0000899243-19-026810.txt : 20191106 0000899243-19-026810.hdr.sgml : 20191106 20191106172854 ACCESSION NUMBER: 0000899243-19-026810 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20191106 FILED AS OF DATE: 20191106 DATE AS OF CHANGE: 20191106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Buckler Regina A. CENTRAL INDEX KEY: 0001793170 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39114 FILM NUMBER: 191197402 MAIL ADDRESS: STREET 1: C/O GALERA THERAPEUTICS, INC. STREET 2: 2 W LIBERTY BLVD. #110 CITY: MALVERN STATE: PA ZIP: 19355 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Galera Therapeutics, Inc. CENTRAL INDEX KEY: 0001563577 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 461454898 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 101 LINDENWOOD DRIVE STREET 2: SUITE 405 CITY: MALVERN STATE: PA ZIP: 19355 BUSINESS PHONE: 610-725-1500 MAIL ADDRESS: STREET 1: 101 LINDENWOOD DRIVE STREET 2: SUITE 405 CITY: MALVERN STATE: PA ZIP: 19355 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2019-11-06 0 0001563577 Galera Therapeutics, Inc. GRTX 0001793170 Buckler Regina A. C/O GALERA THERAPEUTICS, INC., 2 W LIBERTY BLVD #100 MALVERN PA 19355 0 0 1 0 Common Stock 54258 D Series A Preferred Stock Common Stock 7996 D Each share of the Issuer's preferred stock is convertible into shares of the Issuer's common stock on a 0.197763-for-one basis at the holder's election and has no expiration date. The preferred stock will automatically convert into common stock upon the closing of the Issuer's initial public offering. Exhibit 24 - Power of Attorney /s/ J. Mel Sorensen, Attorney-in-Fact for Regina A. Buckler 2019-11-06 EX-24 2 attachment1.htm EX-24 DOCUMENT
                                                                      EXHIBIT 24

                               POWER OF ATTORNEY

       With respect to holdings of and transactions in securities issued by
Galera Therapeutics, Inc. (the "Company"), the undersigned hereby constitutes
and appoints the individuals named on Schedule A attached hereto and as may be
amended from time to time, or any of them signing singly, with full power of
substitution and resubstitution, to act as the undersigned's true and lawful
attorney-in-fact to:

       1.    prepare, execute in the undersigned's name and on the undersigned's
             behalf, and submit to the United States Securities and Exchange
             Commission (the "SEC") a Form ID, including amendments thereto, and
             any other documents necessary or appropriate to obtain and/or
             regenerate codes and passwords enabling the undersigned to make
             electronic filings with the SEC of reports required by Section
             16(a) of the Securities Exchange Act of 1934, as amended, or any
             rule or regulation of the SEC;

       2.    execute for and on behalf of the undersigned, Forms 3, 4, and 5 in
             accordance with Section 16 of the Securities Exchange Act of 1934,
             as amended, and the rules thereunder;

       3.    do and perform any and all acts for and on behalf of the
             undersigned which may be necessary or desirable to complete and
             execute any such Form 3, 4, or 5, complete and execute any
             amendment or amendments thereto, and timely file such form with the
             SEC and any stock exchange or similar authority; and

       4.    take any other action of any type whatsoever in connection with the
             foregoing which, in the opinion of such attorney-in-fact, may be of
             benefit to, in the best interest of, or legally required by, the
             undersigned, it being understood that the documents executed by
             such attorney-in-fact on behalf of the undersigned pursuant to this
             Power of Attorney shall be in such form and shall contain such
             terms and conditions as such attorney-in-fact may approve in such
             attorney-in-fact's discretion.

       The undersigned hereby grants to each such attorney-in-fact full power
and authority to do and perform any and every act and thing whatsoever
requisite, necessary, or proper to be done in the exercise of any of the rights
and powers herein granted, as fully to all intents and purposes as the
undersigned might or could do if personally present, with full power of
substitution and resubstitution or revocation, hereby ratifying and confirming
all that such attorney-in-fact, or such attorneys-in-fact substitute or
substitutes, shall lawfully do or cause to be done by virtue of this Power of
Attorney and the rights and powers herein granted.

       The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's responsibilities to comply
with Section 16 of the Securities Exchange Act of 1934, as amended.

       This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys-in-fact.

       IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of this 3rd day of November, 2019.


                                 Signature:   /s/ Regina A. Buckler
                                              ---------------------
                                 Print Name:  Regina A. Buckler



                                   Schedule A
                                   ----------

 Individuals Appointed as Attorney-in-Fact with Full Power of Substitution and
                                 Resubstitution

J. Mel Sorensen
Christopher Degnan