0000899243-21-040245.txt : 20211014
0000899243-21-040245.hdr.sgml : 20211014
20211014164004
ACCESSION NUMBER: 0000899243-21-040245
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211012
FILED AS OF DATE: 20211014
DATE AS OF CHANGE: 20211014
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Stampacchia Otello
CENTRAL INDEX KEY: 0001361712
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40869
FILM NUMBER: 211323686
MAIL ADDRESS:
STREET 1: 888 BOYLSTON ST., SUITE 1111
CITY: BOSTON
STATE: MA
ZIP: 02199
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Paster Anne-Mari
CENTRAL INDEX KEY: 0001652863
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40869
FILM NUMBER: 211323684
MAIL ADDRESS:
STREET 1: C/O OMEGA FUND MANAGEMENT, LLC
STREET 2: 888 BOYLSTON ST., SUITE 1111
CITY: BOSTON
STATE: MA
ZIP: 02199
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Omega Fund VI GP Manager, Ltd.
CENTRAL INDEX KEY: 0001826584
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40869
FILM NUMBER: 211323687
BUSINESS ADDRESS:
STREET 1: 888 BOYLSTON STREET, SUITE 1111
CITY: BOSTON
STATE: MA
ZIP: 02199
BUSINESS PHONE: 617-502-6530
MAIL ADDRESS:
STREET 1: 888 BOYLSTON STREET, SUITE 1111
CITY: BOSTON
STATE: MA
ZIP: 02199
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Nessi Claudio
CENTRAL INDEX KEY: 0001722050
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40869
FILM NUMBER: 211323685
MAIL ADDRESS:
STREET 1: C/O NEOMED
STREET 2: 7 PLACE DU MOLARD
CITY: 1204 GENEVA
STATE: V8
ZIP: 1204
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Omega Fund VI, L.P.
CENTRAL INDEX KEY: 0001757917
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40869
FILM NUMBER: 211323688
BUSINESS ADDRESS:
STREET 1: 888 BOYLSTON ST., SUITE 1111
CITY: BOSTON
STATE: MA
ZIP: 02199
BUSINESS PHONE: 617-502-6538
MAIL ADDRESS:
STREET 1: 888 BOYLSTON ST., SUITE 1111
CITY: BOSTON
STATE: MA
ZIP: 02199
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Theseus Pharmaceuticals, Inc.
CENTRAL INDEX KEY: 0001745020
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 830712806
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 245 MAIN STREET
CITY: CAMBRIDGE
STATE: MA
ZIP: 02142
BUSINESS PHONE: (857) 400-9491
MAIL ADDRESS:
STREET 1: 245 MAIN STREET
CITY: CAMBRIDGE
STATE: MA
ZIP: 02142
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-10-12
1
0001745020
Theseus Pharmaceuticals, Inc.
THRX
0001757917
Omega Fund VI, L.P.
888 BOYLSTON STREET, SUITE 1111
BOSTON
MA
02199
0
0
0
1
Former 10% owner
0001826584
Omega Fund VI GP Manager, Ltd.
888 BOYLSTON STREET, SUITE 1111
BOSTON
MA
02199
0
0
0
1
Former 10% owner
0001361712
Stampacchia Otello
888 BOYLSTON STREET, SUITE 1111
BOSTON
MA
02199
0
0
0
1
Former 10% owner
0001722050
Nessi Claudio
888 BOYLSTON STREET, SUITE 1111
BOSTON
MA
02199
0
0
0
1
Former 10% owner
0001652863
Paster Anne-Mari
888 BOYLSTON STREET, SUITE 1111
BOSTON
MA
02199
0
0
0
1
Former 10% owner
Common Stock
2021-10-12
4
C
0
523979
A
523979
D
Common Stock
2021-10-12
4
P
0
187500
16.00
A
711479
D
Series B Preferred Stock
2021-10-12
4
C
0
693152
D
Common Stock
523979
0
D
Omega Fund VI, L.P. ("Omega VI") held 693,152 shares of the Issuer's Series B Preferred Stock. On October 12, 2021, the Series B Preferred Stock automatically converted into 523,979 shares of the Issuer's Common Stock on a 1-for-1.32286 reverse split basis, immediately prior to and in connection with the closing of a public offering of the Issuer's securities pursuant to an effective registration statement under the Securities Act of 1933, as amended (the "Securities Act") and without payment of further consideration.
The reported securities are beneficially owned by Omega Fund VI, L.P. ("Omega VI"). The reported securities may be deemed to be beneficially owned by each of Omega Fund VI GP, L.P. ("Omega VI GP"), as the general partner of Omega VI, and Omega Fund VI GP Manager, Ltd. ("Omega VI GP Manager"), as the general partner of Omega VI GP. Otello Stampacchia, Claudio Nessi and Anne-Mari Paster are all the shareholders and directors of Omega VI GP Manager and have shared voting and investment power over the shares held by Omega VI and, as a result, may each be deemed to beneficially own the reported securities. Each of such individuals disclaims beneficial ownership of the shares held by Omega VI.
As of October 12, 2021 and after giving effect to the transactions reported above, Omega VI holds less than 10% of the outstanding shares of the Issuer's Common Stock.
/s/ Anne-Mari Paster, as an authorized signatory of each Reporting Person
2021-10-14