FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Tricida, Inc. [ TCDA ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 07/02/2018 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 07/02/2018 | C | 169,936 | A | (1) | 245,312 | I | By Sibling Co-Investment LLC(2)(8) | ||
Common Stock | 07/02/2018 | C | 893,292 | A | (1) | 893,292 | I | By Sibling Capital Fund II-A L.P.(3)(8) | ||
Common Stock | 07/02/2018 | C | 3,139,600 | A | (1) | 3,139,600 | I | By Sibling Capital Fund II-B L.P.(4)(8) | ||
Common Stock | 07/02/2018 | C | 1,810,195 | A | (1) | 1,810,195 | I | By Sibling Capital Fund II-C L.P.(5)(8) | ||
Common Stock | 07/02/2018 | C | 599,379 | A | (1) | 599,379 | I | By Sibling Capital Fund II-D L.P.(6)(8) | ||
Common Stock | 07/02/2018 | P | 463,158 | A | $19 | 463,158 | I | By Sibling Insiders Fund II L.P.(7)(8) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series A Convertible Preferred Stock | (1) | 07/02/2018 | C | 676,349 | (1) | (1) | Common Stock | 169,936 | (1) | 0 | I | By Sibling Co-Investment LLC(2)(8) | |||
Series A Convertible Preferred Stock | (1) | 07/02/2018 | C | 3,555,304 | (1) | (1) | Common Stock | 893,292 | (1) | 0 | I | By Sibling Capital Fund II-A L.P.(3)(8) | |||
Series B Convertible Preferred Stock | (1) | 07/02/2018 | C | 12,495,612 | (1) | (1) | Common Stock | 3,139,600 | (1) | 0 | I | By Sibling Capital Fund II-B L.P.(4)(8) | |||
Series C Convertible Preferred Stock | (1) | 07/02/2018 | C | 7,204,578 | (1) | (1) | Common Stock | 1,810,195 | (1) | 0 | I | By Sibling Capital Fund II-C L.P.(5)(8) | |||
Series D Convertible Preferred Stock | (1) | 07/02/2018 | C | 2,385,532 | (1) | (1) | Common Stock | 599,379 | (1) | 0 | I | By Sibling Capital Fund II-D L.P.(6)(8) |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. The Issuer's (i) Series A Convertible Preferred Stock, (ii) Series B Convertible Preferred Stock, (iii) Series C Convertible Preferred Stock and (iv) Series D Convertible Preferred Stock were each converted upon the closing of the Issuer's initial public offering of its Common Stock into the Issuer's Common Stock at a rate of 1/3.98 (or on an approximately 1-for-0.251256 basis) for no additional consideration and had no expiration date. |
2. Sibling Co-Investment LLC converted 676,349 shares of Series A Convertible Preferred Stock of the Issuer into 169,936 shares of Common Stock of the Issuer. Sibling Co-Investment LLC is also a direct beneficial owner of 75,376 shares of Common Stock of the Issuer. Sibling Capital Ventures LLC is the sole manager of Sibling Co-Investment LLC. As co-manager of Sibling Capital Ventures LLC, Brian M. Isern may be deemed to be an indirect beneficial owner of such shares. |
3. Sibling Capital Fund II-A L.P. converted 3,555,304 shares of Series A Convertible Preferred Stock of the Issuer into 893,292 shares of Common Stock of the Issuer. Sibling Capital Ventures LLC is the sole general partner of Sibling Capital Fund II-A L.P. As co-manager of Sibling Capital Ventures LLC, Brian M. Isern may be deemed to be an indirect beneficial owner of such shares. |
4. Sibling Capital Fund II-B L.P. converted 12,495,612 shares of Series B Convertible Preferred Stock of the Issuer into 3,139,600 shares of Common Stock of the Issuer. Sibling Capital Ventures II LLC is the sole general partner of Sibling Capital Fund II-B L.P. As co-manager of Sibling Capital Ventures II LLC, Brian M. Isern may be deemed to be an indirect beneficial owner of such shares. |
5. Sibling Capital Fund II-C L.P. converted 7,204,578 shares of Series C Convertible Preferred Stock of the Issuer into 1,810,195 shares of Common Stock of the Issuer. Sibling Capital Ventures III LLC is the sole general partner of Sibling Capital Fund II-C L.P. As co-manager of Sibling Capital Ventures III LLC, Brian M. Isern may be deemed to be an indirect beneficial owner of such shares. |
6. Sibling Capital Fund II-D L.P. converted 2,385,532 shares of Series D Convertible Preferred Stock of the Issuer into 599,379 shares of Common Stock of the Issuer. Sibling Capital Ventures IV LLC is the sole general partner of Sibling Capital Fund II-D L.P. As co-manager of Sibling Capital Ventures IV LLC, Brian M. Isern may be deemed to be an indirect beneficial owner of such shares. |
7. Sibling Insiders Fund II L.P. purchased 463,158 shares of Common Stock of the Issuer. Sibling Insiders II LLC is the sole general partner of Sibling Insiders Fund II L.P. As co-manager of Sibling Insiders II LLC, Brian M. Isern may be deemed to be an indirect beneficial owner of such shares. |
8. For purposes of Section 16 of the Securities Exchange Act of 1934, as amended, each Reporting Person disclaims beneficial ownership of any such securities, except to the extent of his/its pecuniary interest therein, if any, and this report shall not be deemed an admission that such Reporting Person is the beneficial owner of such securities for purposes of Section 16 or otherwise. |
/s/ Brian M. Isern | 07/02/2018 | |
Sibling Capital Ventures LLC, By: /s/ Brian M. Isern, President | 07/02/2018 | |
Sibling Capital Ventures II LLC, By: /s/ Brian M. Isern, President | 07/02/2018 | |
Sibling Capital Ventures III LLC, By: /s/ Brian M. Isern, President | 07/02/2018 | |
Sibling Capital Ventures IV LLC, By: /s/ Brian M. Isern, President | 07/02/2018 | |
Sibling Capital Fund II-A L.P., By: Sibling Capital Ventures LLC, its General Partner, By: /s/ Brian M. Isern, President | 07/02/2018 | |
Sibling Capital Fund II-B L.P., By: Sibling Capital Ventures II LLC, its General Partner, By: /s/ Brian M. Isern, President | 07/02/2018 | |
Sibling Capital Fund II-C L.P., By: Sibling Capital Ventures III LLC, its General Partner, By: /s/ Brian M. Isern, President | 07/02/2018 | |
Sibling Capital Fund II-D L.P., By: Sibling Capital Ventures IV LLC, its General Partner, By: /s/ Brian M. Isern, President | 07/02/2018 | |
Sibling Co-Investment LLC, By: Sibling Capital Ventures LLC, its Manager, By: /s/ Brian M. Isern, President | 07/02/2018 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |