CUSIP No. 02083G100
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Page 2 of 11 Pages
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1
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NAME OF REPORTING PERSONS
OrbiMed Advisors LLC
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
(a) ☐
(b) ☐
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS (See Instructions)
AF
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5
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e)
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☐
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6
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CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware
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NUMBER OF
SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
7
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SOLE VOTING POWER
0
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|||
8
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SHARED VOTING POWER
3,298,516
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||||
9
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SOLE DISPOSITIVE POWER
0
|
||||
10
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SHARED DISPOSITIVE POWER
3,298,516
|
||||
11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
3,298,516
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||||
12
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (See Instructions)
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☐
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|||
13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
23.76% *
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14
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TYPE OF REPORTING PERSON (See Instructions)
IA
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CUSIP No. 02083G100
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Page 3 of 11 Pages
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1
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NAME OF REPORTING PERSONS
OrbiMed Capital GP VI LLC
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||||
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
(a) ☐
(b) ☐
|
||||
3
|
SEC USE ONLY
|
||||
4
|
SOURCE OF FUNDS (See Instructions)
AF
|
||||
5
|
CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e)
|
☐
|
|||
6
|
CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware
|
||||
NUMBER OF
SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
7
|
SOLE VOTING POWER
0
|
|||
8
|
SHARED VOTING POWER
3,298,516
|
||||
9
|
SOLE DISPOSITIVE POWER
0
|
||||
10
|
SHARED DISPOSITIVE POWER
3,298,516
|
||||
11
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
3,298,516
|
||||
12
|
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (See Instructions)
|
☐
|
|||
13
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
23.76%*
|
||||
14
|
TYPE OF REPORTING PERSON (See Instructions)
OO
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CUSIP No. 02083G100
|
Page 4 of 11 Pages
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||||
1
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NAME OF REPORTING PERSONS
Samuel D. Isaly
|
||||
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
(a) ☐
(b) ☐
|
||||
3
|
SEC USE ONLY
|
||||
4
|
SOURCE OF FUNDS (See Instructions)
AF
|
||||
5
|
CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e)
|
☐
|
|||
6
|
CITIZENSHIP OR PLACE OF ORGANIZATION
United States
|
||||
NUMBER OF
SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
7
|
SOLE VOTING POWER
0
|
|||
8
|
SHARED VOTING POWER
3,298,516
|
||||
9
|
SOLE DISPOSITIVE POWER
0
|
||||
10
|
SHARED DISPOSITIVE POWER
3,298,516
|
||||
11
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
3,298,516
|
||||
12
|
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (See Instructions)
|
☐
|
|||
13
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
23.76%*
|
||||
14
|
TYPE OF REPORTING PERSON (See Instructions)
IN
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Item 1.
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Security and Issuer
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Item 2. |
Identity and Background
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Item 3. |
Source and Amount of Funds or Other Consideration
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Item 4. |
Purpose of Transaction
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Item 5. |
Interest in Securities of the Issuer
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Item 6. |
Contracts, Arrangements, Understandings or Relationship with Respect to Securities of the Issuer
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Item 7. |
Materials to Be Filed as Exhibits
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Exhibit
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Description
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1.
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Joint Filing Agreement among OrbiMed Advisors LLC, OrbiMed Capital GP VI LLC and Samuel D. Isaly.
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2.
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Form of Lock-Up Agreement.
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OrbiMed Advisors LLC
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By:
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/s/ Samuel D. Isaly
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Name:
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Samuel D. Isaly
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Title:
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Managing Member
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OrbiMed Capital GP VI LLC
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By:
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OrbiMed Advisors LLC
its Managing Member
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By:
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/s/ Samuel D. Isaly
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Name:
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Samuel D. Isaly
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Title:
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Managing Member
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|||
Samuel D. Isaly
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By:
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/s/ Samuel D. Isaly
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Name:
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Samuel D. Isaly
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Name
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Position with Reporting
Person |
Principal Occupation
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Samuel D. Isaly
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Managing Member
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Managing Member
OrbiMed Advisors LLC |
Carl L. Gordon
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Member
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Member
OrbiMed Advisors LLC |
Sven H. Borho
German and Swedish Citizen |
Member
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Member
OrbiMed Advisors LLC |
Jonathan T. Silverstein
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Member
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Member
OrbiMed Advisors LLC |
W. Carter Neild
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Member
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Member
OrbiMed Advisors LLC |
Geoffrey C. Hsu
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Member
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Member
OrbiMed Advisors LLC |
Evan D. Sotiriou
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Chief Financial Officer
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Chief Financial Officer
OrbiMed Advisors LLC |
Exhibit
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Description
|
1.
