0001104659-18-037319.txt : 20180531
0001104659-18-037319.hdr.sgml : 20180531
20180531214323
ACCESSION NUMBER: 0001104659-18-037319
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180529
FILED AS OF DATE: 20180531
DATE AS OF CHANGE: 20180531
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Polaris Venture Management Co. VI, L.L.C.
CENTRAL INDEX KEY: 0001665594
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38501
FILM NUMBER: 18873313
BUSINESS ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: 10TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
BUSINESS PHONE: (855) 787-3500
MAIL ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: 10TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Polaris Venture Partners VI, L.P.
CENTRAL INDEX KEY: 0001493463
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38501
FILM NUMBER: 18873312
BUSINESS ADDRESS:
STREET 1: ONE MARINA PARK DRIVE, 10TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
BUSINESS PHONE: 781-290-0770
MAIL ADDRESS:
STREET 1: ONE MARINA PARK DRIVE, 10TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Polaris Venture Partners Founders' Fund VI, L.P.
CENTRAL INDEX KEY: 0001575691
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38501
FILM NUMBER: 18873311
BUSINESS ADDRESS:
STREET 1: ONE MARINA PARK DRIVE, 10TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
BUSINESS PHONE: 885-787-3500
MAIL ADDRESS:
STREET 1: ONE MARINA PARK DRIVE, 10TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Scholar Rock Holding Corp
CENTRAL INDEX KEY: 0001727196
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 823750435
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 620 MEMORIAL DRIVE, 2ND FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02139
BUSINESS PHONE: 857-259-3860
MAIL ADDRESS:
STREET 1: 620 MEMORIAL DRIVE, 2ND FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02139
4
1
a4.xml
4
X0306
4
2018-05-29
0
0001727196
Scholar Rock Holding Corp
SRRK
0001665594
Polaris Venture Management Co. VI, L.L.C.
ONE MARINA PARK DRIVE, 10TH FLOOR
BOSTON
MA
02210
0
0
1
0
0001493463
Polaris Venture Partners VI, L.P.
ONE MARINA PARK DRIVE, 10TH FLOOR
BOSTON
MA
02210
0
0
1
0
0001575691
Polaris Venture Partners Founders' Fund VI, L.P.
ONE MARINA PARK DRIVE, 10TH FLOOR
BOSTON
MA
02210
0
0
1
0
Common Stock
2018-05-29
4
C
0
330948
A
330948
I
See Footnotes
Common Stock
2018-05-29
4
C
0
19340
A
19340
I
See Footnote
Common Stock
2018-05-29
4
C
0
493705
A
824653
I
See Footnotes
Common Stock
2018-05-29
4
C
0
28851
A
48191
I
See Footnote
Common Stock
2018-05-29
4
C
0
479634
A
1304287
I
See Footnotes
Common Stock
2018-05-29
4
C
0
28028
A
76219
I
See Footnote
Common Stock
2018-05-29
4
C
0
260670
A
1564957
I
See Footnotes
Common Stock
2018-05-29
4
C
0
15233
A
91452
I
See Footnote
Common Stock
2018-05-29
4
C
0
693294
A
2258251
I
See Footnotes
Common Stock
2018-05-29
4
C
0
40514
A
131966
I
See Footnote
Common Stock
2018-05-29
4
C
0
283090
A
2541341
I
See Footnotes
Common Stock
2018-05-29
4
C
0
16542
A
148508
I
See Footnote
Common Stock
2018-05-29
4
P
0
134970
14
A
2676311
I
See Footnotes
Common Stock
2018-05-29
4
P
0
7887
14
A
156395
I
See Footnote
Series A-1 Preferred Stock
2018-05-29
4
C
0
944789
D
Common Stock
330948
0
I
See Footnotes
Series A-1 Preferred Stock
2018-05-29
4
C
0
55211
D
Common Stock
19340
0
I
See Footnote
Series A-2 Preferred Stock
2018-05-29
4
C
0
1409429
D
Common Stock
493705
0
I
See Footnotes
Series A-2 Preferred Stock
2018-05-29
4
C
0
82363
D
Common Stock
28851
0
I
See Footnote
Series A-3 Preferred Stock
2018-05-29
4
C
0
1369259
D
Common Stock
479634
0
I
See Footnotes
Series A-3 Preferred Stock
2018-05-29
4
C
0
80016
D
Common Stock
28028
0
I
See Footnote
Series A-4 Preferred Stock
2018-05-29
4
C
0
744162
D
Common Stock
260670
0
I
See Footnotes
Series A-4 Preferred Stock
2018-05-29
4
C
0
43487
D
Common Stock
15233
0
I
See Footnote
Series B Preferred Stock
2018-05-29
4
C
0
1979216
D
Common Stock
693294
0
I
See Footnotes
Series B Preferred Stock
2018-05-29
4
C
0
115659
D
Common Stock
40514
0
I
See Footnote
Series C Preferred Stock
2018-05-29
4
C
0
808166
D
Common Stock
283090
0
I
See Footnotes
Series C Preferred Stock
2018-05-29
4
C
0
47225
D
Common Stock
16542
0
I
See Footnote
Each share of Preferred Stock automatically converted into Common Stock, for no additional payment or consideration, on a 2.8548-for-1 basis upon the closing of the Issuer's initial public offering on May 29, 2018 and had no expiration date.
The reportable securities are owned directly by Polaris Venture Partners VI, L.P. ("PVP VI"). Polaris Venture Management Co. VI, L.L.C. ("PVM VI") is the general partner of PVP VI. PVM VI is managed by its managing members, one of whom is Dr. Amir Nashat, a member of the Issuer's Board of Directors (collectively, the "Managing Members"). PVM VI may be deemed to have sole voting and dispositive power with respect to the shares held by PVP VI and the Managing Members may each be deemed to have shared voting and dispositive power with respect to the shares held by PVP VI.
Each of PVM VI and the Managing Members disclaims beneficial ownership of these securities and this report shall not be deemed an admission that PVM VI or any of the Managing Members is a beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of their respective pecuniary interests therein.
The reportable securities are owned directly by Polaris Venture Partners Founders' Fund VI, L.P. ("PVPFF VI"). PVM VI is the general partner of PVPFF VI. PVM VI may be deemed to have sole voting and dispositive power with respect to the shares held by PVPFF VI and the Managing Members may each be deemed to have shared voting and dispositive power with respect to the shares held by PVPFF VI. Each of PVM VI and the Managing Members disclaims beneficial ownership of these securities and this report shall not be deemed an admission that PVM VI or any of the Managing Members is a beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of their respective pecuniary interests therein.
/s/ Max Eisenberg, Attorney-in-Fact for Polaris Venture Management Co. VI, L.L.C.
2018-05-31
/s/ Max Eisenberg, Attorney-in-Fact for Polaris Venture Management Co. VI, L.L.C., general partner of Polaris Venture Partners VI, L.P.
2018-05-31
/s/ Max Eisenberg, Attorney-in-Fact for Polaris Venture Management Co. VI, L.L.C., general partner of Polaris Venture Partners Founders' Fund VI, L.P.
2018-05-31