0001209191-18-025826.txt : 20180423
0001209191-18-025826.hdr.sgml : 20180423
20180423161851
ACCESSION NUMBER: 0001209191-18-025826
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180423
FILED AS OF DATE: 20180423
DATE AS OF CHANGE: 20180423
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Atlas Venture Associates IX, L.P.
CENTRAL INDEX KEY: 0001671208
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1012
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38459
FILM NUMBER: 18769093
BUSINESS ADDRESS:
STREET 1: 25 FIRST ST
STREET 2: STE 303
CITY: CAMBRIDGE
STATE: MA
ZIP: 02141
BUSINESS PHONE: 6175882695
MAIL ADDRESS:
STREET 1: 25 FIRST ST
STREET 2: STE 303
CITY: CAMBRIDGE
STATE: MA
ZIP: 02141
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Atlas Venture Fund IX, L.P.
CENTRAL INDEX KEY: 0001671219
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1012
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38459
FILM NUMBER: 18769094
BUSINESS ADDRESS:
STREET 1: 25 FIRST ST
STREET 2: STE 303
CITY: CAMBRIDGE
STATE: MA
ZIP: 02141
BUSINESS PHONE: 6175882695
MAIL ADDRESS:
STREET 1: 25 FIRST ST
STREET 2: STE 303
CITY: CAMBRIDGE
STATE: MA
ZIP: 02141
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Atlas Venture Associates IX, LLC
CENTRAL INDEX KEY: 0001671207
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1012
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38459
FILM NUMBER: 18769092
BUSINESS ADDRESS:
STREET 1: 25 FIRST ST
STREET 2: STE 303
CITY: CAMBRIDGE
STATE: MA
ZIP: 02141
BUSINESS PHONE: 6175882695
MAIL ADDRESS:
STREET 1: 25 FIRST ST
STREET 2: STE 303
CITY: CAMBRIDGE
STATE: MA
ZIP: 02141
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Surface Oncology, Inc.
CENTRAL INDEX KEY: 0001718108
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 50 HAMPSHIRE STREET, 8TH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02139
BUSINESS PHONE: 617-714-4096
MAIL ADDRESS:
STREET 1: 50 HAMPSHIRE STREET, 8TH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02139
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-04-23
0
0001718108
Surface Oncology, Inc.
SURF
0001671219
Atlas Venture Fund IX, L.P.
25 FIRST STREET, SUITE 303
CAMBRIDGE
MA
02141
0
0
1
0
0001671208
Atlas Venture Associates IX, L.P.
25 FIRST STREET, SUITE 303
CAMBRIDGE
MA
02141
0
0
1
0
0001671207
Atlas Venture Associates IX, LLC
25 FIRST STREET, SUITE 303
CAMBRIDGE
MA
02141
0
0
1
0
Common Stock
2018-04-23
4
C
0
3181817
A
4545453
D
Common Stock
2018-04-23
4
P
0
100000
15.00
A
4645453
D
Series A Preferred Stock
2018-04-23
4
C
0
7000000
D
Common Stock
3181817
0
D
The Series A Preferred Stock automatically converted into the Issuer's common stock on a 2.2-for-1 basis at the closing of the Issuer's initial public
offering without payment or further consideration and had no expiration date.
The shares are held directly by Atlas Venture Fund IX, L.P. ("Atlas Venture Fund IX"). The general partner of Atlas Venture Fund IX is Atlas
Venture Associates IX, L.P. ("AVA IX LP"). Atlas Venture Associates IX, LLC ("AVA IX LLC") is the general partner of AVA IX LP. Each of AVA
IX LP and AVA IX LLC disclaims Section 16 beneficial ownership of the securities held by Atlas Venture Fund IX, except to the extent of its
pecuniary interest therein, if any.
Atlas Venture Fund IX, LP, By: Atlas Venture
Associates IX, LP, its general partner, By: Atlas Venture
Associates IX, LLC, its general partner, By: Frank
Castellucci, General Counsel /s/ Frank Castellucci
2018-04-23
Atlas Venture Associates IX, LP, By: Atlas Venture Associates IX, LLC, its general partner, By: Frank Castellucci, General Counsel /s/ Frank Castellucci
2018-04-23
Atlas Venture Associates IX, LLC, By:Frank Castellucci, Generl Counsel /s/ Frank Castellucci
2018-04-23