0001140361-20-023907.txt : 20201028
0001140361-20-023907.hdr.sgml : 20201028
20201028060215
ACCESSION NUMBER: 0001140361-20-023907
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201027
FILED AS OF DATE: 20201028
DATE AS OF CHANGE: 20201028
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Abu Dhabi Investment Authority
CENTRAL INDEX KEY: 0001362558
STATE OF INCORPORATION: C0
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39634
FILM NUMBER: 201265986
BUSINESS ADDRESS:
STREET 1: 211 CORNICHE STREET
STREET 2: PO BOX 3600
CITY: ABU DHABI
STATE: C0
ZIP: 0000
BUSINESS PHONE: 971 2 4154242
MAIL ADDRESS:
STREET 1: 211 CORNICHE STREET
STREET 2: PO BOX 3600
CITY: ABU DHABI
STATE: C0
ZIP: 0000
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Platinum International Investment Holding RSC Ltd
CENTRAL INDEX KEY: 0001790748
STATE OF INCORPORATION: C0
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39634
FILM NUMBER: 201265987
BUSINESS ADDRESS:
STREET 1: 26TH FLOOR, AL KHATEM TOWER, ADGM SQUARE
STREET 2: PO BOX 25642, AL MARYAH ISLAND
CITY: ABU DHABI
STATE: C0
ZIP: NA
BUSINESS PHONE: 971-2-415-5838
MAIL ADDRESS:
STREET 1: 26TH FLOOR, AL KHATEM TOWER, ADGM SQUARE
STREET 2: PO BOX 25642, AL MARYAH ISLAND
CITY: ABU DHABI
STATE: C0
ZIP: NA
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Platinum Falcon B 2018 RSC Ltd
CENTRAL INDEX KEY: 0001790749
STATE OF INCORPORATION: C0
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39634
FILM NUMBER: 201265988
BUSINESS ADDRESS:
STREET 1: 26TH FLOOR, AL KHATEM TOWER, ADGM SQUARE
STREET 2: PO BOX 25642, AL MARYAH ISLAND
CITY: ABU DHABI
STATE: C0
ZIP: NA
BUSINESS PHONE: 971-2-415-5838
MAIL ADDRESS:
STREET 1: 26TH FLOOR, AL KHATEM TOWER, ADGM SQUARE
STREET 2: PO BOX 25642, AL MARYAH ISLAND
CITY: ABU DHABI
STATE: C0
ZIP: NA
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Foghorn Therapeutics Inc.
CENTRAL INDEX KEY: 0001822462
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 500 TECHNOLOGY SQUARE
STREET 2: SUITE 700
CITY: CAMBRIDGE
STATE: MA
ZIP: 02139
BUSINESS PHONE: 617-586-3100
MAIL ADDRESS:
STREET 1: 500 TECHNOLOGY SQUARE
STREET 2: SUITE 700
CITY: CAMBRIDGE
STATE: MA
ZIP: 02139
4
1
form4.xml
FORM 4
X0306
4
2020-10-27
true
0001822462
Foghorn Therapeutics Inc.
FHTX
0001362558
Abu Dhabi Investment Authority
211 CORNICHE STREET
PO BOX 3600
ABU DHABI
C0
0000
UNITED ARAB EMIRATES
true
Former 10% Owner
0001790748
Platinum International Investment Holding RSC Ltd
26TH FLOOR, AL KHATEM TOWER, ADGM SQUARE
PO BOX 25642, AL MARYAH ISLAND
ABU DHABI
C0
NA
UNITED ARAB EMIRATES
true
Former 10% Owner
0001790749
Platinum Falcon B 2018 RSC Ltd
26TH FLOOR, AL KHATEM TOWER, ADGM SQUARE
PO BOX 25642, AL MARYAH ISLAND
ABU DHABI
C0
NA
UNITED ARAB EMIRATES
true
Former 10% Owner
Common Stock
2020-10-27
4
C
0
1081081
A
1081081
D
Common Stock
2020-10-27
4
P
0
150000
16
A
1231081
D
Series B Preferred Stock
2020-10-27
4
C
0
2000001
D
Common Stock
1081081
0
D
Upon the closing of the sale of shares of Common Stock of the Issuer to the public in a firm-commitment underwritten public offering pursuant to an effective registration statement under the Securities Act of 1933, as amended, resulting in at least $35,000,000 of gross proceeds to the Issuer, the Series B Preferred Stock converted automatically into Common Stock. Every 1.85 shares of Series B Preferred Stock converted into one share of Common Stock. There was no expiration date for the Series B Preferred Stock.
Platinum Falcon B 2018 RSC Limited ("Platinum Falcon") directly holds the Series B Preferred Stock and the shares of Common Stock received upon conversion of the Series B Preferred Stock. Platinum International Investment Holding RSC Limited ("Platinum Holdings") is the sole owner of Platinum Falcon, and the Abu Dhabi Investment Authority ("ADIA" and, together with Platinum Falcon and Platinum Holdings, the "Reporting Persons") is the sole owner of Platinum Holdings. Therefore, Platinum Holdings and ADIA may also be deemed to beneficially own the Series B Preferred Stock and the shares of Common Stock received upon conversion of the Series B Preferred Stock.
Platinum Falcon directly acquired 143,540 shares of Common Stock. Platinum Holdings and ADIA may also be deemed to beneficially own such shares of Common Stock. ADIA acquired directly 6,460 shares of Common Stock, and Platinum Holdings and Platinum Falcon disclaim beneficial ownership of such shares.
/s/ Humaid Bin Butti Bin Humaid Bin Bishr AlMarri, Authorized Signatory of Abu Dhabi Investment Authority
2020-10-27
/s/ Ahmed Mohamed Ghubash, Authorized Signatory of Abu Dhabi Investment Authority
2020-10-27
/s/ Humaid Bin Butti Bin Humaid Bin Bishr AlMarri, Authorized Signatory of Platinum International Investment Holding RSC Limited
2020-10-27
/s/ Ahmed Mohamed Ghubash, Authorized Signatory of Platinum International Investment Holding RSC Limited
2020-10-27
/s/ Humaid Bin Butti Bin Humaid Bin Bishr AlMarri, Authorized Signatory of Platinum Falcon B 2018 RSC Limited
2020-10-27
/s/ Ahmed Mohamed Ghubash, Authorized Signatory of Platinum Falcon B 2018 RSC Limited
2020-10-27