0000950103-21-014406.txt : 20210922
0000950103-21-014406.hdr.sgml : 20210922
20210922160121
ACCESSION NUMBER: 0000950103-21-014406
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210920
FILED AS OF DATE: 20210922
DATE AS OF CHANGE: 20210922
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Leung Nisa
CENTRAL INDEX KEY: 0001835822
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38205
FILM NUMBER: 211269636
MAIL ADDRESS:
STREET 1: 4560 JINKE ROAD, BLDG. 1, FOURTH FLOOR
STREET 2: PUDONG
CITY: SHANGHAI
STATE: F4
ZIP: 201210
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Zai Lab Ltd
CENTRAL INDEX KEY: 0001704292
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4560 JINKE ROAD
STREET 2: BLDG. 1, 4F, PUDONG
CITY: SHANGHAI
STATE: F4
ZIP: 201210
BUSINESS PHONE: 862161632588
MAIL ADDRESS:
STREET 1: 4560 JINKE ROAD
STREET 2: BLDG. 1, 4F, PUDONG
CITY: SHANGHAI
STATE: F4
ZIP: 201210
4
1
dp158300_4-leung.xml
FORM 4
X0306
4
2021-09-20
0
0001704292
Zai Lab Ltd
ZLAB
0001835822
Leung Nisa
C/O ZAI LAB LIMITED
4560 JINKE ROAD, BLDG 1, 4TH FLOOR
PUDONG SHANGHAI
F4
201210
CHINA
1
0
0
0
Ordinary Shares
2021-09-20
4
J
0
1150000
0
D
7922932
I
See footnote
Ordinary Shares
2021-09-20
4
J
0
63095
0
A
63095
D
Represents shares disposed in an in kind distribution of the ordinary shares in the form of ADS of the issuer from QM11 Limited.
Shares held by QM11 Limited. QM11 Limited is owned by Qiming Venture Partners IV, L.P., and Qiming Managing Directors Fund IV, L.P. The general partner of Qiming Venture Partners IV, L.P. is Qiming GP IV,L.P., whose general partner is Qiming Corporate GP IV, Ltd. The general partner of Qiming Managing Directors Fund IV, L.P. is Qiming Corporate GP IV, Ltd. The Reporting Person is a Managing Director of Qiming Venture Partners IV, L.P. and a shareholder and director of Qiming Corporate GP IV, Ltd. By virtue of these relationships the Reporting Person may be deemed to beneficially own the shares held by QM11 Limited, however she disclaims beneficial ownership of such securities except to the extent of her pecuniary interest therein.
Represents shares received in an in kind distribution of the ordinary shares in the form of ADS of the issuer from the QM11 Limited.
/s/ Leung Nisa
2021-09-22