0001179110-13-014661.txt : 20130926
0001179110-13-014661.hdr.sgml : 20130926
20130926165103
ACCESSION NUMBER: 0001179110-13-014661
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130924
FILED AS OF DATE: 20130926
DATE AS OF CHANGE: 20130926
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ACCELERON PHARMA INC
CENTRAL INDEX KEY: 0001280600
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 128 SYDNEY STREET
CITY: CAMBRIDGE
STATE: MA
ZIP: 02139
BUSINESS PHONE: 617-649-9200
MAIL ADDRESS:
STREET 1: 128 SYDNEY STREET
CITY: CAMBRIDGE
STATE: MA
ZIP: 02139
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: POLARIS VENTURE PARTNERS IV LP
CENTRAL INDEX KEY: 0001157864
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36065
FILM NUMBER: 131117251
BUSINESS ADDRESS:
STREET 1: 1000 WINTER STREET
STREET 2: SUITE 3350
CITY: WALTHAM
STATE: MA
ZIP: 024511215
BUSINESS PHONE: 7812900770
MAIL ADDRESS:
STREET 1: 1000 WINTER STREET
STREET 2: SUITE 3350
CITY: WALTHAM
STATE: MA
ZIP: 02451
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: POLARIS VENTURE PARTNERS ENTREPRENEURS FUND IV LP
CENTRAL INDEX KEY: 0001170720
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36065
FILM NUMBER: 131117252
BUSINESS ADDRESS:
STREET 1: 1000 WINTER STREET
STREET 2: SUITE 3350
CITY: WALTHAM
STATE: MA
ZIP: 02451-1215
BUSINESS PHONE: 7812900770
MAIL ADDRESS:
STREET 1: 1000 WINTER STREET
STREET 2: SUITE 3350
CITY: WALTHAM
STATE: MA
ZIP: 02451
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Polaris Venture Management Co IV LLC
CENTRAL INDEX KEY: 0001295438
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36065
FILM NUMBER: 131117253
BUSINESS ADDRESS:
STREET 1: 1000 WINTER STREET
STREET 2: SUITE 3350
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 7812900770
MAIL ADDRESS:
STREET 1: 1000 WINTER STREET
STREET 2: SUITE 3350
CITY: WALTHAM
STATE: MA
ZIP: 02451
4
1
edgar.xml
FORM 4 -
X0306
4
2013-09-24
0
0001280600
ACCELERON PHARMA INC
XLRN
0001295438
Polaris Venture Management Co IV LLC
C/O POLARIS VENTURE PARTNERS
1000 WINTER STREET SUITE 3350
WALTHAM
MA
02451
0
0
1
0
0001170720
POLARIS VENTURE PARTNERS ENTREPRENEURS FUND IV LP
C/O POLARIS VENTURE PARTNERS
1000 WINTER STREET SUITE 3350
WALTHAM
MA
02451
0
0
1
0
0001157864
POLARIS VENTURE PARTNERS IV LP
C/O POLARIS VENTURE PARTNERS
1000 WINTER STREET SUITE 3350
WALTHAM
MA
02451
0
0
1
0
Common Stock
2013-09-24
4
C
0
1706532
A
1718602
D
Common Stock
2013-09-24
4
C
0
629499
A
2348101
D
Common Stock
2013-09-24
4
C
0
363495
A
2711596
D
Common Stock
2013-09-24
4
C
0
48577
A
2760173
D
Common Stock
2013-09-24
4
J
0
277520
A
3037693
D
Common Stock
2013-09-24
4
C
0
95541
A
3133234
D
Series A Convertible Preferred Stock
2013-09-24
4
C
0
1706532
0
D
Common Stock
1706532
0
D
Series B Convertible Preferred Stock
2013-09-24
4
C
0
629499
0
D
Common Stock
629499
0
D
Series C Convertible Preferred Stock
2013-09-24
4
C
0
363495
0
D
Common Stock
363495
0
D
Series D Convertible Preferred Stock
2013-09-24
4
C
0
48577
0
D
Common Stock
48577
0
D
Series E Convertible Preferred Stock
2013-09-24
4
J
0
172188
0
D
Common Stock
277520
0
D
Series F Convertible Preferred Stock
2013-09-24
4
C
0
95541
0
D
Common Stock
95541
0
D
222 shares of common stock, 29,594 shares of Series A Convertible Preferred Stock, 11,584 shares of Series B Convertible Preferred Stock, 6,689 shares of Series C Convertible Preferred Stock, 894 shares of Series D Convertible Preferred Stock, 3,168 shares of Series E Convertible Preferred Stock and 1,758 shares of Series F Convertible Preferred Stock of the registrant were owned directly by Polaris Venture Partners Entrepreneurs Fund IV, L.P. (PVPE IV). After the conversions listed herein PVPE IV owns 55,846 shares of common stock.
Polaris Venture Management Co. IV, L.L.C. (PVM IV) is the general partner of PVPE IV. PVM IV disclaims beneficial ownership of these securities and this report shall not be deemed an admission that PVM IV is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of its pecuniary interest therein. Each of Jonathan A. Flint, Terrance G. McGuire and Alan G. Spoon are the managing members of PVM IV. Each of Messrs. Flint, McGuire and Spoon disclaims beneficial ownership of these securities and this report shall not be deemed an admission that any of them is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of their pecuniary interest therein.
11,848 shares of common stock, 1,676,938 shares of Series A Convertible Preferred Stock, 617,915 shares of Series B Convertible Preferred Stock, 356,806 shares of Series C Convertible Preferred Stock, 47,683 shares of Series D Convertible Preferred Stock, 169,020 shares of Series E Convertible Preferred Stock and 93,783 shares of Series F Convertible Preferred Stock of the registrant were owned directly by Polaris Venture Partners IV, L.P. (PVP IV). After the conversions listed herein PVP IV owns 3,077,388 shares of common stock.
PVM IV is the general partner of PVP IV. PVM IV disclaims beneficial ownership of these securities and this report shall not be deemed an admission that PVM IV is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of its pecuniary interest therein. Each of Messrs. Flint, McGuire and Spoon are the managing members of PVM IV. Each of Messrs. Flint, McGuire and Spoon disclaims beneficial ownership of these securities and this report shall not be deemed an admission that any of them is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of their pecuniary interest therein.
Upon closing of the Issuers initial public offering, each share of Series A, B, C, D and F Convertible Preferred Stock automatically converted into one share of Common Stock without payment of further consideration. The shares had no expiration date.
Upon closing of the Issuers initial public offering, each share of Series E Preferred Stock automatically converted at a ratio of 1 for 1.61174 into the number of shares of Common Stock shown in column 7 without payment of further consideration. The shares had no expiration date.
/s/ Kevin F. McLaughlin, attorney in fact for Polaris Venture Management Co. IV, L.L.C.
2013-09-26
/s/ Kevin F. McLaughlin, attorney in fact for Polaris Venture Partners IV, L.P.
2013-09-26
/s/ Kevin F. McLaughlin, attorney in fact for Polaris Venture Partners Entrepreneurs Fund IV, L.P.
2013-09-26