Filing Details

Accession Number:
0001209191-16-119312
Form Type:
4
Zero Holdings:
No
Publication Time:
2016-05-11 18:57:53
Reporting Period:
2016-05-11
Filing Date:
2016-05-11
Accepted Time:
2016-05-11 18:57:53
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1652130 Intellia Therapeutics Inc. NTLA Pharmaceutical Preparations (2834) V8
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1114448 Ag Novartis Lichtstrasse 35
Basel V8 CH4056
No No Yes No
1673852 Novartis Institutes For Biomedical Research, Inc. 250 Massachusetts Avenue
Cambridge MA 02139
No 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 2016-05-11 3,079,001 $0.00 3,079,001 No 4 C Direct
Common Stock Acquisiton 2016-05-11 1,724,240 $0.00 4,803,241 No 4 C Direct
Common Stock Acquisiton 2016-05-11 492,640 $0.00 5,295,881 No 4 C Direct
Common Stock Acquisiton 2016-05-11 277,777 $18.00 5,573,658 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Direct
No 4 C Direct
No 4 C Direct
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series A-1 Preferred Stock Disposition 2016-05-11 4,761,905 $0.00 3,079,001 $0.00
Common Stock Series A-2 Preferred Stock Disposition 2016-05-11 2,666,666 $0.00 1,724,240 $0.00
Common Stock Series B Preferred Stock Disposition 2016-05-11 761,905 $0.00 492,640 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Direct
0 No 4 C Direct
0 No 4 C Direct
Footnotes
  1. Each share of Series A-1 Preferred Stock, Series A-2 Preferred Stock and Series B Preferred Stock was automatically converted into 0.6465903 of a share of Common Stock upon the closing of the Issuer's initial public offering without payment of further consideration.
  2. The shares are held directly by Novartis Institutes for BioMedical Research, Inc. ("NIBRI"). NIBRI is an indirect wholly-owned subsidiary of, and controlled by, Novartis AG.
  3. Not applicable.