FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
aTYR PHARMA INC [ LIFE ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 05/12/2015 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 05/12/2015 | C | 1,674,825 | A | (1) | 1,674,825(2) | I | By Polaris Venture Partners V, L.P.(3)(4) | ||
Common Stock | 05/12/2015 | C | 32,642 | A | (1) | 32,642(2) | I | By Polaris Venture Partners Entrepreneurs' Fund V, L.P.(5) | ||
Common Stock | 05/12/2015 | C | 11,472 | A | (1) | 11,472(2) | I | By Polaris Venture Partners Founders' Fund V, L.P.(6) | ||
Common Stock | 05/12/2015 | C | 16,748 | A | (1) | 16,748(2) | I | Polaris Venture Partners Special Founders' Fund V, L.P.(7) | ||
Common Stock | 05/12/2015 | C | 89,069 | A | (8) | 1,763,894(9) | I | By Polaris Venture Partners V, L.P.(3)(4) | ||
Common Stock | 05/12/2015 | C | 1,736 | A | (8) | 34,378(9) | I | By Polaris Venture Partners Entrepreneurs' Fund V, L.P.(5) | ||
Common Stock | 05/12/2015 | C | 610 | A | (8) | 12,082(9) | I | By Polaris Venture Partners Founders' Fund V, L.P.(6) | ||
Common Stock | 05/12/2015 | C | 890 | A | (8) | 17,638(9) | I | Polaris Venture Partners Special Founders' Fund V, L.P.(7) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series B Redeemable Convertible Preferred Stock | (1) | 05/12/2015 | C | 3,473,763 | (1) | (1) | Common Stock | 436,725(2) | $0.00 | 0 | I | By Polaris Venture Partners V, L.P.(3)(4) | |||
Series B Redeemable Convertible Preferred Stock | (1) | 05/12/2015 | C | 67,704 | (1) | (1) | Common Stock | 8,512(2) | $0.00 | 0 | I | By Polaris Venture Partners Entrepreneurs' Fund V, L.P.(5) | |||
Series B Redeemable Convertible Preferred Stock | (1) | 05/12/2015 | C | 23,796 | (1) | (1) | Common Stock | 2,992(2) | $0.00 | 0 | I | By Polaris Venture Partners Founders' Fund V, L.P.(6) | |||
Series B Redeemable Convertible Preferred Stock | (1) | 05/12/2015 | C | 34,737 | (1) | (1) | Common Stock | 4,367(2) | $0.00 | 0 | I | Polaris Venture Partners Special Founders' Fund V, L.P.(7) | |||
Series B-2 Redeemable Convertible Preferred Stock | (1) | 05/12/2015 | C | 4,168,683 | (1) | (1) | Common Stock | 524,090(2) | $0.00 | 0 | I | By Polaris Venture Partners V, L.P.(3)(4) | |||
Series B-2 Redeemable Convertible Preferred Stock | (1) | 05/12/2015 | C | 81,248 | (1) | (1) | Common Stock | 10,214(2) | $0.00 | 0 | I | By Polaris Venture Partners Entrepreneurs' Fund V, L.P.(5) | |||
Series B-2 Redeemable Convertible Preferred Stock | (1) | 05/12/2015 | C | 28,556 | (1) | (1) | Common Stock | 3,590(2) | $0.00 | 0 | I | By Polaris Venture Partners Founders' Fund V, L.P.(6) | |||
Series B-2 Redeemable Convertible Preferred Stock | (1) | 05/12/2015 | C | 41,686 | (1) | (1) | Common Stock | 5,241(2) | $0.00 | 0 | I | By Polaris Venture Partners Special Founders' Fund V, L.P.(7) | |||
Series C Redeemable Convertible Preferred Stock | (1) | 05/12/2015 | C | 4,208,756 | (1) | (1) | Common Stock | 529,128(2) | $0.00 | 0 | I | By Polaris Venture Partners V, L.P.(3)(4) | |||
Series C Redeemable Convertible Preferred Stock | (1) | 05/12/2015 | C | 82,029 | (1) | (1) | Common Stock | 10,313(2) | $0.00 | 0 | I | By Polaris Venture Partners Entrepreneurs' Fund V, L.P.(5) | |||
Series C Redeemable Convertible Preferred Stock | (1) | 05/12/2015 | C | 28,831 | (1) | (1) | Common Stock | 3,624(2) | $0.00 | 0 | I | By Polaris Venture Partners Founders' Fund V, L.P.(6) | |||
Series C Redeemable Convertible Preferred Stock | (1) | 05/12/2015 | C | 42,087 | (1) | (1) | Common Stock | 5,291(2) | $0.00 | 0 | I | By Polaris Venture Partners Special Founders' Fund V, L.P.(7) | |||
