0001193125-19-014248.txt : 20190123 0001193125-19-014248.hdr.sgml : 20190123 20190122215205 ACCESSION NUMBER: 0001193125-19-014248 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20190123 DATE AS OF CHANGE: 20190122 GROUP MEMBERS: ALPINE BIOVENTURES, GP, LLC GROUP MEMBERS: JAY VENKATESAN GROUP MEMBERS: MITCHELL H. GOLD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ALPINE IMMUNE SCIENCES, INC. CENTRAL INDEX KEY: 0001626199 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 208969493 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-88896 FILM NUMBER: 19536441 BUSINESS ADDRESS: STREET 1: 201 ELLIOTT AVE. WEST, SUITE 230 CITY: SEATTLE STATE: WA ZIP: 98119 BUSINESS PHONE: 206-788-4545 MAIL ADDRESS: STREET 1: 201 ELLIOTT AVE. WEST, SUITE 230 CITY: SEATTLE STATE: WA ZIP: 98119 FORMER COMPANY: FORMER CONFORMED NAME: Nivalis Therapeutics, Inc. DATE OF NAME CHANGE: 20150211 FORMER COMPANY: FORMER CONFORMED NAME: N30 Pharmaceuticals, Inc. DATE OF NAME CHANGE: 20141121 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Alpine ImmunoSciences, L.P. CENTRAL INDEX KEY: 0001628571 IRS NUMBER: 472413265 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 600 STEWART STREET STREET 2: SUITE 1503 CITY: SEATTLE STATE: WA ZIP: 98101 BUSINESS PHONE: 206-441-5064 MAIL ADDRESS: STREET 1: 600 STEWART STREET STREET 2: SUITE 1503 CITY: SEATTLE STATE: WA ZIP: 98101 SC 13D/A 1 d662331dsc13da.htm SC 13D/A SC 13D/A

 

 

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

SCHEDULE 13D

Under the Securities Exchange Act of 1934

(Amendment No. 1)*

 

 

Alpine Immune Sciences, Inc.

(Name of Issuer)

Common Stock, $0.001 par value per share

(Title of Class of Securities)

02083G100

(CUSIP Number)

Dr. Mitchell H. Gold

600 Stewart Street, Suite 1503

Seattle, Washington 98101

Telephone: (206) 441-5064

(Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications)

January 18, 2019

(Date of Event which Requires Filing of this Statement)

 

 

If the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(e), Rule 13d-1(f) or Rule 13d-1(g), check the following box.  ☐

 

 

Note: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See Rule 13d-7 for other parties to whom copies are to be sent.

 

 

 

*

The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.

The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 

 

 


CUSIP No. 02083G100   SCHEDULE 13D   Page 2 of 13 Pages

 

 

  1    

NAME OF REPORTING PERSON

 

Alpine Immunosciences, L.P.

  2    

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)

(a)  ☐        (b)  ☐

 

  3    

SEC USE ONLY

 

  4    

SOURCE OF FUNDS

 

WC

  5    

CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDING IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e)

 

  6    

CITIZENSHIP OR PLACE OF ORGANIZATION

 

Delaware

NUMBER OF

SHARES

 BENEFICIALLY 

OWNED BY

EACH

REPORTING

PERSON

WITH:

 

     7     

SOLE VOTING POWER

 

0

     8     

SHARED VOTING POWER

 

4,069,222 (1)

     9     

SOLE DISPOSITIVE POWER

 

0

   10     

SHARED DISPOSITIVE POWER

 

4,069,222 (1)

  11    

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH PERSON

 

4,069,222 (1)

  12    

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES

 

  13    

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

 

21.8%

  14    

TYPE OF REPORTING PERSON

 

PN

 

(1)

Includes warrants to purchase 74,441 shares of common stock issued pursuant to the Purchase Agreement (defined in Item 3).


