0001181431-14-013604.txt : 20140320 0001181431-14-013604.hdr.sgml : 20140320 20140320215316 ACCESSION NUMBER: 0001181431-14-013604 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20140320 FILED AS OF DATE: 20140320 DATE AS OF CHANGE: 20140320 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Versartis, Inc. CENTRAL INDEX KEY: 0001513818 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 244106690 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 275 SHORELINE DRIVE STREET 2: SUITE 450 CITY: REDWOOD CITY STATE: CA ZIP: 94065 BUSINESS PHONE: 6509638580 MAIL ADDRESS: STREET 1: 275 SHORELINE DRIVE STREET 2: SUITE 450 CITY: REDWOOD CITY STATE: CA ZIP: 94065 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: POWELL MICHAEL CENTRAL INDEX KEY: 0001202793 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36361 FILM NUMBER: 14708142 MAIL ADDRESS: STREET 1: 2800 SAND HILL ROAD STREET 2: SUITE 150 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mehra Anand CENTRAL INDEX KEY: 0001590102 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36361 FILM NUMBER: 14708143 MAIL ADDRESS: STREET 1: 2800 SAND HILL ROAD, SUITE 150 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HEALY JAMES CENTRAL INDEX KEY: 0001245624 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36361 FILM NUMBER: 14708144 MAIL ADDRESS: STREET 1: 2800 SAND HILL ROAD STREET 2: SUITE 150 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sofinnova Management VIII, L.L.C. CENTRAL INDEX KEY: 0001559565 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36361 FILM NUMBER: 14708145 BUSINESS ADDRESS: STREET 1: 2800 SAND HILL ROAD, SUITE 150 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-681-8420 MAIL ADDRESS: STREET 1: 2800 SAND HILL ROAD, SUITE 150 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sofinnova Venture Partners VIII, L.P. CENTRAL INDEX KEY: 0001524064 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36361 FILM NUMBER: 14708146 BUSINESS ADDRESS: STREET 1: 2800 SAND HILL ROAD, SUITE 150 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-681-8420 MAIL ADDRESS: STREET 1: 2800 SAND HILL ROAD, SUITE 150 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: AKKARAJU SRINIVAS CENTRAL INDEX KEY: 0001253170 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36361 FILM NUMBER: 14708147 MAIL ADDRESS: STREET 1: 18 DESBROSSES STREET CITY: NEW YORK STATE: NY ZIP: 10013 3 1 rrd406062.xml X0206 3 2014-03-20 0 0001513818 Versartis, Inc. VSAR 0001253170 AKKARAJU SRINIVAS 2800 SAND HILL ROAD, SUITE 150 MENLO PARK CA 94025 1 0 1 0 0001524064 Sofinnova Venture Partners VIII, L.P. 2800 SAND HILL ROAD, SUITE 150 MENLO PARK CA 94025 0 0 1 0 0001559565 Sofinnova Management VIII, L.L.C. 2800 SAND HILL ROAD, SUITE 150 MENLO PARK CA 94025 0 0 1 0 0001245624 HEALY JAMES C/O SOFINNOVA VENTURES 2800 SAND HILL ROAD, SUITE 150 MENLO PARK CA 94025 0 0 1 0 0001590102 Mehra Anand C/O SOFINNOVA VENTURES 2800 SAND HILL ROAD, SUITE 150 MENLO PARK CA 94025 0 0 1 0 0001202793 POWELL MICHAEL C/O SOFINNOVA VENTURES 2800 SAND HILL ROAD, SUITE 150 MENLO PARK CA 94025 0 0 1 0 Series B Convertible Preferred Stock Common Stock 23403 D Series D-1 Convertible Preferred Stock Common Stock 775315 D Series D-2 Convertible Preferred Stock Common Stock 802596 D Series E Convertible Preferred Stock Common Stock 485664 D In connection with the completion of the Issuer's initial public offering of Common Stock, each share of Series B Convertible Preferred Stock, Series D-1 Convertible Preferred Stock, Series D-2 Convertible Preferred Stock and Series E Convertible Preferred Stock shall automatically convert into Common Stock on a 1-for-11.5 basis. Not applicable. The securities are owned directly by Sofinnova Venture Partners VIII, L.P. ("SVP VIII"). Sofinnova Management VIII, L.L.C. ("SM VIII"), the general partner of SVP VIII, and Srinivas Akkaraju, a director of the Issuer, James I. Healy, Anand Mehra, and Michael Powell, the managing members of SM VIII, may be deemed to have shared voting and dispositive power over the shares owned by SVP VIII. Such persons and entities disclaim beneficial ownership over the shares owned by SVP VIII except to the extent of any pecuniary interest therein. /s/ Nathalie Auber, attorney-in-fact for Sofinnova Venture Partners VIII, L.P. 2014-03-20 /s/ Nathalie Auber, attorney-in-fact for Sofinnova Management VIII, L.L.C. 2014-03-20 /s/ Nathalie Auber, attorney-in-fact for Srinivas Akkaraju 2014-03-20 /s/ Nathalie Auber, attorney-in-fact for James I. Healy 2014-03-20 /s/ Nathalie Auber, attorney-in-fact for Anand Mehra 2014-03-20 /s/ Nathalie Auber, attorney-in-fact for Michael F. Powell 2014-03-20 EX-24.1 2 rrd365570_414080.htm POWER OF ATTORNEY rrd365570_414080.html
Exhibit 99.1