Series D Redeemable Convertible Preferred Stock | (1) | 05/12/2015 | C | 1,470,577 | (1) | (1) | Common Stock | 184,882(2) | $0.00 | 0 | I | By Polaris Venture Partners V, L.P.(3)(4) | |||
Series D Redeemable Convertible Preferred Stock | (1) | 05/12/2015 | C | 28,661 | (1) | (1) | Common Stock | 3,603(2) | $0.00 | 0 | I | By Polaris Venture Partners Entrepreneurs' Fund V, L.P.(5) | |||
Series D Redeemable Convertible Preferred Stock | (1) | 05/12/2015 | C | 10,074 | (1) | (1) | Common Stock | 1,266(2) | $0.00 | 0 | I | By Polaris Venture Partners Founders' Fund V, L.P.(6) | |||
Series D Redeemable Convertible Preferred Stock | (1) | 05/12/2015 | C | 14,706 | (1) | (1) | Common Stock | 1,849(2) | $0.00 | 0 | I | By Polaris Venture Partners Special Founders' Fund V, L.P.(7) | |||
Series E Redeemable Convertible Preferred Stock | (8) | 05/12/2015 | C | 862,318 | (8) | (8) | Common Stock | 89,069(9) | $0.00 | 0 | I | By Polaris Venture Partners V, L.P.(3)(4) | |||
Series E Redeemable Convertible Preferred Stock | (8) | 05/12/2015 | C | 16,806 | (8) | (8) | Common Stock | 1,736(9) | $0.00 | 0 | I | By Polaris Venture Partners Entrepreneurs' Fund V, L.P.(5) | |||
Series E Redeemable Convertible Preferred Stock | (8) | 05/12/2015 | C | 5,906 | (8) | (8) | Common Stock | 610(9) | $0.00 | 0 | I | By Polaris Venture Partners Founders' Fund V, L.P.(6) | |||
Series E Redeemable Convertible Preferred Stock | (8) | 05/12/2015 | C | 8,623 | (8) | (8) | Common Stock | 890(9) | $0.00 | 0 | I | By Polaris Venture Partners Special Founders' Fund V, L.P.(7) |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
1. The aggregate number of shares of Issuer's Preferred Stock held by the Reporting Person converted into Common Stock immediately prior to the closing of the Issuer's initial public offering and has no expiration date. These shares converted into Common Stock on a 1-for-7.95413 basis. |
2. Reflects a 1-for-7.95413 stock conversion of the Issuer's Preferred Stock into Common Stock which became effective immediately prior to the closing of the Issuer's initial public offering. |
3. These shares are owned directly by Polaris Venture Partners V, L.P. ("Polaris V"), whose sole general partner is Polaris Venture Management Co. V, LLC ("Polaris Management"). Each of Jonathan A. Flint ("Flint") and Terrance G. McGuire ("McGuire") are the managing members of Polaris Management. Amir Nashat ("Nashat"), who is a member of the Issuer's Board of Directors, is a member of Polaris Management. Each of Flint, McGuire and Nashat, in their respective capacities with regard to Polaris Management, may be deemed to have shared voting and dispositive power over the shares held by each of Polaris V, Polaris Venture Partners Entrepreneurs' Fund V, L.P. ("Polaris Entrepreneurs' V"), Polaris Venture Partners Founders' Fund V, L.P. ("Polaris Founders' V") and Polaris Venture Partners Special Founders' Fund V, L.P. ("Polaris Special Founders' V", and together with Polaris V, Polaris Entrepreneurs' V and Polaris Founders' V, the "Polaris V Funds"). |
4. (Continued from Footnote 3) Each of Flint, McGuire, Nashat and Polaris Management disclaims beneficial ownership of these securities and this report shall not be deemed to be an admission that any one of them is the beneficial owner of such securities for purposes of Section 16 or any other purpose, except to the extent of their pecuniary interest therein. |