CUSIP No. 02083G100   SCHEDULE 13D   Page 3 of 13 Pages

 

 

  1    

NAME OF REPORTING PERSON

 

Alpine BioVentures, GP, LLC

  2    

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)

(a)  ☐        (b)  ☐

 

  3    

SEC USE ONLY

 

  4    

SOURCE OF FUNDS

 

AF

  5    

CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDING IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e)

 

  6    

CITIZENSHIP OR PLACE OF ORGANIZATION

 

Delaware

NUMBER OF

SHARES

 BENEFICIALLY 

OWNED BY

EACH

REPORTING

PERSON

WITH:

 

     7     

SOLE VOTING POWER

 

0

     8     

SHARED VOTING POWER

 

4,069,222 (1)

     9     

SOLE DISPOSITIVE POWER

 

0

   10     

SHARED DISPOSITIVE POWER

 

4,069,222 (1)

  11    

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH PERSON

 

4,069,222 (1)

  12    

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES

 

  13    

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

 

21.8%

  14    

TYPE OF REPORTING PERSON

 

OO, HC

 

(1)

Includes warrants to purchase 74,441 shares of common stock issued pursuant to the Purchase Agreement (defined in Item 3).


CUSIP No. 02083G100   SCHEDULE 13D   Page 4 of 13 Pages

 

 

  1    

NAME OF REPORTING PERSON

 

Mitchell H. Gold

  2    

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)

(a)  ☐        (b)  ☐

 

  3    

SEC USE ONLY

 

  4    

SOURCE OF FUNDS

 

AF, PF

  5    

CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDING IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e)

 

  6    

CITIZENSHIP OR PLACE OF ORGANIZATION

 

United States of America

NUMBER OF

SHARES

 BENEFICIALLY 

OWNED BY

EACH

REPORTING

PERSON

WITH:

 

     7     

SOLE VOTING POWER

 

446,174 (1)

     8     

SHARED VOTING POWER

 

4,069,222 (2)

     9     

SOLE DISPOSITIVE POWER

 

446,174 (1)

   10     

SHARED DISPOSITIVE POWER

 

4,069,222 (2)

  11    

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH PERSON

 

4,515,396 (1) (2)

  12    

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES

 

  13    

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

 

23.7%

  14    

TYPE OF REPORTING PERSON

 

IN, HC

 

(1)

Includes 434,882 shares of common stock issuable pursuant to stock options vested and exercisable within 60 days of January 18, 2019 subject to the Reporting Person’s continued service.

(2)

Includes warrants to purchase 74,441 shares of common stock issued pursuant to the Purchase Agreement (defined in Item 3).


CUSIP No. 02083G100   SCHEDULE 13D   Page 5 of 13 Pages

 

 

  1    

NAME OF REPORTING PERSON

 

Jay Venkatesan

  2    

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)

(a)  ☐        (b)  ☐

 

  3    

SEC USE ONLY

 

  4    

SOURCE OF FUNDS

 

AF, PF

  5    

CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDING IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e)

 

  6    

CITIZENSHIP OR PLACE OF ORGANIZATION

 

United States of America

NUMBER OF

SHARES

 BENEFICIALLY 

OWNED BY

EACH

REPORTING

PERSON

WITH:

 

     7     

SOLE VOTING POWER

 

163,849 (1)

     8     

SHARED VOTING POWER

 

4,106,488 (2)

     9     

SOLE DISPOSITIVE POWER

 

163,849 (1)

   10     

SHARED DISPOSITIVE POWER

 

4,106,488 (2)

  11    

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH PERSON

 

4,270,337 (1) (2)

  12    

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES

 

  13    

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

 

22.7%

  14    

TYPE OF REPORTING PERSON

 

IN, HC

 

(1)

Includes 142,110 shares of common stock issuable pursuant to stock options vested and exercisable within 60 days of January 18, 2019 subject to the Reporting Person’s continued service.

(2)

Includes warrants to purchase 74,441 shares of common stock issued pursuant to the Purchase Agreement (defined in Item 3).


CUSIP No. 02083G100   SCHEDULE 13D   Page 6 of 13 Pages

 

 

Item 1.

SECURITY AND ISSUER

This Amendment No. 1 (“Amendment No. 1”) to Schedule 13D supplements and amends the Statement on Schedule 13D originally filed by the Reporting Persons with the Securities and Exchange Commission (the “SEC”) on August 3, 2017 (the “Schedule 13D”). This Statement relates to the common stock, $0.001 par value per share (the “Shares”), of Alpine Immune Sciences, Inc., a Delaware corporation (the “Issuer” or the “Company”), whose principal executive offices are located at 201 Elliott Avenue West, Suite 230, Seattle, Washington 98119.

Each item below amends and supplements the information disclosed under the corresponding item of the Schedule 13D. Capitalized terms defined in the Schedule 13D are used herein with their defined meanings.

 

Item 2.

