0000899243-19-027031.txt : 20191108 0000899243-19-027031.hdr.sgml : 20191108 20191108191731 ACCESSION NUMBER: 0000899243-19-027031 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191108 FILED AS OF DATE: 20191108 DATE AS OF CHANGE: 20191108 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kariv Tomer CENTRAL INDEX KEY: 0001568077 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39122 FILM NUMBER: 191205353 MAIL ADDRESS: STREET 1: C/O ARNO THERAPEUTICS, INC. STREET 2: 200 ROUTE 31 NORTH, SUITE 104 CITY: FLEMINGTON STATE: NJ ZIP: 08822 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pontifax (Israel) V, L.P. CENTRAL INDEX KEY: 0001792890 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39122 FILM NUMBER: 191205354 BUSINESS ADDRESS: STREET 1: 14 SHENKAR STREET, BEIT OFEK CITY: HERZLIYA PITUACH STATE: L3 ZIP: L3 46140 BUSINESS PHONE: 972-9-9725617 MAIL ADDRESS: STREET 1: 14 SHENKAR STREET, BEIT OFEK CITY: HERZLIYA PITUACH STATE: L3 ZIP: L3 46140 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pontifax (Cayman) V, L.P. CENTRAL INDEX KEY: 0001792893 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39122 FILM NUMBER: 191205355 BUSINESS ADDRESS: STREET 1: 14 SHENKAR STREET, BEIT OFEK CITY: HERZLIYA PITUACH STATE: L3 ZIP: L3 46140 BUSINESS PHONE: 972-9-9725617 MAIL ADDRESS: STREET 1: 14 SHENKAR STREET, BEIT OFEK CITY: HERZLIYA PITUACH STATE: L3 ZIP: L3 46140 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pontifax (China) V, L.P. CENTRAL INDEX KEY: 0001792891 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39122 FILM NUMBER: 191205356 BUSINESS ADDRESS: STREET 1: 14 SHENKAR STREET, BEIT OFEK CITY: HERZLIYA PITUACH STATE: L3 ZIP: L# 56140 BUSINESS PHONE: 972-9-9725617 MAIL ADDRESS: STREET 1: 14 SHENKAR STREET, BEIT OFEK CITY: HERZLIYA PITUACH STATE: L3 ZIP: L# 56140 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pontifax 5 G.P. L.P. CENTRAL INDEX KEY: 0001792892 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39122 FILM NUMBER: 191205357 BUSINESS ADDRESS: STREET 1: 14 SHENKAR STREET, BEIT OFEK CITY: HERZLIYA PITUACH STATE: L3 ZIP: L3 46140 BUSINESS PHONE: 972-9-9725617 MAIL ADDRESS: STREET 1: 14 SHENKAR STREET, BEIT OFEK CITY: HERZLIYA PITUACH STATE: L3 ZIP: L3 46140 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pontifax Management 4 G.P. (2015) Ltd. CENTRAL INDEX KEY: 0001726334 STATE OF INCORPORATION: L3 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39122 FILM NUMBER: 191205358 BUSINESS ADDRESS: STREET 1: 14 SHENKAR STREET, BEIT OFEK CITY: HERZLIYA PITUACH STATE: L3 ZIP: 46140 BUSINESS PHONE: 972-9-9725617 MAIL ADDRESS: STREET 1: 14 SHENKAR STREET, BEIT OFEK CITY: HERZLIYA PITUACH STATE: L3 ZIP: 46140 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: 89bio, Inc. CENTRAL INDEX KEY: 0001785173 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 831114349 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 535 MISSION STREET STREET 2: 14TH FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: 4155004614 MAIL ADDRESS: STREET 1: 535 MISSION STREET STREET 2: 14TH FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94105 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2019-11-08 0 0001785173 89bio, Inc. ETNB 0001568077 Kariv Tomer 14 SHENKAR STREET, BEIT OFEK HERZLIYA PITUACH L3 L3 46140 ISRAEL 1 0 1 0 0001792890 Pontifax (Israel) V, L.P. 14 SHENKAR STREET, BEIT OFEK HERZLIYA PITUACH L3 L3 46140 ISRAEL 0 0 1 0 0001792893 Pontifax (Cayman) V, L.P. 14 SHENKAR STREET, BEIT OFEK HERZLIYA PITUACH L3 L3 46140 ISRAEL 0 0 1 0 0001792891 Pontifax (China) V, L.P. 14 SHENKAR STREET, BEIT OFEK HERZLIYA PITUACH L3 L3 46140 ISRAEL 0 0 1 0 0001792892 Pontifax 5 G.P. L.P. 14 SHENKAR STREET, BEIT OFEK HERZLIYA PITUACH L3 L3 46140 ISRAEL 0 0 1 0 0001726334 Pontifax Management 4 G.P. (2015) Ltd. 14 SHENKAR STREET, BEIT OFEK HERZLIYA PITUACH L3 L3 46140 ISRAEL 0 0 1 0 Series A Preferred Stock Common Stock 884671 I See footnote Each share of Series A Preferred Stock is convertible into common stock on a one-for-6.217 basis into the number of shares of common stock shown in column 3 at any time at the holder's election and automatically immediately prior to the closing of the Issuer's initial public offering. The Series A Preferred Stock has no expiration date. Includes (a) 3,322,005 shares held by Pontifax (Israel) V, L.P., (b) 887,328 shares held by Pontifax (Cayman) V, L.P. and (c) 1,290,668 shares held by Pontifax (China) V, L.P. (collectively, the "Pontifax Entities"). Pontifax 5 G.P. L.P. ("Pontifax 5 GP") is the general partner of each of the Pontifax Entities, and Pontifax Management 4 G.P. (2015) Ltd. ("Pontifax Management") is the general partner of Pontifax 5 GP. Mr. Tomer Kariv is one of two Managing Partners of Pontifax Management and, as a result, may be deemed to share voting and investment power with respect to the shares held by each of the Pontifax Entities. Mr. Kariv disclaims beneficial ownership of those shares held by the Pontifax Entities, except to the extent of his pecuniary interest therein. /s/ Tomer Kariv 2019-11-08 Pontifax (Israel) V, L.P.; By /s/ Tomer Kariv, Chief Executive Officer 2019-11-08 Pontifax (Cayman) V, L.P.; By /s/ Tomer Kariv, Chief Executive Officer 2019-11-08 Pontifax (China) V, L.P.; By /s/ Tomer Kariv, Chief Executive Officer 2019-11-08 Pontifax 5 G.P. L.P.; By /s/ Tomer Kariv, Chief Executive Officer 2019-11-08 Pontifax Management 4 G.P. (2015) Ltd.; By /s/ Tomer Kariv, Chief Executive Officer 2019-11-08