5. These shares are owned directly by Polaris Entrepreneurs' V, whose sole general partner is Polaris Management. Each of Flint and McGuire are the managing members of Polaris Management. Nashat, who is a member of the Issuer's Board of Directors, is a member of Polaris Management. Each of Flint, McGuire and Nashat, in their respective capacities with regard to Polaris Management, may be deemed to have shared voting and dispositive power over the shares held by each of the Polaris V Funds. Each of Flint, McGuire, Nashat and Polaris Management disclaims beneficial ownership of these securities and this report shall not be deemed to be an admission that any one of them is the beneficial owner of such securities for purposes of Section 16 or any other purpose, except to the extent of their pecuniary interest therein. |
6. These shares are owned directly by Polaris Founders' V, whose sole general partner is Polaris Management. Each of Flint and McGuire are the managing members of Polaris Management. Nashat, who is a member of the Issuer's Board of Directors, is a member of Polaris Management. Each of Flint, McGuire and Nashat, in their respective capacities with regard to Polaris Management, may be deemed to have shared voting and dispositive power over the shares held by each of the Polaris V Funds. Each of Flint, McGuire, Nashat and Polaris Management disclaims beneficial ownership of these securities and this report shall not be deemed to be an admission that any one of them is the beneficial owner of such securities for purposes of Section 16 or any other purpose, except to the extent of their pecuniary interest therein. |
7. These shares are owned directly by Polaris Special Founders' V, whose sole general partner is Polaris Management. Each of Flint and McGuire are the managing members of Polaris Management. Nashat, who is a member of the Issuer's Board of Directors, is a member of Polaris Management. Each of Flint, McGuire and Nashat, in their respective capacities with regard to Polaris Management, may be deemed to have shared voting and dispositive power over the shares held by each of the Polaris V Funds. Each of Flint, McGuire, Nashat and Polaris Management disclaims beneficial ownership of these securities and this report shall not be deemed to be an admission that any one of them is the beneficial owner of such securities for purposes of Section 16 or any other purpose, except to the extent of their pecuniary interest therein. |
8. The aggregate number of shares of Issuer's Preferred Stock held by the Reporting Person converted into Common Stock immediately prior to the closing of the Issuer's initial public offering and has no expiration date. These shares converted into Common Stock on a 1-for-9.6814 basis. |
9. Reflects a 1-for 9.6814 stock conversion of the Issuer's Preferred Stock into Common Stock which became effective immediately prior to the closing of the Issuer's initial public offering. |
Remarks: |
/s/ John Gannon, Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C. | 05/14/2015 | |
/s/ John Gannon, Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C., the general partner of Polaris Venture Partners V, L.P. | 05/14/2015 | |
/s/ John Gannon, Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C., the general partner of Polaris Venture Partners Entrepreneurs' Fund V, L.P. | 05/14/2015 | |
/s/ John Gannon, Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C., the general partner of Polaris Venture Partners Founders' Fund V, L.P. | 05/14/2015 | |
/s/ John Gannon, Attorney-in-Fact for Polaris Venture Management Co. V, L.L.C., the general partner of Polaris Venture Partners Special Founders' Fund V, L.P. | 05/14/2015 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |