0001209191-19-059960.txt : 20191210 0001209191-19-059960.hdr.sgml : 20191210 20191210215225 ACCESSION NUMBER: 0001209191-19-059960 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191209 FILED AS OF DATE: 20191210 DATE AS OF CHANGE: 20191210 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WEISSMAN IRVING CENTRAL INDEX KEY: 0001230630 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38554 FILM NUMBER: 191278860 MAIL ADDRESS: STREET 1: C/O FORTY SEVEN, INC. STREET 2: 1490 O'BRIEN DRIVE, SUITE A CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Forty Seven, Inc. CENTRAL INDEX KEY: 0001667633 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 474065674 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1490 O'BRIEN DRIVE, SUITE A CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: (650) 352-4150 MAIL ADDRESS: STREET 1: 1490 O'BRIEN DRIVE, SUITE A CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-12-09 0 0001667633 Forty Seven, Inc. FTSV 0001230630 WEISSMAN IRVING C/O FORTY SEVEN, INC. 1490 O'BRIEN DRIVE, SUITE A MENLO PARK CA 94025 1 0 0 0 Common Stock 2019-12-09 4 S 0 9820 15.149 D 2042941 I By Trust Common Stock 2019-12-09 4 S 0 10180 17.254 D 2032761 I By Trust The sale reported in this Form 4 was effected pursuant to a 10b5-1 trading plan. The price reported in Column 4 is a weighted-average price. These shares were sold in multiple transactions at prices ranging from $15.00 to $15.85, inclusive. The Reporting Person undertakes to provide the Issuer, any securityholder of the Issuer, or the Staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in these footnotes. Shares held by Ann Tsukamoto and Irving Weissman, Trustees of The Tsukamoto-Weissman 2011 Trust dated March 16, 2011, as community property. The price reported in Column 4 is a weighted-average price. These shares were sold in multiple transactions at prices ranging from $16.66 to $17.57, inclusive. /s/ John T. McKenna, Attorney-in-Fact for Irving L. Weissman 2019-12-10