0000899243-17-027009.txt : 20171120
0000899243-17-027009.hdr.sgml : 20171120
20171120173704
ACCESSION NUMBER: 0000899243-17-027009
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171120
FILED AS OF DATE: 20171120
DATE AS OF CHANGE: 20171120
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SV LIFE SCIENCES FUND V LP
CENTRAL INDEX KEY: 0001460732
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38295
FILM NUMBER: 171214885
BUSINESS ADDRESS:
STREET 1: C/O SV LIFE SCIENCES ADVISERS, LLC
STREET 2: ONE BOSTON PLACE, SUITE 3900
CITY: BOSTON
STATE: MA
ZIP: 02108
BUSINESS PHONE: 617-973-2708
MAIL ADDRESS:
STREET 1: C/O SV LIFE SCIENCES ADVISERS, LLC
STREET 2: ONE BOSTON PLACE, SUITE 3900
CITY: BOSTON
STATE: MA
ZIP: 02108
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SV Life Sciences Fund VI Strategic Partners, L.P.
CENTRAL INDEX KEY: 0001667605
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38295
FILM NUMBER: 171214888
BUSINESS ADDRESS:
STREET 1: C/O SV LIFE SCIENCES ADVISERS, LLC
STREET 2: ONE BOSTON PLACE, SUITE 3900
CITY: BOSTON
STATE: MA
ZIP: 02108
BUSINESS PHONE: 617-367-8100
MAIL ADDRESS:
STREET 1: C/O SV LIFE SCIENCES ADVISERS, LLC
STREET 2: ONE BOSTON PLACE, SUITE 3900
CITY: BOSTON
STATE: MA
ZIP: 02108
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SVLSF V, LLC
CENTRAL INDEX KEY: 0001644160
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38295
FILM NUMBER: 171214889
BUSINESS ADDRESS:
STREET 1: C/O SV LIFE SCIENCES ADVISERS, LLC
STREET 2: ONE BOSTON PLACE, SUITE 3900
CITY: BOSTON
STATE: MA
ZIP: 02108
BUSINESS PHONE: 617-367-8100
MAIL ADDRESS:
STREET 1: C/O SV LIFE SCIENCES ADVISERS, LLC
STREET 2: ONE BOSTON PLACE, SUITE 3900
CITY: BOSTON
STATE: MA
ZIP: 02108
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SV Life Sciences Fund V Strategic Partners, L.P.
CENTRAL INDEX KEY: 0001482194
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38295
FILM NUMBER: 171214886
BUSINESS ADDRESS:
STREET 1: C/O SV LIFE SCIENCES ADVISERS, LLC
STREET 2: ONE BOSTON PLACE, SUITE 3900
CITY: BOSTON
STATE: MA
ZIP: 02108
BUSINESS PHONE: 617-973-2708
MAIL ADDRESS:
STREET 1: C/O SV LIFE SCIENCES ADVISERS, LLC
STREET 2: ONE BOSTON PLACE, SUITE 3900
CITY: BOSTON
STATE: MA
ZIP: 02108
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SV Life Sciences Fund VI, L.P.
CENTRAL INDEX KEY: 0001642251
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38295
FILM NUMBER: 171214887
BUSINESS ADDRESS:
STREET 1: C/O SV LIFE SCIENCES ADVISERS LLC
STREET 2: ONE BOSTON PLACE, SUITE 3900
CITY: BOSTON
STATE: MA
ZIP: 02108
BUSINESS PHONE: (617) 367-8100
MAIL ADDRESS:
STREET 1: C/O SV LIFE SCIENCES ADVISERS LLC
STREET 2: ONE BOSTON PLACE, SUITE 3900
CITY: BOSTON
STATE: MA
ZIP: 02108
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Arsanis, Inc.
CENTRAL INDEX KEY: 0001501697
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 273181608
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 890 WINTER STREET, SUITE 230
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 781-819-5704
MAIL ADDRESS:
STREET 1: 890 WINTER STREET, SUITE 230
CITY: WALTHAM
STATE: MA
ZIP: 02451
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-11-20
0
0001501697
Arsanis, Inc.