IDENTITY AND BACKGROUND

(a-c, f)        This Schedule 13D is filed on behalf of each of the following persons (collectively, the “Reporting Persons”):

 

  1.

Alpine Immunosciences, L.P. (“Alpine Immunosciences”);

 

  2.

Alpine BioVentures, GP, LLC (“Alpine BioVentures”);

 

  3.

Dr. Mitchell H. Gold, M.D. (“Dr. Gold”); and

 

  4.

Dr. Jay Venkatesan, M.D. (“Dr. Venkatesan”).

This Schedule 13D relates to Shares held by Alpine Immunosciences, which is principally engaged in the business of making investments. Alpine BioVentures is the general partner of Alpine Immunosciences. Dr. Gold and Dr. Venkatesan are the Managing Partners of Alpine BioVentures and limited partners of Alpine Immunosciences.

The business address of each of the Alpine Immunosciences and Alpine BioVentures is 600 Stewart Street, Suite 1503, Seattle, Washington 98101.

The business address of each of Dr. Gold and Dr. Venkatesan is 201 Elliott Avenue West, Suite 230, Seattle, Washington 98119.

Alpine Immunosciences is a Delaware limited partnership; Alpine BioVentures is a Delaware limited liability company. Each of Dr. Gold and Venkatesan are citizens of the United States of America.

 

(d)

None of the Reporting Persons has, during the last five years, been convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors).

 

(e)

None of the Reporting Persons has, during the last five years, been a party to a civil proceeding of a judicial or administrative body of competent jurisdiction and, as a result of such proceeding, was or is subject to a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws.

 

Item 3.

SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION


CUSIP No. 02083G100   SCHEDULE 13D   Page 7 of 13 Pages

 

Prior to the Merger (defined and described in Item 4), Alpine Immunosciences held shares of common stock of Old Alpine (defined in Item 4), which had been acquired over several years through various means. In addition, prior to the Merger, on April 18, 2017, Alpine Immunosciences, together with other Old Alpine stockholders, entered into a Subscription Agreement with Old Alpine (the “Subscription Agreement”), pursuant to which Alpine Immunosciences agreed to purchase 520,045 shares of Old Alpine common stock at a price of $6.327 per Old Alpine share immediately prior to the consummation of the Merger, for a total of approximately $3,290,324.72 (the “Financing”). The closing of the Merger was conditioned upon the closing of the Financing. As a result of the foregoing, immediately prior to consummation of the Merger, Alpine Immunosciences beneficially owned 7,655,276 shares of Old Alpine common stock. The description contained herein of the Subscription Agreement does not purport to be complete and is qualified in its entirety by reference to the form of the document, which is attached as Exhibit B to this Schedule 13D and is incorporated by reference herein.

As a result of the Merger, based on the exchange rate of 0.4969 Shares for each share of Old Alpine common stock (the “Exchange Ratio”), Alpine Immunosciences received an aggregate of 3,803,906 Shares in exchange for its shares of Old Alpine common stock.

All fractional Shares were paid in cash.

The source of funds for the foregoing purchases came from the working capital of Alpine Immunosciences.

In addition, prior to the Merger, each of Dr. Gold and Dr. Venkatesan held shares of common stock of Old Alpine, which had been acquired over several years through various means, and options to acquire shares of common stock of Old Alpine, which had been granted under the Alpine Plan (defined in Item 4). Prior to the Merger, Dr. Gold beneficially owned 196,875 shares of Old Alpine common stock, including options to acquire 1,128,564 shares of Old Alpine common stock, and Dr. Venkatesan beneficially owned 118,750 shares of Old Alpine common stock, including options to acquire 181,250 shares of Old Alpine common stock.

Immediately after the Merger, after giving effect to the Exchange Ratio: (i) Dr. Gold’s options to purchase 605,000 shares of Old Alpine’s common stock granted in March 2017 (“March 2017 Options”) converted into options to purchase 300,624 Shares; (ii) of Dr. Gold’s options to purchase 300,000 shares of Old Alpine’s common stock granted in December 2015 (“December 2015 Options”), the 196,875 December 2015 options which were exercised prior to the Merger were converted into an aggregate of 97,827 Shares, and the 103,125 December 2015 Options which were outstanding immediately prior to the Merger were converted into options to purchase 51,242 Shares; and (iii) Dr. Gold’s options to purchase 420,439 shares of Old Alpine’s common stock granted in April 2017 (“April 2017 Options”) converted into options to purchase 208,916 Shares. Subsequent to the Merger, Dr. Gold was granted options to purchase 70,000 Shares in January 2018 (“January 2018 Options”). Each of the March 2017 Options, December 2015 Options, April 2017 Options and January 2018 Options are subject generally to Dr. Gold’s continued employment as the Company’s Executive Chairman and Chief Executive Officer and certain change of control provisions.

Also immediately after the Merger, after giving effect to the Exchange Ratio, of Dr. Venkatesan’s options to purchase 300,000 shares of Old Alpine’s common stock granted in December 2015: (i) the 118,750 of which options were exercised prior to the Merger were converted into an aggregate of 59,005 Shares; and (ii) the 181,250 of which options were outstanding immediately prior to the Merger were converted into options to purchase 90,063 Shares. Subsequent to the Merger, Dr. Venkatesan was granted options to purchase 25,000 Shares in January 2018 and options to purchase 7,650 Shares in January 2019. All options held by Dr. Venkatesan are subject generally to his continued service as a member of the Company’s Board (defined in Item 4) and certain change of control provisions.


CUSIP No. 02083G100   SCHEDULE 13D   Page 8 of 13 Pages

 

The source of funds for the purchases by Dr. Gold came from the personal funds of Dr. Gold, and the source of funds for the purchases by Dr. Venkatesan came from the personal funds of Dr. Venkatesan.

On January 15, 2019, the Company entered into a securities purchase agreement (the “Purchase Agreement”) with Alpine Immunosciences and certain other institutional investors (the “Transaction”). Pursuant to the terms of the Purchase Agreement, the Company agreed to issue and sell Units to Alpine Immunosciences in a private placement, at $5.37 per unit, with each unit consisting of one Share and a warrant to purchase 0.39 of a Share (each, a “Unit”). Alpine Immunosciences purchased 190,875 Units. In connection with the entry into the Purchase Agreement, Alpine Immunosciences and the other investors entered into a Registration Rights Agreement with the Company relating to the Company’s obligations to prepare and file a resale registration statement with the SEC relating to the Shares issued in the Transaction, including Shares issuable upon the exercise of the warrants. The descriptions contained herein of the Purchase Agreement, Registration Rights Agreement and the warrants do not purport to be complete and are qualified in their entirety by reference to the forms of the documents, which are attached as Exhibits E, F and G, respectively, to this Schedule 13D and are incorporated by reference herein.

A total of $1,024,998.75 was paid to acquire the Units by Alpine Immunosciences in connection with the Purchase Agreement. The source of the funds for the acquisition by Alpine Immunosciences was working capital. No part of the purchase price was borrowed by Alpine Immunosciences for the purpose of acquiring any securities discussed in this Item 3.

 

Item 4.

PURPOSE OF TRANSACTION

On July 24, 2017, the Company (which was formerly known as Nivalis Therapeutics, Inc.) completed a business combination with what was then known as Alpine Immune Sciences, Inc. and currently known as AIS Operating Co., Inc. (“Old Alpine”) in accordance with the terms of the Agreement and Plan of Merger and Reorganization, dated as of April 18, 2017, by and among the Company, Nautilus Merger Sub, Inc. (“Merger Sub”), and Old Alpine (the “Merger Agreement”), pursuant to which Merger Sub merged with and into Old Alpine, with Old Alpine surviving as a wholly owned subsidiary of the Company (the “Merger”).

On July 24, 2017, in connection with, and prior to the completion of, the Merger, the Company effected a 1-for-4 reverse stock split (the “Reverse Stock Split”). Also on July 24, 2017, immediately after completion of the Merger, the Company changed its name to “Alpine Immune Sciences, Inc.”

Under the terms of the Merger Agreement, the Company issued Shares to Old Alpine’s stockholders, including Alpine Immunosciences, Dr. Gold and Dr. Venkatesan, at the Exchange Ratio and after taking into account the Reverse Stock Split, for each share of Old Alpine common stock outstanding immediately prior to the Merger. The Company also assumed all of the stock options outstanding under the Old Alpine Amended and Restated 2015 Stock Plan, as amended (the “Old Alpine Plan”), including those held by Dr. Gold and Dr. Venkatesan, with such stock options henceforth representing the right to purchase a number of Shares equal to the Exchange Ratio multiplied by the number of shares of Old Alpine common stock previously represented by such options. The Company also assumed the Old Alpine Plan.

