0001209191-16-104884.txt : 20160302
0001209191-16-104884.hdr.sgml : 20160302
20160302183443
ACCESSION NUMBER: 0001209191-16-104884
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160302
FILED AS OF DATE: 20160302
DATE AS OF CHANGE: 20160302
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Syndax Pharmaceuticals Inc
CENTRAL INDEX KEY: 0001395937
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 320162505
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 460 TOTTEN POND ROAD
STREET 2: SUITE 650
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 781-419-1400
MAIL ADDRESS:
STREET 1: 460 TOTTEN POND ROAD
STREET 2: SUITE 650
CITY: WALTHAM
STATE: MA
ZIP: 02451
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KAILIAN VAUGHN M
CENTRAL INDEX KEY: 0001180429
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37708
FILM NUMBER: 161478940
MAIL ADDRESS:
STREET 1: P.O. BOX 70
CITY: BODEGA
STATE: CA
ZIP: 94922
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MPM BioVentures IV Strategic Fund, L.P.
CENTRAL INDEX KEY: 0001577429
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37708
FILM NUMBER: 161478942
BUSINESS ADDRESS:
STREET 1: C/O MPM ASSET MANAGEMENT
STREET 2: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: (617) 425-9200
MAIL ADDRESS:
STREET 1: C/O MPM ASSET MANAGEMENT
STREET 2: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MPM BioVentures IV LLC
CENTRAL INDEX KEY: 0001358312
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37708
FILM NUMBER: 161478943
BUSINESS ADDRESS:
STREET 1: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: 617-425-9200
MAIL ADDRESS:
STREET 1: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MPM Asset Management Investors BV4 LLC
CENTRAL INDEX KEY: 0001358313
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37708
FILM NUMBER: 161478946
BUSINESS ADDRESS:
STREET 1: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: 617-425-9200
MAIL ADDRESS:
STREET 1: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Scopa James Paul
CENTRAL INDEX KEY: 0001356950
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37708
FILM NUMBER: 161478948
MAIL ADDRESS:
STREET 1: 601 GATEWAY BOULEVARD
STREET 2: SUITE 350
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MPM BioVentures IV QP LP
CENTRAL INDEX KEY: 0001358309
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37708
FILM NUMBER: 161478949
BUSINESS ADDRESS:
STREET 1: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: 617-425-9200
MAIL ADDRESS:
STREET 1: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GADICKE ANSBERT
CENTRAL INDEX KEY: 0001134655
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37708
FILM NUMBER: 161478941
MAIL ADDRESS:
STREET 1: THE JOHN HANCOCK TOWER
STREET 2: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MPM BioVentures IV GmbH & Co. Beteiligungs KG
CENTRAL INDEX KEY: 0001412336
STATE OF INCORPORATION: 2M
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37708
FILM NUMBER: 161478945
BUSINESS ADDRESS:
STREET 1: THE JOHN HANCOCK TOWER
STREET 2: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: 617-425-9200
MAIL ADDRESS:
STREET 1: THE JOHN HANCOCK TOWER
STREET 2: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MPM BioVentures IV GP LLC
CENTRAL INDEX KEY: 0001358311
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37708
FILM NUMBER: 161478944
BUSINESS ADDRESS:
STREET 1: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: 617-425-9200
MAIL ADDRESS:
STREET 1: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Foley Todd
CENTRAL INDEX KEY: 0001473930
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37708
FILM NUMBER: 161478947
MAIL ADDRESS:
STREET 1: THE JOHN HANCOCK TOWER
STREET 2: 200 CLARENDON STREET 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2016-03-02
0
0001395937
Syndax Pharmaceuticals Inc
SNDX
0001358309
MPM BioVentures IV QP LP
C/O MPM ASSET MANAGEMENT
450 KENDALL STREET
BOSTON
MA
02142
0
0
1
0
0001356950
Scopa James Paul
C/O MPM ASSET MANAGEMENT
601 GATEWAY BLVD., SUITE 350
SOUTH SAN FRANCISCO
CA
94080
0
0
1
0
0001473930
Foley Todd
C/O MPM ASSET MANAGEMENT
450 KENDALL STREET
BOSTON
MA
02142
0
0
1
0
0001358313
MPM Asset Management Investors BV4 LLC
C/O MPM ASSET MANAGEMENT
450 KENDALL STREET
BOSTON
MA
02142
0
0
1
0
0001412336
MPM BioVentures IV GmbH & Co. Beteiligungs KG
C/O MPM ASSET MANAGEMENT
450 KENDALL STREET
BOSTON
MA
02142
0
0
1
0
0001358311
MPM BioVentures IV GP LLC
C/O MPM ASSET MANAGEMENT
450 KENDALL STREET
BOSTON
MA
02142
0
0
1
0
0001358312
MPM BioVentures IV LLC
C/O MPM ASSET MANAGEMENT
450 KENDALL STREET
BOSTON
MA
02142
0
0
1
0
0001577429
MPM BioVentures IV Strategic Fund, L.P.
