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