On July 24, 2017, effective as of the effective time of the Merger: (i) each of Dr. Gold and Dr. Venkatesan were appointed to the Company’s board of directors (the “Board”) with a term that expires at the Company’s 2020 annual meeting of stockholders; (ii) the Board appointed Dr. Gold as the


CUSIP No. 02083G100   SCHEDULE 13D   Page 9 of 13 Pages

 

Executive Chairman of the Board and the Company’s Chief Executive Officer and Assistant Secretary; and (iii) the Board appointed Dr. Venkatesan as the Company’s President. Dr. Gold served as Old Alpine’s acting Chief Executive Officer since June 2016 and has served as Executive Chairman and as a member of Old Alpine’s board of directors since January 2015. Dr. Venkatesan served as Old Alpine’s Chief Executive Officer from November 2015 to June 2016 before transitioning to Old Alpine’s President in June 2016. Dr. Venkatesan has served as a member of Old Alpine’s board of directors since November 2015. Effective as of August 6, 2018, Dr. Venkatesan ceased to serve as the Company’s President, but continues to serve as a member of the Board.

The Reporting Persons acquired the Shares and the Units for investment purposes, and such purchases have been made in the Reporting Persons’ ordinary course of business. The Reporting Persons expect to review from time to time their investment in the Company and may, depending on the market and other conditions: (i) purchase additional Shares, options or related derivatives in the open market, in privately negotiated transactions or otherwise and (ii) sell all or a portion of the Shares, options or related derivatives now beneficially owned or hereafter acquired by them.

Also, consistent with their investment intent, the Reporting Persons may engage in communications with, without limitation, one or more stockholders of the Company, one or more officers of the Company and/or one or more members of the Board regarding the Company, including but not limited to its operations, governance and control.

Except as set forth above, none of the Reporting Persons has any plans or proposals which relate to, or could result in, any of the matters referred to in paragraphs (a) through (j), inclusive, of the instructions to Item 4 of Schedule 13D. The Reporting Persons may, at any time and from time to time, review or reconsider their position and/or change their purpose and/or formulate plans or proposals with respect thereto.

 

Item 5.

INTEREST IN SECURITIES OF THE ISSUER

 

(a)

As of the date hereof, Alpine Immunosciences, may be deemed to directly beneficially own 4,069,222 Shares, including 74,441 Shares issuable upon the exercise of warrants, representing approximately 21.8% of the outstanding Shares.

As of the date hereof, Alpine BioVentures may be deemed to indirectly beneficially own the 4,069,222 Shares, including 74,441 Shares issuable upon the exercise of warrants, directly beneficially owned by Alpine Immunosciences, representing approximately 21.8% of the outstanding Shares.

As of the date hereof, Dr. Gold, may be deemed to beneficially own 4,515,396 Shares, representing approximately 23.7% of the outstanding Shares. These Shares are held as follows:

 

  A.

4,069,222 Shares held directly by Alpine Immunosciences;

 

  B.

11,292 Shares held directly by Dr. Gold;

 

  C.

434,882 Shares that Dr. Gold has the right to acquire upon the exercise of stock options, including:

 

  a.

149,069 Shares obtainable upon exercise of the December 2015 Options with an exercise price of $0.45 per share and an expiration of December 15, 2025;

 

  b.

156,578 Shares obtainable upon exercise of the March 2017 Options with an exercise price of $0.65 per share and an expiration of March 13, 2027;


CUSIP No. 02083G100   SCHEDULE 13D   Page 10 of 13 Pages

 

 

  c.

108,819 Shares obtainable upon exercise of the April 2017 Options with an exercise price of $5.02 per share and an expiration of April 11, 2027; and

 

  d.

20,416 Shares obtainable upon exercise of the January 2018 Options with an exercise price of $11.31 per share and an expiration of January 1, 2028.

As of the date hereof, Dr. Venkatesan, may be deemed to beneficially own 4,270,337 Shares, representing approximately 22.7% of the outstanding Shares. These Shares are held as follows:

 

  A.

4,069,222 Shares held directly by Alpine Immunosciences;

 

  B.

21,739 Shares held directly by Dr. Venkatesan;

 

  C.

