Filing Details

Accession Number:
0001181431-13-052846
Form Type:
4
Zero Holdings:
No
Publication Time:
2013-10-07 14:07:13
Reporting Period:
2013-10-04
Filing Date:
2013-10-07
Accepted Time:
2013-10-07 14:07:13
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1434316 Fate Therapeutics Inc FATE Biological Products, (No Disgnostic Substances) (2836) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1575843 Amir Nashat C/O Polaris Venture Partners
1000 Winter Street, Suite 3350
Waltham MA 02451
Yes No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2013-10-04 1,202,459 $0.00 1,202,459 No 4 C Indirect By Polaris Venture Partners V, L.P.
Common Stock Acquisiton 2013-10-04 255,950 $0.00 1,458,409 No 4 C Indirect By Polaris Venture Partners V, L.P.
Common Stock Acquisiton 2013-10-04 23,436 $0.00 1,481,845 No 4 C Indirect By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Common Stock Acquisiton 2013-10-04 4,988 $0.00 1,486,833 No 4 C Indirect By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Common Stock Acquisiton 2013-10-04 8,237 $0.00 1,495,070 No 4 C Indirect By Polaris Venture Partners Founders' Fund V, L.P.
Common Stock Acquisiton 2013-10-04 1,753 $0.00 1,496,823 No 4 C Indirect By Polaris Venture Partners Founders' Fund V, L.P.
Common Stock Acquisiton 2013-10-04 12,024 $0.00 1,508,847 No 4 C Indirect By Polaris Venture Partners Special Founders' Fund V, L.P.
Common Stock Acquisiton 2013-10-04 2,560 $0.00 1,511,407 No 4 C Indirect By Polaris Venture Partners Special Founders' Fund V, L.P.
Common Stock Acquisiton 2013-10-04 123,943 $6.00 1,635,350 No 4 J Indirect By Polaris Venture Partners V, L.P.
Common Stock Acquisiton 2013-10-04 2,415 $6.00 1,637,765 No 4 J Indirect By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Common Stock Acquisiton 2013-10-04 849 $6.00 1,638,614 No 4 J Indirect By Polaris Venture Partners Founders' Fund V, L.P.
Common Stock Acquisiton 2013-10-04 1,239 $6.00 1,639,853 No 4 J Indirect By Polaris Venture Partners Special Founders' Fund V, L.P.
Common Stock Acquisiton 2013-10-04 804,112 $6.00 2,443,965 No 4 P Indirect By Polaris Venture Partners V, L.P.
Common Stock Acquisiton 2013-10-04 15,672 $6.00 2,459,637 No 4 P Indirect By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
Common Stock Acquisiton 2013-10-04 5,508 $6.00 2,465,145 No 4 P Indirect By Polaris Venture Partners Founders' Fund V, L.P.
Common Stock Acquisiton 2013-10-04 8,041 $6.00 2,473,186 No 4 P Indirect By Polaris Venture Partners Special Founders' Fund V, L.P.
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect By Polaris Venture Partners V, L.P.
No 4 C Indirect By Polaris Venture Partners V, L.P.
No 4 C Indirect By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
No 4 C Indirect By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
No 4 C Indirect By Polaris Venture Partners Founders' Fund V, L.P.
No 4 C Indirect By Polaris Venture Partners Founders' Fund V, L.P.
No 4 C Indirect By Polaris Venture Partners Special Founders' Fund V, L.P.
No 4 C Indirect By Polaris Venture Partners Special Founders' Fund V, L.P.
No 4 J Indirect By Polaris Venture Partners V, L.P.
No 4 J Indirect By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
No 4 J Indirect By Polaris Venture Partners Founders' Fund V, L.P.
No 4 J Indirect By Polaris Venture Partners Special Founders' Fund V, L.P.
No 4 P Indirect By Polaris Venture Partners V, L.P.
No 4 P Indirect By Polaris Venture Partners Entrepreneurs' Fund V, L.P.
No 4 P Indirect By Polaris Venture Partners Founders' Fund V, L.P.
No 4 P Indirect By Polaris Venture Partners Special Founders' Fund V, L.P.
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series A Convertible Preferred Stock Disposition 2013-10-04 651,806 $0.00 651,806 $0.00
Common Stock Series A Convertible Preferred Stock Disposition 2013-10-04 12,704 $0.00 12,704 $0.00
Common Stock Series A Convertible Preferred Stock Disposition 2013-10-04 4,465 $0.00 4,465 $0.00
Common Stock Series A Convertible Preferred Stock Disposition 2013-10-04 6,518 $0.00 6,518 $0.00
Common Stock Series B Convertible Preferred Stock Disposition 2013-10-04 222,677 $0.00 255,950 $0.00
Common Stock Series B Convertible Preferred Stock Disposition 2013-10-04 4,340 $0.00 4,988 $0.00
Common Stock Series B Convertible Preferred Stock Disposition 2013-10-04 1,525 $0.00 1,753 $0.00
Common Stock Series B Convertible Preferred Stock Disposition 2013-10-04 2,227 $0.00 2,560 $0.00
Common Stock Series C Convertible Preferred Stock Disposition 2013-10-04 550,653 $0.00 550,653 $0.00
Common Stock Series C Convertible Preferred Stock Disposition 2013-10-04 10,732 $0.00 10,732 $0.00
Common Stock Series C Convertible Preferred Stock Disposition 2013-10-04 3,772 $0.00 3,772 $0.00
Common Stock Series C Convertible Preferred Stock Disposition 2013-10-04 5,506 $0.00 5,506 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
Footnotes
  1. The aggregate number of shares of Issuer's Preferred Stock held by the Reporting Persons 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-1 basis.
  2. The aggregate number of shares of Issuer's Preferred Stock held by the Reporting Persons 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 approximately a 1-for-1.15 basis.
  3. These shares are owned directly by Polaris Venture Partners V, L.P., whose sole general partner is Polaris Venture Management Co. V, LLC ("Polaris Management"). The members of North Star Venture Management 2010 LLC are also members of Polaris Management, and as members of the general partner, they may be deemed to share voting and investment power of such shares. The Reporting Person is a member of Polaris Management and has shared voting and investment power over such shares and may be deemed the indirect beneficial owner of such shares. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for Section 16 or any other purpose.
  4. These shares are owned directly by Polaris Venture Partners Entrepreneurs' Fund V, L.P., whose sole general partner is Polaris Management. The members of North Star Venture Management 2010 LLC are also members of Polaris Management, and as members of the general partner, they may be deemed to share voting and investment power of such shares. The Reporting Person is a member of Polaris Management and has shared voting and investment power over such shares and may be deemed the indirect beneficial owner of such shares. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for Section 16 or any other purpose.
  5. These shares are owned directly by Polaris Venture Partners Founders' Fund V, L.P., whose sole general partner is Polaris Management. The members of North Star Venture Management 2010 LLC are also members of Polaris Management, and as members of the general partner, they may be deemed to share voting and investment power of such shares. The Reporting Person is a member of Polaris Management and has shared voting and investment power over such shares and may be deemed the indirect beneficial owner of such shares. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for Section 16 or any other purpose.
  6. These shares are owned directly by Polaris Venture Partners Special Founders' Fund V, L.P., whose sole general partner is Polaris Management. The members of North Star Venture Management 2010 LLC are also members of Polaris Management, and as members of the general partner, they may be deemed to share voting and investment power of such shares. The Reporting Person is a member of Polaris Management and has shared voting and investment power over such shares and may be deemed the indirect beneficial owner of such shares. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for Section 16 or any other purpose.
  7. The shares were acquired upon conversion of a convertible promissory note exempt from the definition of a derivative security because the conversion price did not become fixed until automatic conversion at the time of the closing of the Issuer's initial public offering.