0001209191-15-043033.txt : 20150514
0001209191-15-043033.hdr.sgml : 20150514
20150514212716
ACCESSION NUMBER: 0001209191-15-043033
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150512
FILED AS OF DATE: 20150514
DATE AS OF CHANGE: 20150514
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37378
FILM NUMBER: 15865150
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37378
FILM NUMBER: 15865151
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37378
FILM NUMBER: 15865152
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37378
FILM NUMBER: 15865153
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37378
FILM NUMBER: 15865154
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-05-12
1
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
Common Stock
2015-05-12
4
C
0
1674825
A
1674825
I
By Polaris Venture Partners V, L.P.
Common Stock
2015-05-12
4
C
0
32642
A
32642
I
By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Common Stock
2015-05-12
4
C
0
11472
A
11472
I
By Polaris Venture Partners Founders' Fund V, L.P.
Common Stock
2015-05-12
4
C
0
16748
A
16748
I
Polaris Venture Partners Special Founders' Fund V, L.P.
Common Stock
2015-05-12
4
C
0
89069
A
1763894
I
By Polaris Venture Partners V, L.P.
Common Stock
2015-05-12
4
C
0
1736
A
34378
I
By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Common Stock
2015-05-12
4
C
0
610
A
12082
I
By Polaris Venture Partners Founders' Fund V, L.P.
Common Stock
2015-05-12
4
C
0
890
A
17638
I
Polaris Venture Partners Special Founders' Fund V, L.P.
Series B Redeemable Convertible Preferred Stock
2015-05-12
4
C
0
3473763
0.00
D
Common Stock
436725
0
I
By Polaris Venture Partners V, L.P.
Series B Redeemable Convertible Preferred Stock
2015-05-12
4
C
0
67704
0.00
D
Common Stock
8512
0
I
By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Series B Redeemable Convertible Preferred Stock
2015-05-12
4
C
0
23796
0.00
D
Common Stock
2992
0
I
By Polaris Venture Partners Founders' Fund V, L.P.
Series B Redeemable Convertible Preferred Stock
2015-05-12
4
C
0
34737
0.00
D
Common Stock
4367
0
I
Polaris Venture Partners Special Founders' Fund V, L.P.
Series B-2 Redeemable Convertible Preferred Stock
2015-05-12
4
C
0
4168683
0.00
D
Common Stock
524090
0
I
By Polaris Venture Partners V, L.P.
Series B-2 Redeemable Convertible Preferred Stock
2015-05-12
4
C
0
81248
0.00
D
Common Stock
10214
0
I
By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Series B-2 Redeemable Convertible Preferred Stock
2015-05-12
4
C
0
28556
0.00
D
Common Stock
3590
0
I
By Polaris Venture Partners Founders' Fund V, L.P.
Series B-2 Redeemable Convertible Preferred Stock
2015-05-12
4
C
0
41686
0.00
D
Common Stock
5241
0
I
By Polaris Venture Partners Special Founders' Fund V, L.P.
Series C Redeemable Convertible Preferred Stock
2015-05-12
4
C
0
4208756
0.00
D
Common Stock
529128
0
I
By Polaris Venture Partners V, L.P.
Series C Redeemable Convertible Preferred Stock
2015-05-12
4
C
0
82029
0.00
D
Common Stock
10313
0
I
By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Series C Redeemable Convertible Preferred Stock
2015-05-12
4
C
0
28831
0.00
D
Common Stock
3624
0
I
By Polaris Venture Partners Founders' Fund V, L.P.
Series C Redeemable Convertible Preferred Stock
2015-05-12
4
C
0
42087
0.00
D
Common Stock
5291
0
I
By Polaris Venture Partners Special Founders' Fund V, L.P.
Series D Redeemable Convertible Preferred Stock
2015-05-12
4
C
0
1470577
0.00
D
Common Stock
184882
0
I
By Polaris Venture Partners V, L.P.
Series D Redeemable Convertible Preferred Stock
2015-05-12
4
C
0
28661
0.00
D
Common Stock
3603
0
I
By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Series D Redeemable Convertible Preferred Stock
2015-05-12
4
C
0
10074
0.00
D
Common Stock
1266
0
I
By Polaris Venture Partners Founders' Fund V, L.P.
Series D Redeemable Convertible Preferred Stock
2015-05-12
4
C
0
14706
0.00
D
Common Stock
1849
0
I
By Polaris Venture Partners Special Founders' Fund V, L.P.
Series E Redeemable Convertible Preferred Stock
2015-05-12
4
C
0
862318
0.00
D
Common Stock
89069
0
I
By Polaris Venture Partners V, L.P.
Series E Redeemable Convertible Preferred Stock
2015-05-12
4
C
0
16806
0.00
D
Common Stock
1736
0
I
By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Series E Redeemable Convertible Preferred Stock
2015-05-12
4
C
0
5906
0.00
D
Common Stock
610
0
I
By Polaris Venture Partners Founders' Fund V, L.P.
Series E Redeemable Convertible Preferred Stock
2015-05-12
4
C
0
8623
0.00
D
Common Stock
890
0
I
By Polaris Venture Partners Special Founders' Fund V, L.P.
The aggregate number of shares of Issuer's Preferred Stock held by the Reporting Person converted into Common Stock immediately prior to the closing of the Issuer's initial public offering and has no expiration date. These shares converted into Common Stock on a 1-for-7.95413 basis.
Reflects a 1-for-7.95413 stock conversion of the Issuer's Preferred Stock into Common Stock which became effective immediately prior to the closing of the Issuer's initial public offering.
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.
The aggregate number of shares of Issuer's Preferred Stock held by the Reporting Person converted into Common Stock immediately prior to the closing of the Issuer's initial public offering and has no expiration date. These shares converted into Common Stock on a 1-for-9.6814 basis.
Reflects a 1-for 9.6814 stock conversion of the Issuer's Preferred Stock into Common Stock which became effective immediately prior to the closing of the Issuer's initial public offering.
/s/ John Gannon, Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C.
2015-05-14
/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.
2015-05-14
/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.
2015-05-14
/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.
2015-05-14
/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.
2015-05-14