Filing Details

Accession Number:
0001209191-18-047666
Form Type:
4
Zero Holdings:
No
Publication Time:
2018-08-20 18:15:47
Reporting Period:
2018-08-16
Accepted Time:
2018-08-20 18:15:47
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1667633 Forty Seven Inc. FTSV () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1185068 J Christopher Schaepe 2200 Sand Hill Road
Menlo Park CA 94025
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 2018-08-16 66,542 $15.03 66,542 No 4 P Indirect By Schaepe-Chiu Investments I LP - Fund 1
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By Schaepe-Chiu Investments I LP - Fund 1
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 67,036 Indirect By Lightspeed Affiliates X, L.P.
Common Stock 2,474,368 Indirect By Lightspeed Venture Partners X, L.P.
Common Stock 1,784,269 Indirect By Lightspeed Venture Partners Select II, L.P.
Footnotes
  1. The price reported is a weighted-average purchase price. The shares were purchased in multiple transactions at prices ranging from $14.79 to $15.25, inclusive. The Reporting Person undertakes to provide to Issuer, any security holder of Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price.
  2. Shares held by Schaepe-Chiu Investments I LP - Fund 1. Reporting Person serves as co-trustee of the general partner of such entity.
  3. Shares are held by Lightspeed Affiliates X, L.P., or Lightspeed Affiliates.
  4. Lightspeed General Partner X, L.P., or Lightspeed GP X, is the general partner of Lightspeed X and Lightspeed Affiliates. Lightspeed Ultimate General Partner X, Ltd., or Lightspeed UGP X, is the general partner of Lightspeed GP X. Christopher J. Schaepe, Barry Eggers, Ravi Mhatre, Peter Nieh and Jeremy Liew are the directors of Lightspeed UGP X and share voting and dispositive power with respect to the shares held by Lightspeed X and Lightspeed Affiliates. The Reporting Person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.
  5. Shares are held by Lightspeed Venture Partners X, L.P., or Lightspeed X.
  6. Shares are held by Lightspeed Venture Partners Select II, L.P., or Lightspeed Select II. Lightspeed General Partner Select II, L.P., or Select II GP, is the general partner of Lightspeed Select II. Lightspeed Ultimate General Partner Select II, Ltd., or Select II UGP, is the general partner of Select II GP. Messrs. Schaepe, Eggers, Mhatre, Nieh and Liew are the directors of Select II UGP and share voting and dispositive power with respect to the shares held by Lightspeed Select II. The Reporting Person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.