37,266 Shares held in trust for the benefit of Dr. Venkatesan’s children and over which Dr. Venkatesan disclaims beneficial ownership pursuant to Rule 13d-4 under the Exchange Act; and

 

  D.

142,110 Shares that Dr. Venkatesan has the right to acquire upon the exercise of stock options, including:

 

  a.

133,544 Shares obtainable upon exercise of his December 2015 Options with an exercise price of $0.45 per share and an expiration of December 15, 2025;

 

  b.

7,291 Shares obtainable upon exercise of his January 2018 Options with an exercise price of $11.31 per share and an expiration of January 1, 2028; and

 

  c.

1,275 Shares obtainable upon exercise of his January 2019 Options with an exercise price of $4.09 per share and an expiration of January 1, 2029.

The foregoing beneficial ownership percentage is based on 13,852,464 Shares outstanding as of November 1, 2018, as adjusted for the Shares issued upon the closing of the Transaction, as reported in the Company’s Current Report on Form 8-K, filed with the SEC on January 18, 2019.

 

(b)

  Alpine Immunosciences   
  (i) Sole power to vote or direct the vote:      0  
  (ii) Shared power to vote or direct the vote:      4,069,222  
  (iii) Sole power to dispose or direct the disposition of:      0  
  (iv) Shared power to dispose or direct the disposition of:      4,069,222  
  Alpine BioVentures   
  (i) Sole power to vote or direct the vote:      0  
  (ii) Shared power to vote or direct the vote:      4,069,222  
  (iii) Sole power to dispose or direct the disposition of:      0  
  (iv) Shared power to dispose or direct the disposition of:      4,069,222  
  Dr. Gold   
  (i) Sole power to vote or direct the vote:      446,174  
  (ii) Shared power to vote or direct the vote:      4,069,222  
  (iii) Sole power to dispose or direct the disposition of:      446,174  
  (iv) Shared power to dispose or direct the disposition of:      4,069,222  


CUSIP No. 02083G100   SCHEDULE 13D   Page 11 of 13 Pages

 

  Dr. Venkatesan   
  (i) Sole power to vote or direct the vote:      163,849  
  (ii) Shared power to vote or direct the vote:      4,106,488  
  (iii) Sole power to dispose or direct the disposition of:      163,849  
  (iv) Shared power to dispose or direct the disposition of:      4,106,488  

 

(c)

The response to Items 3 and 4 of this Schedule 13D are incorporated by reference herein. Pursuant to the Company’s outside director compensation policy, on January 2, 2019, Dr. Venkatesen was granted an option to purchase 7,650 Shares, with an exercise price equal to the closing price per share of common stock as reported on the Nasdaq Global Market on the date of the grant. 1/12th of the Shares subject to the option become vested and exercisable on February 2, 2019 and 1/12th of the Shares subject to the option vest monthly thereafter. The transaction was reported on Form 4, as filed with the SEC on January 4, 2019. Other than as reported in this Schedule 13D, none of the Reporting Persons has effected any transaction in the Shares during the past sixty days.

 

(d)

Certain individuals identified in Item 4 and certain beneficiaries to the trusts described in Item 4 have the right to receive or the power to direct the receipt of dividends from, or the proceeds from the sale of, certain of the Shares reported herein.

 

(e)

This Item 5(e) is not applicable.

 

Item 6.

CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT TO SECURITIES OF THE ISSUER

The response to Items 3 and 4 of this Schedule 13D are incorporated by reference herein.

Each of Alpine Immunosciences, Dr. Gold and Dr. Venkatesan entered into a lock-up agreement, pursuant to which each agreed, except in limited circumstances, not to sell or transfer, or engage in swap or similar transactions with respect to, the Shares, including, as applicable, Shares received in the Merger and issuable upon exercise of certain warrants and options, for a period of 180 days following the completion of the Merger (the “Merger Lock-Up Agreements”). The restrictions imposed by the Merger Lock-up Agreements expired in January 2018.

In addition, each of Dr. Gold and Dr. Venkatesan entered into an indemnification agreement with the Company on July 24, 2017 immediately following the Merger (the “Indemnification Agreements”).

