Filing Details

Accession Number:
0000899243-17-026997
Form Type:
4
Zero Holdings:
No
Publication Time:
2017-11-20 17:28:27
Reporting Period:
2017-11-20
Accepted Time:
2017-11-20 17:28:27
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1501697 Arsanis Inc. ASNS () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1254452 Jay Michael Ross C/O Sv Health Investors One Boston Place
Suite 3900, 201 Washington Street
Boston MA 02108
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 2017-11-20 19,128 $0.00 19,128 No 4 C Indirect See Footnote
Common Stock Acquisiton 2017-11-20 404 $0.00 19,532 No 4 C Indirect See Footnote
Common Stock Acquisiton 2017-11-20 247,010 $0.00 266,542 No 4 C Indirect See Footnote
Common Stock Acquisiton 2017-11-20 5,219 $0.00 271,761 No 4 C Indirect See Footnote
Common Stock Acquisiton 2017-11-20 322,102 $0.00 593,863 No 4 C Indirect See Footnote
Common Stock Acquisiton 2017-11-20 6,806 $0.00 600,669 No 4 C Indirect See Footnote
Common Stock Acquisiton 2017-11-20 111,955 $0.00 712,624 No 4 C Indirect See Footnote
Common Stock Acquisiton 2017-11-20 2,365 $0.00 714,989 No 4 C Indirect See Footnote
Common Stock Acquisiton 2017-11-20 202,915 $0.00 917,904 No 4 C Indirect See Footnote
Common Stock Acquisiton 2017-11-20 4,288 $0.00 922,192 No 4 C Indirect See Footnote
Common Stock Acquisiton 2017-11-20 431,980 $0.00 1,354,172 No 4 C Indirect See Footnote
Common Stock Acquisiton 2017-11-20 14,789 $0.00 1,368,961 No 4 C Indirect See Footnote
Common Stock Acquisiton 2017-11-20 483,448 $10.00 1,852,409 No 4 P Indirect See Footnote
Common Stock Acquisiton 2017-11-20 16,552 $10.00 1,868,961 No 4 P Indirect See Footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect See Footnote
No 4 C Indirect See Footnote
No 4 C Indirect See Footnote
No 4 C Indirect See Footnote
No 4 C Indirect See Footnote
No 4 C Indirect See Footnote
No 4 C Indirect See Footnote
No 4 C Indirect See Footnote
No 4 C Indirect See Footnote
No 4 C Indirect See Footnote
No 4 C Indirect See Footnote
No 4 C Indirect See Footnote
No 4 P Indirect See Footnote
No 4 P Indirect See Footnote
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series A-1 Convertible Preferred Stock Disposition 2017-11-20 65,287 $0.00 19,128 $0.00
Common Stock Series A-1 Convertible Preferred Stock Disposition 2017-11-20 1,380 $0.00 404 $0.00
Common Stock Series A-2 Convertible Preferred Stock Disposition 2017-11-20 690,259 $0.00 247,010 $0.00
Common Stock Series A-2 Convertible Preferred Stock Disposition 2017-11-20 14,587 $0.00 5,219 $0.00
Common Stock Series B Convertible Preferred Stock Disposition 2017-11-20 721,402 $0.00 322,102 $0.00
Common Stock Series B Convertible Preferred Stock Disposition 2017-11-20 15,246 $0.00 6,806 $0.00
Common Stock Series C Convertible Preferred Stock Disposition 2017-11-20 224,665 $0.00 111,955 $0.00
Common Stock Series C Convertible Preferred Stock Disposition 2017-11-20 4,747 $0.00 2,365 $0.00
Common Stock Series D Convertible Preferred Stock Disposition 2017-11-20 692,552 $0.00 202,915 $0.00
Common Stock Series D Convertible Preferred Stock Disposition 2017-11-20 14,635 $0.00 4,288 $0.00
Common Stock Series D Convertible Preferred Stock Disposition 2017-11-20 1,474,348 $0.00 431,980 $0.00
Common Stock Series D Convertible Preferred Stock Disposition 2017-11-20 50,477 $0.00 14,789 $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 Series A-1 Convertible Preferred Stock converted into Common Stock on a 0.29300-for-one basis upon the closing of the Issuer's initial public offering without payment of consideration. The Series A-1 Convertible Preferred Stock was convertible at any time at the holder's election and automatically upon the closing at the Issuer's initial public offering. The shares had no expiration date.
  2. The Series A-2 Convertible Preferred Stock converted into Common Stock on a 0.35785-for-one basis upon the closing of the Issuer's initial public offering without payment of consideration. The Series A-2 Convertible Preferred Stock was convertible at any time at the holder's election and automatically upon the closing at the Issuer's initial public offering. The shares had no expiration date.
  3. The Series B Convertible Preferred Stock converted into Common Stock on a 0.44650-for-one basis upon the closing of the Issuer's initial public offering without payment of consideration. The Series B Convertible Preferred Stock was convertible at any time at the holder's election and automatically upon the closing at the Issuer's initial public offering. The shares had no expiration date.
  4. The Series C Convertible Preferred Stock converted into Common Stock on a 0.49832-for-one basis upon the closing of the Issuer's initial public offering without payment of consideration. The Series C Convertible Preferred Stock was convertible at any time at the holder's election and automatically upon the closing at the Issuer's initial public offering. The shares had no expiration date.
  5. The Series D Convertible Preferred Stock converted into Common Stock on a 0.29300-for-one basis upon the closing of the Issuer's initial public offering without payment of consideration. The Series D Convertible Preferred Stock was convertible at any time at the holder's election and automatically upon the closing at the Issuer's initial public offering. The shares had no expiration date.
  6. These shares are owned directly by SV Life Sciences Fund V, L.P. ("SVLS V LP"). SV Life Sciences Fund V (GP), LP ("SVLS V GP") is the general partner of SVLS V LP. The general partner of SVLS V GP is SVLSF V, LLC. The reporting person, a member of the investment committee of SVLSF V, LLC, may be deemed to share voting, dispositive and investment power over the shares held of record by SVLS V LP. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.
  7. These shares are owned directly by SV Life Sciences Fund V Strategic Partners, L.P. ("SVLS V SPP"). SVLS V GP is the general partner of SVLS V SPP. The general partner of SVLS V GP is SVLSF V, LLC. The reporting person, a member of the investment committee of SVLSF V, LLC, may be deemed to share voting, dispositive and investment power over the shares held of record by SVLS V LP. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.
  8. These shares are owned directly by SV Life Sciences Fund VI, L.P. ("SVLS VI LP"). SV Life Sciences Fund VI (GP), LP ("SVLS VI GP") is the general partner of SVLS VI LP. The general partner of SVLS VI GP is SVLSF VI, LLC. The reporting person, a member of the investment committee of SVLSF VI, LLC, may be deemed to share voting, dispositive and investment power over the shares held of record by SVLS V LP. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.
  9. These shares are owned directly by SV Life Sciences Fund VI Strategic Partners, L.P. ("SVLS VI SPP"). SVLS VI GP is the general partner of SVLS VI SPP. The general partner of SVLS VI GP is SVLSF VI, LLC. The reporting person, a member of the investment committee of SVLSF VI, LLC, may be deemed to share voting, dispositive and investment power over the shares held of record by SVLS V LP. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.