0001144204-15-004806.txt : 20150129
0001144204-15-004806.hdr.sgml : 20150129
20150129213012
ACCESSION NUMBER: 0001144204-15-004806
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20150129
FILED AS OF DATE: 20150129
DATE AS OF CHANGE: 20150129
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Spark Therapeutics, Inc.
CENTRAL INDEX KEY: 0001609351
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 462654405
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3737 MARKET STREET
STREET 2: SUITE 1300
CITY: PHILADELPHIA
STATE: PA
ZIP: 19104
BUSINESS PHONE: 888-772-7560
MAIL ADDRESS:
STREET 1: 3737 MARKET STREET
STREET 2: SUITE 1300
CITY: PHILADELPHIA
STATE: PA
ZIP: 19104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: POWELL MICHAEL
CENTRAL INDEX KEY: 0001202793
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36819
FILM NUMBER: 15560649
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD, 4-250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HEALY JAMES
CENTRAL INDEX KEY: 0001245624
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36819
FILM NUMBER: 15560650
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD, 4-250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: AKKARAJU SRINIVAS
CENTRAL INDEX KEY: 0001253170
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36819
FILM NUMBER: 15560651
MAIL ADDRESS:
STREET 1: 18 DESBROSSES STREET
CITY: NEW YORK
STATE: NY
ZIP: 10013
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sofinnova Management VIII, L.L.C.
CENTRAL INDEX KEY: 0001559565
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36819
FILM NUMBER: 15560652
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD, 4-250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-681-8420
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD, 4-250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sofinnova Venture Partners VIII, L.P.
CENTRAL INDEX KEY: 0001524064
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36819
FILM NUMBER: 15560653
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD, 4-250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-681-8420
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD, 4-250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mehra Anand
CENTRAL INDEX KEY: 0001590102
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36819
FILM NUMBER: 15560654
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD, 4-250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
3
1
v399904_3.xml
OWNERSHIP DOCUMENT
X020632015-01-2900001609351Spark Therapeutics, Inc.ONCE0001590102Mehra AnandC/O SOFINNOVA VENTURES3000 SAND HILL ROAD, 4-250MENLO PARKCA9402510100001524064Sofinnova Venture Partners VIII, L.P.3000 SAND HILL ROAD, 4-250MENLO PARKCA9402500100001559565Sofinnova Management VIII, L.L.C.3000 SAND HILL ROAD, 4-250MENLO PARKCA9402500100001253170AKKARAJU SRINIVAS18 DESBROSSES STREETNEW YORKNY1001300100001245624HEALY JAMES3000 SAND HILL ROAD, 4-250MENLO PARKCA9402500100001202793POWELL MICHAEL3000 SAND HILL ROAD, 4-250MENLO PARKCA940250010Stock Option (right to buy)3.452024-08-11Common Stock37203DSeries B Convertible Preferred StockCommon Stock1863354ISee footnoteThis option was granted on August 11, 2014 and vests over four years, with 25% of the shares underlying the option vesting on May 24, 2015, and the remainder vesting quarterly thereafter.The securities are owned directly by Mr. Mehra.Consists of shares of Series B Convertible Preferred Stock issued on May 23, 2014, that are currently convertible into 1,863,354 shares of Common Stock. Shares of Series B Convertible Preferred Stock accrue stock dividends payable in additional shares of Series B Convertible Preferred Stock at a rate of 8% per annum from November 23, 2014. Shares of Series B Convertible Preferred Stock, including shares of Series B Convertible Preferred Stock issued as accrued stock dividends, are immediately convertible into shares of Common Stock upon issuance, will be automatically converted into shares of Common Stock immediately upon the closing of the issuer's initial public offering pursuant to a registration statement on Form S-1 under the Securities Act of 1933, as amended, and have no expiration date.The aggregate amount of stock dividends that will have accrued through February 4, 2015, the expected closing date of the initial public offering, is 30,222 shares of Common Stock. The above Common Stock share equivalent numbers are rounded down to the nearest whole share number.The securities are owned directly by Sofinnova Venture Partners VIII, L.P. ("SVP VIII"). Sofinnova Management VIII, L.L.C. ("SM VIII"), the general partner of SVP VIII, and Anand Mehra, a director of the Issuer, James I. Healy, Srinivas Akkaraju, and Michael Powell, the managing members of SM VIII, may be deemed to have shared voting and dispositive power over the shares owned by SVP VIII. Such persons and entities disclaim beneficial ownership over the shares owned by SVP VIII except to the extent of any pecuniary interest therein./s/ Nathalie Auber, attorney-in-fact for Anand Mehra2015-01-29/s/ Nathalie Auber, attorney-in-fact for Sofinnova Venture Partners VIII, L.P.2015-01-29/s/ Nathalie Auber, attorney-in-fact for Sofinnova Management VIII, L.L.C.2015-01-29/s/ Nathalie Auber, attorney-in-fact for Srinivas Akkaraju2015-01-29/s/ Nathalie Auber, attorney-in-fact for James I. Healy2015-01-29/s/ Nathalie Auber, attorney-in-fact for Michael F. Powell2015-01-29EX-24.1
2
v399904_ex24-1.htm
POWER OF ATTORNEY
Exhibit 24.1
Power of Attorney
Nathalie Auber has signed this Form 3 as Attorney-In-Fact. Note
that copies of the applicable Power of Attorney is already on file with the appropriate agencies.