0001209191-23-038931.txt : 20230621
0001209191-23-038931.hdr.sgml : 20230621
20230621193858
ACCESSION NUMBER: 0001209191-23-038931
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220622
FILED AS OF DATE: 20230621
DATE AS OF CHANGE: 20230621
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Samsara BioCapital, L.P.
CENTRAL INDEX KEY: 0001699737
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38501
FILM NUMBER: 231031224
BUSINESS ADDRESS:
STREET 1: 628 MIDDLEFIELD ROAD
CITY: PALO ALTO
STATE: CA
ZIP: 94301
BUSINESS PHONE: (650) 285-4270
MAIL ADDRESS:
STREET 1: 628 MIDDLEFIELD ROAD
CITY: PALO ALTO
STATE: CA
ZIP: 94301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Samsara BioCapital GP, LLC
CENTRAL INDEX KEY: 0001888829
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38501
FILM NUMBER: 231031225
BUSINESS ADDRESS:
STREET 1: 251 CHURCHILL AVENUE
CITY: PALO ALTO
STATE: CA
ZIP: 94301
BUSINESS PHONE: (650) 843-5000
MAIL ADDRESS:
STREET 1: 251 CHURCHILL AVENUE
CITY: PALO ALTO
STATE: CA
ZIP: 94301
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Scholar Rock Holding Corp
CENTRAL INDEX KEY: 0001727196
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 823750435
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 301 BINNEY STREET
STREET 2: 3RD FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02142
BUSINESS PHONE: 857-259-3860
MAIL ADDRESS:
STREET 1: 301 BINNEY STREET
STREET 2: 3RD FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02142
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2022-06-22
0
0001727196
Scholar Rock Holding Corp
SRRK
0001888829
Samsara BioCapital GP, LLC
628 MIDDLEFIELD ROAD
PALO ALTO
CA
94301
0
0
1
0
0001699737
Samsara BioCapital, L.P.
628 MIDDLEFIELD ROAD
PALO ALTO
CA
94301
0
0
1
0
Common Stock
4598828
I
By Samsara BioCapital, L.P.
Warrants to purchase Common Stock
7.35
2022-06-21
2025-12-31
Common Stock
1064804
I
By Samsara BioCapital, L.P.
Shares are held by Samsara BioCapital LP ("Samsara LP"). Samsara BioCapital GP, LLC ("Samsara LLC") is the general partner of Samsara LP and may be deemed to beneficially own the shares held by Samsara LP. Dr. Srinivas Akkaraju, MD, Ph.D. has voting and investment power over the shares held by Samsara LP and, accordingly, may be deemed to beneficially own the shares held by Samsara LP. Samsara LLC disclaims beneficial ownership in these shares except to the extent of its respective pecuniary interest therein. Dr. Akkaraju is a director of Issuer and files separate Section 16 reports.
The warrants are exercisable subject to a beneficial ownership blocker provision that prevents the holder from exercising the warrants if such exercise would result in the holder beneficially owning more than 19.99% of the Issuer's Common Stock outstanding immediately following such exercise.
Samsara BioCapital GP, LLC, By /s/ Srinivas Akkaraju, Managing Member
2023-06-21
Samsara BioCapital, L.P., By: Samsara BioCapital GP, LLC, its General Partner, By /s/ Srinivas Akkaraju, Managing Member
2023-06-21