0001104659-16-130147.txt : 20160629 0001104659-16-130147.hdr.sgml : 20160629 20160629164635 ACCESSION NUMBER: 0001104659-16-130147 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160627 FILED AS OF DATE: 20160629 DATE AS OF CHANGE: 20160629 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SELECTA BIOSCIENCES INC CENTRAL INDEX KEY: 0001453687 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 480 ARSENAL STREET STREET 2: BUILDING ONE CITY: WATERTOWN STATE: MA ZIP: 02472 BUSINESS PHONE: 617-923-1400 MAIL ADDRESS: STREET 1: 480 ARSENAL STREET STREET 2: BUILDING ONE CITY: WATERTOWN STATE: MA ZIP: 02472 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Nanodimension Limited Partnership CENTRAL INDEX KEY: 0001677409 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37798 FILM NUMBER: 161739347 BUSINESS ADDRESS: STREET 1: GOVERNOR'S SQUARE, UNIT 3-213-6 STREET 2: LIME TREE BAY AVE. CITY: GRAND CAYMAN STATE: E9 ZIP: KY1-1302 BUSINESS PHONE: 3 345 946 5556 MAIL ADDRESS: STREET 1: GOVERNOR'S SQUARE, UNIT 3-213-6 STREET 2: LIME TREE BAY AVE. CITY: GRAND CAYMAN STATE: E9 ZIP: KY1-1302 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Nanodimension Management Ltd CENTRAL INDEX KEY: 0001677406 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37798 FILM NUMBER: 161739348 BUSINESS ADDRESS: STREET 1: GOVERNOR'S SQUARE, UNIT 3-213-6 STREET 2: LIME TREE BAY AVE. CITY: GRAND CAYMAN STATE: E9 ZIP: KY1-1302 BUSINESS PHONE: 3 345 946 5556 MAIL ADDRESS: STREET 1: GOVERNOR'S SQUARE, UNIT 3-213-6 STREET 2: LIME TREE BAY AVE. CITY: GRAND CAYMAN STATE: E9 ZIP: KY1-1302 4 1 a4.xml 4 X0306 4 2016-06-27 1 0001453687 SELECTA BIOSCIENCES INC SELB 0001677406 Nanodimension Management Ltd GOVERNOR'S SQUARE, UNIT 3-213-62 23 LIME TREE BAY AVE GRAND CAYMAN E9 KY1-1302 CAYMAN ISLANDS 0 0 1 0 0001677409 Nanodimension Limited Partnership GOVERNOR'S SQUARE, UNIT 3-213-62 23 LIME TREE BAY AVE GRAND CAYMAN E9 KY1-1302 CAYMAN ISLANDS 0 0 1 0 Common Stock 2016-06-27 4 C 0 637790 0 A 660957 I See Footnote Common Stock 2016-06-27 4 P 0 385000 14.00 A 1045957 I See Footnote Series B Convertible Preferred Stock 2016-06-27 4 C 0 315729 0 D Common Stock 315729 0 I See Footnote Series C Convertible Preferred Stock 2016-06-27 4 C 0 94183 0 D Common Stock 94183 0 I See Footnote Series D Convertible Preferred Stock 2016-06-27 4 C 0 83596 0 D Common Stock 83596 0 I See Footnote Series E Convertible Preferred Stock 2016-06-27 4 C 0 93078 0 D Common Stock 144282 0 I See Footnote Held by NanoDimension L.P. ("ND LP). Consists of 660,957 shares held by ND LP, 350,000 shares held by NanoDimension L.P. II ("NDLP2") and 35,000 shares held by NanoDimension Management Limited ("ND GP"). ND GP serves as the general partner of ND LP and possesses the power to direct the voting and disposition of the shares owned by ND LP and may be deemed to have indirect beneficial ownership of the shares held by ND LP. NanoDimension II Mangement Limited ("NDGP2") serves as the general partner of NDLP2 and possesses the power to direct the voting and disposition of the shares owned by NDLP2 and may be deemed to have indirect beneficial ownership of the shares held by NDLP2. ND GP and NDGP2 disclaim beneficial ownership of such shares, except to the extent of their pecuniary interest therein. Jonathan Nicholson and Richard Coles are the members of the board of directors of ND GP and NDGP2 and share voting and dispositive power over the shares held by ND LP and NDLP2. Each reporting person disclaims beneficial ownership of the securities reported herein, except to the extent of their respective pecuniary interest therein. The preferred stock is convertible at any time, at the holder's election and has no expiration date. The preferred stock automatically converted into common stock on a 1-for-1 basis upon the closing of the Issuer's initial public offering. The Series E Convertible Preferred Stock is convertible at any time, at the holder's election and has no expiration date. The Series E Convertible Preferred Stock automatically converted into common stock on an approximately 1-for-1.550115 basis upon the closing of the Issuer's initial public offering. NanoDimension Management Ltd. By: /s/ Jonathan Nicholson, Director 2016-06-29 NanoDimension L.P. By: NanoDimension Management Ltd., its general partner By: /s/ Jonathan Nicholson, Director 2016-06-29