C/O MPM ASSET MANAGEMENT
450 KENDALL STREET
BOSTON
MA
02142
0
0
1
0
0001134655
GADICKE ANSBERT
C/O MPM ASSET MANAGEMENT
450 KENDALL STREET
BOSTON
MA
02142
0
0
1
0
0001180429
KAILIAN VAUGHN M
C/O MPM ASSET MANAGEMENT
450 KENDALL STREET
BOSTON
MA
02142
0
0
1
0
Series A-1 Preferred Stock
Common Stock
1138210
I
See Footnote
Series B-1 Preferred Stock
Common Stock
718396
I
See Footnote
Series C-1 Preferred Stock
Common Stock
312085
I
See Footnote
The reported securities are convertible at any time on a one-for-one basis, in whole or in part, at the option of the holder, have no expiration date, and will convert into shares of common stock immediately prior to the closing
of the Issuer's initial public offering.
The shares are held as follows: 948,247 by MPM BioVentures IV-QP, L.P. ("BV IV QP"), 36,532 by MPM BioVentures IV GmbH & Co. Beteiligungs KG ("BV IV KG"), 26,964 by MPM Asset Management Investors BV4 LLC ("AM BV4") and 126,467 shares held by MPM BioVentures IV Strategic Fund, L.P. ("BV IV SF"). MPM BioVentures IV GP LLC and MPM BioVentures IV LLC ("BV LLC") are the direct and indirect general partners of BV IV QP, BV IV KG and BV IV SF and BV LLC is the manager of AM BV4. Ansbert Gadicke, Luke Evnin, Vaughn M. Kailian, James Paul Scopa and Todd Foley are the members of BV LLC. Each Reporting Person disclaims beneficial ownership of the securities except to the extent of his or its respective pecuniary interest therein.
The shares are held as follows: 598,509 by BV IV QP, 23,053 by BV IV KG, 17,013 by AM BV4 and 79,821 shares held by BV IV SF. Each Reporting Person disclaims beneficial ownership of the securities except to the extent of his or its respective pecuniary interest therein.
The shares are held as follows: 260,003 by BV IV QP, 10,015 by BV IV KG, 7,392 by AM BV4 and 34,675 shares held by BV IV SF. Each Reporting Person disclaims beneficial ownership of the securities except to the extent of his or its respective pecuniary interest therein.
By Luke Evnin,member of MPM BioVentures IV LLC, the managing member of MPM BioVentures
IV GP LLC, the general partner of MPM BioVentures IV QP, L.P. /s/ Luke Evnin
2016-03-02
/s/ James Paul Scopa
2016-03-02
/s/ Todd Foley
2016-03-02
By Luke Evnin, member of MPM BioVentures IV LLC, the manager of MPM Asset Management Investors BV4 LLC /s/ Luke Evnin
2016-03-02
By Luke Evnin, member of MPM BioVentures IV LLC, the managing member of MPM BioVentures IV GP LLC, the managing limited partner of MPM BioVentures IV GmbH & Co. /s/ Luke Evnin
2016-03-02
By Luke Evnin, member of MPM BioVentures IV LLC, the managing member of MPM BioVentures IV GP LLC /s/ Luke Evnin
2016-03-02
By Luke Evnin, member of MPM BioVentures IV LLC /s/ Luke Evnin
2016-03-02
By Luke Evnin, member of MPM BioVentures IV LLC, the managing member of MPM BioVentures IV GP LLC, the general partner of MPM BioVentures IV Strategic Fund, L.P. /s/ Luke Evnin
2016-03-02
/s/ Ansbert Gadicke
2016-03-02
/s/ Vaughn M. Kailian
2016-03-02