|
Joint Filing Agreement among OrbiMed Advisors LLC, OrbiMed Capital GP VI LLC and Samuel D. Isaly.
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2.
|
Form of Lock-Up Agreement.
|
OrbiMed Advisors LLC
|
||||
By:
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/s/ Samuel D. Isaly
|
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Name:
|
Samuel D. Isaly
|
|||
Title:
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Managing Member
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OrbiMed Capital GP VI LLC
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||||
By:
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OrbiMed Advisors LLC
its Managing Member
|
|||
By:
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/s/ Samuel D. Isaly
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|||
Name:
|
Samuel D. Isaly
|
|||
Title:
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Managing Member
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|||
Samuel D. Isaly
|
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By:
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/s/ Samuel D. Isaly
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Samuel D. Isaly
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(i) |
offer, pledge, sell, contract to sell, sell any option or contract to purchase, purchase any option or contract to sell, grant any option, right or warrant to purchase, or otherwise transfer or dispose of, directly or indirectly, any shares of Common Stock or any securities convertible into or exercisable or exchangeable for Nautilus Common Stock (including without limitation, Nautilus Common Stock or such other securities which may be deemed to be beneficially owned by the undersigned in accordance with the rules and regulations of the SEC and securities of Nautilus which may be issued upon exercise of a stock option or warrant) that are currently or hereafter owned by the undersigned (collectively, the “Undersigned’s Shares”), or publicly disclose the intention to make any such offer, sale, pledge, grant, transfer or disposition;
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(ii) |
enter into any swap, short sale, hedge or other agreement that transfers, in whole or in part, any of the economic consequences of ownership of the Undersigned’s Shares regardless of whether any such transaction described in clause (i) above or this clause (ii) is to be settled by delivery of Nautilus Common Stock or such other securities, in cash or otherwise; or
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(iii) |
make any demand for or exercise any right with respect to the registration of any shares of Nautilus Common Stock or any security convertible into or exercisable or exchangeable for Nautilus Common Stock.
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(a) |
transfers of the Undersigned’s Shares:
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(i) |
if the undersigned is a natural person, (A) to any person related to the undersigned by blood or adoption who is an immediate family member of the undersigned, or by marriage or domestic partnership (a “Family Member”), or to a trust formed for the benefit of the undersigned or any of the undersigned’s Family Members, (B) to the undersigned’s estate, following the death of the undersigned, by will, intestacy or other operation of law, (C) as a bona fide gift to a charitable organization, (D) by operation of law pursuant to a qualified domestic order or in connection with a divorce settlement or (E) to any partnership, corporation or limited liability company which is controlled by the undersigned and/or by any such Family Member(s);
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(ii) |
if the undersigned is a corporation, partnership or other business entity, (A) to another corporation, partnership or other business entity that is an affiliate (as defined under Rule 12b-2 of the Exchange Act) of the undersigned, including investment funds or other entities under common control or management with the undersigned, (B) as a distribution or dividend to equity holders (including, without limitation, general or limited partners and members) of the undersigned (including upon the liquidation and dissolution of the undersigned pursuant to a plan of liquidation approved by the undersigned’s equity holders) or (C) as a bona fide gift to a charitable organization; or
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(iii) |
if the undersigned is a trust, to any grantors or beneficiaries of the trust;
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Very truly yours,
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Print Name of Stockholder:
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PETER THOMPSON, M.D.
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Signature (for individuals):
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Signature (for entities):
|
||||
By:
|
||||
Name:
|
||||
Title:
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Accepted and Agreed by
Nivalis Therapeutics, Inc.:
|
||
By
|
||
Name:
|
||
Title:
|