0001104659-18-036485.txt : 20180529
0001104659-18-036485.hdr.sgml : 20180529
20180529191909
ACCESSION NUMBER: 0001104659-18-036485
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180529
FILED AS OF DATE: 20180529
DATE AS OF CHANGE: 20180529
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BOESS CARSTEN
CENTRAL INDEX KEY: 0001277495
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38492
FILM NUMBER: 18866137
MAIL ADDRESS:
STREET 1: C/O KINIKSA PHARMACEUTICALS, LTD.
STREET 2: CLARENDON HOUSE, 2 CHURCH STREET
CITY: HAMILTON
STATE: D0
ZIP: HM11
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Kiniksa Pharmaceuticals, Ltd.
CENTRAL INDEX KEY: 0001730430
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: D0
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: CLARENDON HOUSE
STREET 2: 2 CHURCH STREET
CITY: HAMILTON
STATE: D0
ZIP: HM11
BUSINESS PHONE: 7814399100
MAIL ADDRESS:
STREET 1: CLARENDON HOUSE
STREET 2: 2 CHURCH STREET
CITY: HAMILTON
STATE: D0
ZIP: HM11
4
1
a4.xml
4
X0306
4
2018-05-29
1
0001730430
Kiniksa Pharmaceuticals, Ltd.
KNSA
0001277495
BOESS CARSTEN
C/O KINIKSA PHARMACEUTICALS, LTD.
CLARENDON HOUSE 2 CHURCH STREET
HAMILTON
D0
HM11
BERMUDA
0
0
1
0
Class A Common Shares
2018-05-29
4
C
0
6392
0.00
A
79589
D
Series C Preferred Shares
2018-02-09
4
P
0
6392
15.6438
A
Class A Common Shares
6392
6392
D
Series A Preferred Shares
2018-05-29
4
C
0
107050
0.00
D
Class B Common Shares
107050
0
D
Series C Preferred Shares
2018-05-29
4
C
0
6392
0.00
D
Class A Common Shares
6392
0
D
Class B Common Shares
2018-05-29
4
C
0
107050
0.00
A
Class A Common Shares
107050
473035
D
Upon closing of the Issuer's initial public offering, the preferred shares automatically converted into the Issuer's Class A Common Shares on a one-for-one basis.
Reflects the 1-for-2.73235 share consolidation effected May 11, 2018.
Upon closing of the Issuer's initial public offering, the preferred shares automatically converted into the Issuer's Class B Common Shares on a one-for-one basis.
Each share of Class B Common Shares is convertible at any time at the election of the holder into one share of Class A Common Shares or one share of Class B1 Common Shares and will automatically convert into Class A Common Shares upon transfer to an unaffiliated party.
/s/ Thomas W. Beetham, Attorney-in-Fact for Carsten Boess
2018-05-29