Joint Filer Information

Name:  Srinivas Akkaraju
Address: 2800 Sand Hill Road, Suite 150, Menlo Park, CA 94025
Designated Filer:  Srinivas Akkaraju
Issuer and Ticker Symbol:  Versartis, Inc. [VSAR]
Date of Event Requiring Statement:  03/20/2014

Name:  James I. Healy
Address: 2800 Sand Hill Road, Suite 150, Menlo Park, CA 94025
Designated Filer:  Srinivas Akkaraju
Issuer and Ticker Symbol:  Versartis, Inc. [VSAR]
Date of Event Requiring Statement:  03/20/2014

Name:  Anand Mehra
Address: 2800 Sand Hill Road, Suite 150, Menlo Park, CA 94025
Designated Filer:  Srinivas Akkaraju
Issuer and Ticker Symbol:  Versartis, Inc. [VSAR]
Date of Event Requiring Statement:  03/20/2014

Name:  Michael F. Powell
Address: 2800 Sand Hill Road, Suite 150, Menlo Park, CA 94025
Designated Filer:  Srinivas Akkaraju
Issuer and Ticker Symbol:  Versartis, Inc. [VSAR]
Date of Event Requiring Statement:  03/20/2014

Name:  Sofinnova Management VIII, LLC
Address: 2800 Sand Hill Road, Suite 150, Menlo Park, CA 94025
Designated Filer:  Srinivas Akkaraju
Issuer and Ticker Symbol:  Versartis, Inc. [VSAR]
Date of Event Requiring Statement:  03/20/2014

Name:  Sofinnova Venture Partners VIII, L.P.
Address: 2800 Sand Hill Road, Suite 150, Menlo Park, CA 94025
Designated Filer:  Srinivas Akkaraju
Issuer and Ticker Symbol:  Versartis, Inc. [VSAR]
Date of Event Requiring Statement:  03/20/2014








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EX-99.1 3 rrd365570_414081.htm JOINT FILER INFORMATION rrd365570_414081.html
Exhibit 99.1

Joint Filer Information

Name:  Srinivas Akkaraju
Address: 2800 Sand Hill Road, Suite 150, Menlo Park, CA 94025
Designated Filer:  Srinivas Akkaraju
Issuer and Ticker Symbol:  Versartis, Inc. [VSAR]
Date of Event Requiring Statement:  03/20/2014

Name:  James I. Healy
Address: 2800 Sand Hill Road, Suite 150, Menlo Park, CA 94025
Designated Filer:  Srinivas Akkaraju
Issuer and Ticker Symbol:  Versartis, Inc. [VSAR]
Date of Event Requiring Statement:  03/20/2014

Name:  Anand Mehra
Address: 2800 Sand Hill Road, Suite 150, Menlo Park, CA 94025
Designated Filer:  Srinivas Akkaraju
Issuer and Ticker Symbol:  Versartis, Inc. [VSAR]
Date of Event Requiring Statement:  03/20/2014

Name:  Michael F. Powell
Address: 2800 Sand Hill Road, Suite 150, Menlo Park, CA 94025
Designated Filer:  Srinivas Akkaraju
Issuer and Ticker Symbol:  Versartis, Inc. [VSAR]
Date of Event Requiring Statement:  03/20/2014

Name:  Sofinnova Management VIII, LLC
Address: 2800 Sand Hill Road, Suite 150, Menlo Park, CA 94025
Designated Filer:  Srinivas Akkaraju
Issuer and Ticker Symbol:  Versartis, Inc. [VSAR]
Date of Event Requiring Statement:  03/20/2014

Name:  Sofinnova Venture Partners VIII, L.P.
Address: 2800 Sand Hill Road, Suite 150, Menlo Park, CA 94025
Designated Filer:  Srinivas Akkaraju
Issuer and Ticker Symbol:  Versartis, Inc. [VSAR]
Date of Event Requiring Statement:  03/20/2014








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