0001209191-15-039642.txt : 20150506
0001209191-15-039642.hdr.sgml : 20150506
20150506202455
ACCESSION NUMBER: 0001209191-15-039642
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150506
FILED AS OF DATE: 20150506
DATE AS OF CHANGE: 20150506
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: aTYR PHARMA INC
CENTRAL INDEX KEY: 0001339970
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 203435077
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 3545 JOHN HOPKINS COURT, STE #250
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
BUSINESS PHONE: 858-731-8389
MAIL ADDRESS:
STREET 1: 3545 JOHN HOPKINS COURT, STE #250
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Polaris Venture Partners Special Founders' Fund V, L.P.
CENTRAL INDEX KEY: 0001439586
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37378
FILM NUMBER: 15838975
BUSINESS ADDRESS:
STREET 1: 1000 WINTER STREET
STREET 2: SUITE 3350
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 781-290-0770
MAIL ADDRESS:
STREET 1: 1000 WINTER STREET
STREET 2: SUITE 3350
CITY: WALTHAM
STATE: MA
ZIP: 02451
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Polaris Venture Partners Founders' Fund V, L.P.
CENTRAL INDEX KEY: 0001439588
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37378
FILM NUMBER: 15838976
BUSINESS ADDRESS:
STREET 1: 1000 WINTER STREET
STREET 2: SUITE 3350
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 781-290-0770
MAIL ADDRESS:
STREET 1: 1000 WINTER STREET
STREET 2: SUITE 3350
CITY: WALTHAM
STATE: MA
ZIP: 02451
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Polaris Venture Partners Entrepreneurs' Fund V, L.P.
CENTRAL INDEX KEY: 0001439587
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37378
FILM NUMBER: 15838977
BUSINESS ADDRESS:
STREET 1: 1000 WINTER STREET
STREET 2: SUITE 3350
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 781-290-0770
MAIL ADDRESS:
STREET 1: 1000 WINTER STREET
STREET 2: SUITE 3350
CITY: WALTHAM
STATE: MA
ZIP: 02451
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Polaris Venture Partners V, L.P.
CENTRAL INDEX KEY: 0001439590
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37378
FILM NUMBER: 15838978
BUSINESS ADDRESS:
STREET 1: 1000 WINTER STREET
STREET 2: SUITE 3350
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 781-290-0770
MAIL ADDRESS:
STREET 1: 1000 WINTER STREET
STREET 2: SUITE 3350
CITY: WALTHAM
STATE: MA
ZIP: 02451
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Polaris Venture Management Co. V, L.L.C.
CENTRAL INDEX KEY: 0001439589
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37378
FILM NUMBER: 15838979
BUSINESS ADDRESS:
STREET 1: 1000 WINTER STREET
STREET 2: SUITE 3350
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 781-290-0770
MAIL ADDRESS:
STREET 1: 1000 WINTER STREET
STREET 2: SUITE 3350
CITY: WALTHAM
STATE: MA
ZIP: 02451
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2015-05-06
0
0001339970
aTYR PHARMA INC
LIFE
0001439589
Polaris Venture Management Co. V, L.L.C.
C/O POLARIS VENTURE PARTNERS,
1000 WINTER STREET, SUITE 3350
WALTHAM
MA
02541
0
0
1
0
0001439590
Polaris Venture Partners V, L.P.
1000 WINTER STREET, SUITE 3350
WALTHAM
MA
02451
0
0
1
0
0001439587
Polaris Venture Partners Entrepreneurs' Fund V, L.P.
1000 WINTER STREET, SUITE 3350
WALTHAM
MA
02451
0
0
1
0
0001439588
Polaris Venture Partners Founders' Fund V, L.P.
1000 WINTER STREET, SUITE 3350
WALTHAM
MA
02451
0
0
1
0
0001439586
Polaris Venture Partners Special Founders' Fund V, L.P.
1000 WINTER STREET, SUITE 3350
WALTHAM
MA
02451
0
0
1
0
Series B Redeemable Convertible Preferred Stock
Common Stock
3473763
I
By Polaris Venture Partners V, L.P.
Series B Redeemable Convertible Preferred Stock
Common Stock
67704
I
By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Series B Redeemable Convertible Preferred Stock
Common Stock
23796
I
By Polaris Venture Partners Founders' Fund V, L.P.
Series B Redeemable Convertible Preferred Stock
Common Stock
34737
I
Polaris Venture Partners Special Founders' Fund V, L.P.
Series B-2 Redeemable Convertible Preferred Stock
Common Stock
4168683
I
By Polaris Venture Partners V, L.P.
Series B-2 Redeemable Convertible Preferred Stock
Common Stock
81248
I
By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Series B-2 Redeemable Convertible Preferred Stock
Common Stock
28556
I
By Polaris Venture Partners Founders' Fund V, L.P.
Series B-2 Redeemable Convertible Preferred Stock
Common Stock
41686
I
By Polaris Venture Partners Special Founders' Fund V, L.P.
Series C Redeemable Convertible Preferred Stock
Common Stock
4208756
I
By Polaris Venture Partners V, L.P.
Series C Redeemable Convertible Preferred Stock
Common Stock
82029
I
By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Series C Redeemable Convertible Preferred Stock
Common Stock
28831
I
By Polaris Venture Partners Founders' Fund V, L.P.
Series C Redeemable Convertible Preferred Stock
Common Stock
42087
I
By Polaris Venture Partners Special Founders' Fund V, L.P.
