Filing Details

Accession Number:
0001209191-20-023395
Form Type:
4
Zero Holdings:
No
Publication Time:
2020-04-03 17:53:27
Reporting Period:
2020-04-01
Accepted Time:
2020-04-03 17:53:27
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1667633 Forty Seven Inc. FTSV Pharmaceutical Preparations (2834) 474065674
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1743780 H Chris Takimoto C/O Forty Seven, Inc.
1490 O'Brien Drive, Suite A
Menlo Park CA 94025
Chief Medical Officer No Yes No 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 2020-04-01 49,627 $2.02 53,533 No 4 M Direct
Common Stock Acquisiton 2020-04-01 8,333 $4.88 61,866 No 4 M Direct
Common Stock Acquisiton 2020-04-01 7,020 $5.27 68,886 No 4 M Direct
Common Stock Acquisiton 2020-04-01 11,418 $8.76 80,304 No 4 M Direct
Common Stock Acquisiton 2020-04-01 2,797 $35.75 83,101 No 4 M Direct
Common Stock Disposition 2020-04-01 79,195 $95.42 3,906 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 M Direct
No 4 M Direct
No 4 M Direct
No 4 M Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Stock Option (right to buy) Disposition 2020-04-01 49,627 $0.00 49,627 $2.02
Common Stock Stock Option (right to buy) Disposition 2020-04-01 8,333 $0.00 8,333 $4.88
Common Stock Stock Option (right to buy) Disposition 2020-04-01 7,020 $0.00 7,020 $5.27
Common Stock Stock Option (right to buy) Disposition 2020-04-01 11,418 $0.00 11,418 $8.76
Common Stock Stock Option (right to buy) Disposition 2020-04-01 2,797 $0.00 2,797 $35.75
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
58,114 2020-02-08 2026-02-25 No 4 M Direct
4,570 2027-08-14 No 4 M Direct
70,398 2027-11-27 No 4 M Direct
44,710 2028-04-26 No 4 M Direct
113,153 2029-12-12 No 4 M Direct
Footnotes
  1. Includes 3,906 shares acquired under the Forty Seven, Inc. 2018 Employee Stock Purchase Plan.
  2. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $95.411 to $95.43, inclusive. The Reporting Person undertakes to provide the Issuer, any securityholder of the Issuer, or the Staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
  3. The shares subject to the option vest in a series of 48 successive equal monthly installments commencing on August 15, 2017, subject to Reporting Person's continuous service as of each such date.
  4. The shares subject to the option vest in a series of 48 successive equal monthly installments commencing on November 8, 2017, subject to Reporting Person's continuous service as of each such date.
  5. The shares subject to the option vest in a series of 48 successive equal monthly installments commencing on March 1, 2019, subject to Reporting Person's continuous service as of each such date.
  6. The shares subject to the option vest in a series of 48 successive equal monthly installments commencing on December 13, 2019, subject to Reporting Person's continuous service as of each such date.