In connection with the Transaction, each of Dr. Gold and Dr. Venkatesan entered into a lock-up agreement, pursuant to which each agreed, except in limited circumstances, not to sell or transfer, or engage in swap or similar transactions with respect to, the Shares, including, as applicable, Shares purchased in connection with the Purchase Agreement, until the earlier of (i) 180 days following the closing of the Transaction and (ii) 30 days following the date of effectiveness of the registration statement registering the resale of the Shares acquired in connection with the Purchase Agreement (the “Purchase Agreement Lock-Up Agreements”, and together with the Merger Lock-Up Agreements, the “Lock-Up Agreements”).

The descriptions contained herein of the Lock-Up Agreements and the Indemnification Agreements do not purport to be complete and are qualified in their entirety by reference to the form of such documents, which are attached as Exhibits C-1, C-2 and D, respectively, to this Schedule 13D and are incorporated by reference herein.


CUSIP No. 02083G100   SCHEDULE 13D   Page 12 of 13 Pages

 

Except as described in this Schedule 13D, there are no contracts, arrangements, understandings or relationships (legal or otherwise) among the persons named in Item 2 of this Statement or between such persons and any other person with respect to any securities of the Issuer.

 

Item 7.

  

MATERIAL TO BE FILED AS EXHIBITS

Exhibit A:    Joint Filing Agreement
Exhibit B:    Form of Subscription Agreement (incorporated by reference to Exhibit D to the Merger Agreement filed as Exhibit 2.1 to the Current Report on Form 8-K filed with the SEC on April 18, 2017)
Exhibit C-1:    Form of Merger Lock-Up Agreement (incorporated by reference to Exhibit C to the Schedule 13D filed with the SEC on August 3, 2017)
Exhibit C-2:    Form of Purchase Agreement Lock-Up Agreement (incorporated by reference to Exhibit I to the Purchase Agreement filed as Exhibit 10.1 to the Current Report on Form 8-K filed with the SEC on January 16, 2019)
Exhibit D:    Form of Indemnification Agreement (incorporated by reference to Exhibit 10.18 to the Form S-1 filed with the SEC on May 13, 2015)
Exhibit E:    Securities Purchase Agreement, dated January 15, 2019, by and among the Company and the Purchasers (incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed with the SEC on January 16, 2019)
Exhibit F:    Registration Rights Agreement, dated January 15, 2019, by and among the Company and the Purchasers (incorporated by reference to Exhibit 10.2 to the Current Report on Form 8-K filed with the SEC on January 16, 2019)
Exhibit G:    Form of Warrant (incorporated by reference to Exhibit 10.3 to the Current Report on Form 8-K filed with the SEC on January 16, 2019)


CUSIP No. 02083G100   SCHEDULE 13D   Page 13 of 13 Pages

 

    SIGNATURES

After reasonable inquiry and to the best of his or its knowledge and belief, each of the undersigned certifies that the information set forth in this statement is true, complete and correct.

Date: January 22, 2019

 

ALPINE IMMUNOSCIENCES, L.P.
By: Alpine BioVentures, GP, LLC, its general partner
By:  

/s/ Mitchell H. Gold

Name:     Mitchell H. Gold
Title:   Manager

 

ALPINE BIOVENTURES, GP, LLC
By:  

/s/ Mitchell H. Gold

Name:     Mitchell H. Gold
Title:   Manager

 

MITCHELL H. GOLD

/s/ Mitchell H. Gold

JAY VENKATESAN

/s/ Jay Venkatesan

EX-99.1 2 d662331dex991.htm EX-99.1 EX-99.1
CUSIP No. 02083G100   SCHEDULE 13D  

 

EXHIBIT A

JOINT FILING AGREEMENT

The undersigned hereby agree that the statement on Schedule 13D with respect to the common stock, $0.001 par value per share of Alpine Immune Sciences, Inc. dated as of January 22, 2019 is, and any amendments thereto (including amendments on schedule 13G) signed by each of the undersigned shall be, filed on behalf of each of us pursuant to and in accordance with the provisions of Rule 13d-1(k) under the Securities Exchange Act of 1934, as amended.

Date: January 22, 2019

 

ALPINE IMMUNOSCIENCES, L.P.
By: Alpine BioVentures, GP, LLC, its general partner
By:  

/s/ Mitchell H. Gold

Name:   Mitchell H. Gold
Title:   Manager
ALPINE BIOVENTURES, GP, LLC
By:  

/s/ Mitchell H. Gold

Name:   Mitchell H. Gold
Title:   Manager
MITCHELL H. GOLD

/s/ Mitchell H. Gold

JAY VENKATESAN

/s/ Jay Venkatesan