Filing Details

Accession Number:
0001104659-18-047445
Form Type:
4
Zero Holdings:
No
Publication Time:
2018-07-26 17:16:03
Reporting Period:
2018-07-24
Accepted Time:
2018-07-26 17:16:03
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1737953 Replimune Group Inc. REPL Biological Products, (No Disgnostic Substances) (2836) 822082553
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1747586 U.a. Cooperatief Iii Fund Capital Forbion C/O Forbion Capital Partners,
Gooimeer 2-35
Naarden P7 1411 DC
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 2018-07-24 994,688 $0.00 994,688 No 4 C Indirect See footnote
Common Stock Acquisiton 2018-07-24 2,579,881 $0.00 3,574,569 No 4 C Indirect See footnote
Common Stock Acquisiton 2018-07-24 1,013,547 $0.00 4,588,116 No 4 C Indirect See footnote
Common Stock Acquisiton 2018-07-24 133,333 $15.00 4,721,449 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 P Indirect See footnote
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrant (right to buy) Acquisiton 2018-07-24 248,672 $0.00 248,672 $0.00
Series Seed Convertible Preferred Stock Warrant (right to buy) Disposition 2018-07-24 248,672 $0.00 248,672 $0.00
Common Stock Series Seed Convertible Preferred Stock Disposition 2018-07-24 994,688 $0.00 994,688 $0.00
Common Stock Series A Convertible Preferred Stock Disposition 2018-07-24 2,579,881 $0.00 2,579,881 $0.00
Common Stock Series B Convertible Preferred Stock Disposition 2018-07-24 1,013,547 $0.00 1,013,547 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
248,672 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. In connection with the completion of the Issuer's initial public offering, each share of the Issuer's series seed convertible preferred stock, series A convertible preferred stock and series B convertible preferred stock (collectively, the "Preferred Stock") converted into shares of the Issuer's common stock on a 1-for-9.94688 basis without payment or consideration. The Preferred Stock had no expiration date.
  2. The securities are held directly by Forbion Capital Fund III Cooperatief U.A. ("Forbion Coop"). Forbion III Management B.V. ("Forbion Management") is the director of Forbion Coop and may be deemed to have voting, investment and dispositive power with respect to the shares held by Forbion Coop. Forbion Management disclaims Section 16 beneficial ownership of the shares held by Forbion Coop, except to the extent, if any, of its pecuniary interest therein.
  3. Reflects warrants to acquire shares of the Issuer's Series Seed Convertible Preferred Stock which automatically converted into warrants to acquire shares of the Issuer's common stock immediately prior to the completion of the Issuer's initial public offering on a 1-for-9.94688 basis without payment or consideration. The warrants have no expiration date. The exercise price is $1.01 per share of the Issuer's common stock.
  4. Reflects the number of shares of applicable series of preferred stock held by the Reporting Person on an as-converted to common stock basis.