0000899243-21-017113.txt : 20210427 0000899243-21-017113.hdr.sgml : 20210427 20210427170545 ACCESSION NUMBER: 0000899243-21-017113 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210423 FILED AS OF DATE: 20210427 DATE AS OF CHANGE: 20210427 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BERGER FRANKLIN M CENTRAL INDEX KEY: 0001273885 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40356 FILM NUMBER: 21859924 MAIL ADDRESS: STREET 1: 1000 MARINA BLVD STREET 2: STE 200 CITY: BRISBANE STATE: CA ZIP: 94005 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Rain Therapeutics Inc. CENTRAL INDEX KEY: 0001724979 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 821130967 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8000 JARVIS AVENUE STREET 2: SUITE 204 CITY: NEWARK STATE: CA ZIP: 94560 BUSINESS PHONE: (510) 953-5559 MAIL ADDRESS: STREET 1: 8000 JARVIS AVENUE STREET 2: SUITE 204 CITY: NEWARK STATE: CA ZIP: 94560 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-04-23 0 0001724979 Rain Therapeutics Inc. RAIN 0001273885 BERGER FRANKLIN M C/O RAIN THERAPEUTICS INC. 8000 JARVIS AVENUE, SUITE 204 NEWARK CA 94560 1 0 0 0 Common Stock 2021-04-23 4 P 0 120000 17.00 A 120000 D Common Stock 2021-04-23 4 P 0 5000 15.78 A 125000 D Common Stock 2021-04-27 4 C 0 175939 A 300939 D Common Stock 2021-04-27 4 C 0 535601 A 836540 D Series A Preferred Stock 2021-04-27 4 C 0 189998 0.00 D Common Stock 175939 0 D Series B Preferred Stock 2021-04-27 4 C 0 578397 0.00 D Common Stock 535601 0 D The Series A Preferred Stock automatically converted into shares of the Issuer's common stock on a one-for-1.0799 basis upon the closing of the Issuer's initial public offering and had no expiration date. The Series B Preferred Stock automatically converted into shares of the Issuer's common stock on a one-for-1.0799 basis upon the closing of the Issuer's initial public offering and had no expiration date. /s/ Nelson Cabatuan, Attorney-in-fact for Franklin Berger 2021-04-27