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