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