Series D Redeemable Convertible Preferred Stock
Common Stock
1470577
I
By Polaris Venture Partners V, L.P.
Series D Redeemable Convertible Preferred Stock
Common Stock
28661
I
By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Series D Redeemable Convertible Preferred Stock
Common Stock
10074
I
By Polaris Venture Partners Founders' Fund V, L.P.
Series D Redeemable Convertible Preferred Stock
Common Stock
14706
I
By Polaris Venture Partners Special Founders' Fund V, L.P.
Series E Redeemable Convertible Preferred Stock
Common Stock
862318
I
By Polaris Venture Partners V, L.P.
Series E Redeemable Convertible Preferred Stock
Common Stock
16806
I
By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Series E Redeemable Convertible Preferred Stock
Common Stock
5906
I
By Polaris Venture Partners Founders' Fund V, L.P.
Series E Redeemable Convertible Preferred Stock
Common Stock
8623
I
By Polaris Venture Partners Special Founders' Fund V, L.P.
The aggregate number of shares of the Issuer's Preferred Stock held by the Reporting Person converts into Common Stock immediately prior to the closing of the Issuer's initial public offering and has no expiration date. These shares convert into Common Stock on a 1-for-7.95413 basis.
The aggregate number of shares of the Issuer's Preferred Stock held by the Reporting Person converts into Common Stock immediately prior to the closing of the Issuer's initial public offering and has no expiration date. These shares convert into Common Stock on a 1-for-9.6814 basis.
These shares are owned directly by Polaris Venture Partners V, L.P. ("Polaris V"), whose sole general partner is Polaris Venture Management Co. V, LLC ("Polaris Management"). Each of Jonathan A. Flint ("Flint") and Terrance G. McGuire ("McGuire") are the managing members of Polaris Management. Amir Nashat ("Nashat"), who is a member of the Issuer's Board of Directors, is a member of Polaris Management. Each of Flint, McGuire and Nashat, in their respective capacities with regard to Polaris Management, may be deemed to have shared voting and dispositive power over the shares held by each of Polaris V, Polaris Venture Partners Entrepreneurs' Fund V, L.P. ("Polaris Entrepreneurs' V"), Polaris Venture Partners Founders' Fund V, L.P. ("Polaris Founders' V") and Polaris Venture Partners Special Founders' Fund V, L.P. ("Polaris Special Founders' V", and together with Polaris V, Polaris Entrepreneurs' V and Polaris Founders' V, the "Polaris V Funds").
(Continued from Footnote 3) Each of Flint, McGuire, Nashat and Polaris Management disclaims beneficial ownership of these securities and this report shall not be deemed to be an admission that any one of them is the beneficial owner of such securities for purposes of Section 16 or any other purpose, except to the extent of their pecuniary interest therein.
These shares are owned directly by Polaris Entrepreneurs' V, whose sole general partner is Polaris Management. Each of Flint and McGuire are the managing members of Polaris Management. Nashat, who is a member of the Issuer's Board of Directors, is a member of Polaris Management. Each of Flint, McGuire and Nashat, in their respective capacities with regard to Polaris Management, may be deemed to have shared voting and dispositive power over the shares held by each of the Polaris V Funds. Each of Flint, McGuire, Nashat and Polaris Management disclaims beneficial ownership of these securities and this report shall not be deemed to be an admission that any one of them is the beneficial owner of such securities for purposes of Section 16 or any other purpose, except to the extent of their pecuniary interest therein.
These shares are owned directly by Polaris Founders' V, whose sole general partner is Polaris Management. Each of Flint and McGuire are the managing members of Polaris Management. Nashat, who is a member of the Issuer's Board of Directors, is a member of Polaris Management. Each of Flint, McGuire and Nashat, in their respective capacities with regard to Polaris Management, may be deemed to have shared voting and dispositive power over the shares held by each of the Polaris V Funds. Each of Flint, McGuire, Nashat and Polaris Management disclaims beneficial ownership of these securities and this report shall not be deemed to be an admission that any one of them is the beneficial owner of such securities for purposes of Section 16 or any other purpose, except to the extent of their pecuniary interest therein.
These shares are owned directly by Polaris Special Founders' V, whose sole general partner is Polaris Management. Each of Flint and McGuire are the managing members of Polaris Management. Nashat, who is a member of the Issuer's Board of Directors, is a member of Polaris Management. Each of Flint, McGuire and Nashat, in their respective capacities with regard to Polaris Management, may be deemed to have shared voting and dispositive power over the shares held by each of the Polaris V Funds. Each of Flint, McGuire, Nashat and Polaris Management disclaims beneficial ownership of these securities and this report shall not be deemed to be an admission that any one of them is the beneficial owner of such securities for purposes of Section 16 or any other purpose, except to the extent of their pecuniary interest therein.
Exhibit 24.1 Power of Attorney
John Gannon has signed this Form 3 as the Attorney-In-Fact for each of the Reporting Persons. Note that copies of the applicable Power of Attorney is already on file with the appropriate agencies.
/s/ John Gannon, Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C.
2015-05-06
/s/ John Gannon, Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C., the general partner of Polaris Venture Partners V, L.P.
2015-05-06
/s/ John Gannon, Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C., the general partner of Polaris Venture Partners Entrepreneurs' Fund V, L.P.
2015-05-06
/s/ John Gannon, Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C., the general partner of Polaris Venture Partners Founders' Fund V, L.P.
2015-05-06
/s/ John Gannon, Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C., the general partner of Polaris Venture Partners Special Founders' Fund V, L.P.
2015-05-06