ASNS
0001644160
SVLSF V, LLC
ONE BOSTON PLACE, SUITE 3900
201 WASHINGTON STREET
BOSTON
MA
02108
0
0
1
0
0001667605
SV Life Sciences Fund VI Strategic Partners, L.P.
ONE BOSTON PLACE, SUITE 3900,
201 WASHINGTON STREET
BOSTON
MA
02108
0
0
1
0
0001642251
SV Life Sciences Fund VI, L.P.
ONE BOSTON PLACE, SUITE 3900,
201 WASHINGTON STREET
BOSTON
MA
02108
0
0
1
0
0001482194
SV Life Sciences Fund V Strategic Partners, L.P.
ONE BOSTON PLACE, SUITE 3900,
201 WASHINGTON STREET
BOSTON
MA
02108
0
0
1
0
0001460732
SV LIFE SCIENCES FUND V LP
ONE BOSTON PLACE, SUITE 3900,
201 WASHINGTON STREET
BOSTON
MA
02108
0
0
1
0
Common Stock
2017-11-20
4
C
0
19128
A
19128
D
Common Stock
2017-11-20
4
C
0
404
A
19532
D
Common Stock
2017-11-20
4
C
0
247010
A
266542
D
Common Stock
2017-11-20
4
C
0
5219
A
271761
D
Common Stock
2017-11-20
4
C
0
322102
A
593863
D
Common Stock
2017-11-20
4
C
0
6806
A
600669
D
Common Stock
2017-11-20
4
C
0
111955
A
712624
D
Common Stock
2017-11-20
4
C
0
2365
A
714989
D
Common Stock
2017-11-20
4
C
0
202915
A
917904
D
Common Stock
2017-11-20
4
C
0
4288
A
922192
D
Common Stock
2017-11-20
4
C
0
431980
A
1354172
D
Common Stock
2017-11-20
4
C
0
14789
A
1368961
D
Common Stock
2017-11-20
4
P
0
483448
10.00
A
1852409
D
Common Stock
2017-11-20
4
P
0
16552
10.00
A
1868961
D
Series A-1 Convertible Preferred Stock
2017-11-20
4
C
0
65287
0.00
D
Common Stock
19128
0
D
Series A-1 Convertible Preferred Stock
2017-11-20
4
C
0
1380
0.00
D
Common Stock
404
0
D
Series A-2 Convertible Preferred Stock
2017-11-20
4
C
0
690259
0.00
D
Common Stock
247010
0
D
Series A-2 Convertible Preferred Stock
2017-11-20
4
C
0
14587
0.00
D
Common Stock
5219
0
D
Series B Convertible Preferred Stock
2017-11-20
4
C
0
721402
0.00
D
Common Stock
322102
0
D
Series B Convertible Preferred Stock
2017-11-20
4
C
0
15246
0.00
D
Common Stock
6806
0
D
Series C Convertible Preferred Stock
2017-11-20
4
C
0
224665
0.00
D
Common Stock
111955
0
D
Series C Convertible Preferred Stock
2017-11-20
4
C
0
4747
0.00
D
Common Stock
2365
0
D
Series D Convertible Preferred Stock
2017-11-20
4
C
0
692552
0.00
D
Common Stock
202915
0
D
Series D Convertible Preferred Stock
2017-11-20
4
C
0
14635
0.00
D
Common Stock
4288
0
D
Series D Convertible Preferred Stock
2017-11-20
4
C
0
1474348
0.00
D
Common Stock
431980
0
D
Series D Convertible Preferred Stock
2017-11-20
4
C
0
50477
0.00
D
Common Stock
14789
0
D
The Series A-1 Convertible Preferred Stock converted into Common Stock on a 0.29300-for-one basis upon the closing of the Issuer's initial public offering without payment of consideration. The Series A-1 Convertible Preferred Stock was convertible at any time at the holder's election and automatically upon the closing at the Issuer's initial public offering. The shares had no expiration date.
The Series A-2 Convertible Preferred Stock converted into Common Stock on a 0.35785-for-one basis upon the closing of the Issuer's initial public offering without payment of consideration. The Series A-2 Convertible Preferred Stock was convertible at any time at the holder's election and automatically upon the closing at the Issuer's initial public offering. The shares had no expiration date.
