beneficial ownership of such Securities except for the shares, if any, such Reporting Person holds of record.

 
Item 5.                   Ownership of Five Percent or Less of a Class.

Not applicable.

 
Item 6.                   Ownership of More than Five Percent on Behalf of Another Person.

Not applicable.
 

Item 7.
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person.

Not applicable.

 
Item 8.                   Identification and Classification of Members of the Group.

Not applicable.  The Reporting Persons expressly disclaim membership in a “group” as used in Rule 13d-5(b).

 
Item 9.                   Notice of Dissolution of Group.

Not applicable.

 
Item 10.                 Certification.

Not applicable.  This Schedule 13G is not filed pursuant to Rule 13d-1(b) or Rule 13d–1(c).
 
 
 
Material to be Filed as Exhibits.

Exhibit 1 – Agreement regarding filing of joint Schedule 13G.

Exhibit 2 – Power of Attorney regarding filings under the Securities Exchange Act of 1934, as amended.
 
 

 
CUSIP No.   350465100
13G
Page 8 of 10
 
 
SIGNATURE
 
 
After reasonable inquiry and to the best of its knowledge and belief, each of the undersigned certifies that the information set forth in this statement is true, complete and correct.

Date:       February 13, 2015


THIRD ROCK VENTURES, L.P.

By:
THIRD ROCK VENTURES GP, L.P.
 
General Partner

 
By:
TRV GP, LLC
General Partner

By:                         *                                
Kevin Gillis
Chief Financial Officer


THIRD ROCK VENTURES GP, L.P.

By:
TRV GP, LLC
General Partner

By:                               *                           
Kevin Gillis
Chief Financial Officer


TRV GP, LLC

By:                               *                              
Kevin Gillis
Chief Financial Officer


                 *                                                  
 
Mark Levin


*By:  /s/ Kevin Gillis                               
          Kevin Gillis
          As attorney-in-fact
 
 

This Amendment No. 1 to Schedule 13G was executed by Kevin Gillis on behalf of the individual listed above pursuant to a Power of Attorney, a copy of which is attached as Exhibit 2.
 
 

 
CUSIP No.  350465100
13G
Page 9 of 10
 
EXHIBIT 1

AGREEMENT

Pursuant to Rule 13d-1(k)(1) under the Securities Exchange Act of 1934, the undersigned hereby agree that only one statement containing the information required by Schedule 13G need be filed with respect to the ownership by each of the undersigned of shares of stock of Foundation Medicine, Inc.
 
EXECUTED this 13th day of February, 2015.
 
 
THIRD ROCK VENTURES, L.P.

By:
THIRD ROCK VENTURES GP, L.P.
 
General Partner

 
By:
TRV GP, LLC
General Partner

By:                         *                                
Kevin Gillis
Chief Financial Officer


THIRD ROCK VENTURES GP, L.P.

By:
TRV GP, LLC
General Partner

By:                               *                           
Kevin Gillis
Chief Financial Officer


TRV GP, LLC

By:                               *                              
Kevin Gillis
Chief Financial Officer


                 *                                                  
 
Mark Levin


*By:  /s/ Kevin Gillis                               
          Kevin Gillis
          As attorney-in-fact
 
 
 
This Agreement was executed by Kevin Gillis on behalf of the individual listed above pursuant to a Power of Attorney, a copy of which is attached as Exhibit 2.
 
 

 
CUSIP No.  350465100
13G
Page 10 of 10
 
EXHIBIT 2

POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS, that the undersigned hereby constitutes and appoints Kevin Gillis his true and lawful attorney-in-fact, with full power of substitution, to sign any and all instruments, certificates and documents that may be necessary, desirable or appropriate to be executed on behalf of himself as an individual or in his capacity as a direct or indirect general partner, director, officer, member or manager of any partnership, corporation or limited liability company, pursuant to section 13 or 16 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and any and all regulations promulgated thereunder, and to file the same, with all exhibits thereto, and any other documents in connection therewith, with the Securities and Exchange Commission, and with any other entity when and if such is mandated by the Exchange Act or by the Financial Industry Regulatory Authority, granting unto said attorney-in-fact full power and authority to do and perform each and every act and thing necessary, desirable or appropriate, fully to all intents and purposes as he might or could do in person, thereby ratifying and confirming all that said attorney-in-fact, or his substitutes, may lawfully do or cause to be done by virtue hereof.

IN WITNESS WHEREOF, this Power of Attorney has been signed as of the 16th day of January, 2014.


/s/ Mark Levin                      
Mark Levin


/s/ Kevin P. Starr                  
Kevin P. Starr


/s/ Robert I. Tepper              
Robert I. Tepper