0000899243-18-009441.txt : 20180404 0000899243-18-009441.hdr.sgml : 20180404 20180404162400 ACCESSION NUMBER: 0000899243-18-009441 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180402 FILED AS OF DATE: 20180404 DATE AS OF CHANGE: 20180404 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Vida Ventures, LLC CENTRAL INDEX KEY: 0001724489 STATE OF INCORPORATION: NV FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38433 FILM NUMBER: 18737478 BUSINESS ADDRESS: STREET 1: 40 BROAD STREET, SUITE 201 CITY: BOSTON STATE: MA ZIP: 02109 BUSINESS PHONE: (857) 254-9492 MAIL ADDRESS: STREET 1: 40 BROAD STREET, SUITE 201 CITY: BOSTON STATE: MA ZIP: 02109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: VV Manager LLC CENTRAL INDEX KEY: 0001735804 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38433 FILM NUMBER: 18737477 BUSINESS ADDRESS: STREET 1: 40 BROAD STREET STREET 2: SUITE 201 CITY: BOSTON STATE: MA ZIP: 02109 BUSINESS PHONE: 857-254-9491 MAIL ADDRESS: STREET 1: 40 BROAD STREET STREET 2: SUITE 201 CITY: BOSTON STATE: MA ZIP: 02109 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Homology Medicines, Inc. CENTRAL INDEX KEY: 0001661998 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 473468154 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 45 WIGGINS AVE. CITY: BEDFORD STATE: MA ZIP: 01730 BUSINESS PHONE: 857-305-1825 MAIL ADDRESS: STREET 1: 45 WIGGINS AVE. CITY: BEDFORD STATE: MA ZIP: 01730 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-04-02 1 0001661998 Homology Medicines, Inc. FIXX 0001724489 Vida Ventures, LLC 40 BROAD STREET, SUITE 201 BOSTON MA 02109 0 0 1 0 0001735804 VV Manager LLC 40 BROAD STREET, SUITE 201 BOSTON MA 02109 0 0 1 0 Common Stock 2018-04-02 4 C 0 395845 0.00 A 395845 I See footnote Common Stock 2018-04-02 4 P 0 375000 16.00 A 770845 I See footnote Series B Preferred Stock 2018-04-02 4 C 0 395845 0.00 D Common Stock 395845 0 I See footnote The securities reported herein are held of record by Vida Ventures, LLC ("Vida"). VV Manager, LLC is the mananging member of Vida. As a result, VV Manager, LLC may be deemed to beneficially own the securities held by Vida. VV Manager, LLC is managed by five directors, each of who disclaim beneficial ownership over the securities held of record by Vida except to the extent of their pecuniary interest therein. Upon closing of the Issuer's initial public offering, each share of preferred stock was automatically converted into one share of the Issuer's common stock. Vida Ventures, LLC, By: VV Manager, LLC, its Managing Member, By: /s/ Arjun Goyal, Manager 2018-04-02 VV Manager, LLC, By: /s/ Arjun Goyal, Manager 2018-04-02