The Series B Convertible Preferred Stock converted into Common Stock on a 0.44650-for-one basis upon the closing of the Issuer's initial public offering without payment of consideration. The Series B Convertible Preferred Stock was convertible at any time at the holder's election and automatically upon the closing at the Issuer's initial public offering. The shares had no expiration date.
The Series C Convertible Preferred Stock converted into Common Stock on a 0.49832-for-one basis upon the closing of the Issuer's initial public offering without payment of consideration. The Series C Convertible Preferred Stock was convertible at any time at the holder's election and automatically upon the closing at the Issuer's initial public offering. The shares had no expiration date.
The Series D Convertible Preferred Stock converted into Common Stock on a 0.29300-for-one basis upon the closing of the Issuer's initial public offering without payment of consideration. The Series D Convertible Preferred Stock was convertible at any time at the holder's election and automatically upon the closing at the Issuer's initial public offering. The shares had no expiration date.
These shares are owned directly by SV Life Sciences Fund V, L.P. ("SVLS V LP"). SV Life Sciences Fund V (GP), LP ("SVLS V GP") is the general partner of SVLS V LP. The general partner of SVLS V GP is SVLSF V, LLC. Kate Bingham, James Garvey, Eugene D. Hill, III and Michael Ross are members of the investment committee of SVLSF V, LLC. SVLS V GP, SVLSF V, LLC and each of the individuals comprising the SVLSF V, LLC investment committee may be deemed to share voting, dispositive and investment power over the shares held of record by SVLS V LP. Each of SVLS V GP, SVLSF V, LLC and the individual members of the SVLSF V, LLC investment committee 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 SV Life Sciences Fund V Strategic Partners, L.P. ("SVLS V SPP"). SVLS V GP is the general partner of SVLS V SPP. The general partner of SVLS V GP is SVLSF V, LLC. Kate Bingham, James Garvey, Eugene D. Hill, III and Michael Ross are members of the investment committee of SVLSF V, LLC. SVLS V GP, SVLSF V, LLC and each of the individuals comprising the SVLSF V, LLC investment committee may be deemed to share voting, dispositive and investment power over the shares held of record by SVLS V SPP. Each of SVLS V GP, SVLSF V, LLC and the individual members of the SVLSF V, LLC investment committee 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 SV Life Sciences Fund VI, L.P. ("SVLS VI LP"). SV Life Sciences Fund VI (GP), LP ("SVLS VI GP") is the general partner of SVLS VI LP. The general partner of SVLS VI GP is SVLSF VI, LLC. Kate Bingham, James Garvey, Eugene D. Hill, III, Paul LaViolette, Thomas Flynn and Michael Ross are members of the investment committee of SVLSF VI, LLC. SVLS VI GP, SVLSF VI, LLC and each of the individuals comprising the SVLSF VI, LLC investment committee may be deemed to share voting, dispositive and investment power over the shares held of record by SVLS VI LP. Each of SVLS VI GP, SVLSF VI, LLC and the individual members of the SVLSF VI, LLC investment committee 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 SV Life Sciences Fund VI Strategic Partners, L.P. ("SVLS VI SPP"). SVLS VI GP is the general partner of SVLS VI SPP. The general partner of SVLS VI GP is SVLSF VI, LLC. Kate Bingham, James Garvey, Eugene D. Hill, III, Paul LaViolette, Thomas Flynn, and Michael Ross are members of the investment committee of SVLSF VI, LLC. SVLS VI GP, SVLSF VI, LLC and each of the individuals comprising the SVLSF VI, LLC investment committee may be deemed to share voting, dispositive and investment power over the shares held of record by SVLS VI SPP. Each of SVLS VI GP, SVLSF VI, LLC and the individual members of the SVLSF VI, LLC investment committee 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.
/s/ Mike Gray, as attorney-in-fact on behalf of SV Life Sciences Fund V, L.P.
2017-11-20
/s/ Mike Gray, as attorney-in-fact on behalf of SV Life Sciences Fund V Strategic Partners, L.P.
2017-11-20
/s/ Mike Gray, as attorney-in-fact on behalf of SV Life Sciences Fund VI, L.P.
2017-11-20
/s/ Mike Gray, as attorney-in-fact on behalf of SV Life Sciences Fund VI Strategic Partners, L.P
2017-11-20