Filing Details

Accession Number:
0001193805-20-000896
Form Type:
4
Zero Holdings:
No
Publication Time:
2020-07-28 12:54:23
Reporting Period:
2020-07-28
Accepted Time:
2020-07-28 12:54:23
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1528115 Annexon Inc. ANNX () DE
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1009258 Deerfield Management Company, L.p. (Series C) 780 Third Avenue, 37Th Floor
New York NY 10017
No No Yes Yes
1010823 L.p. Mgmt Deerfield 780 Third Avenue
37Th Floor
New York NY 10017
No No Yes Yes
1301041 Deerfield Partners, L.p. 780 Third Avenue
37Th Floor
New York NY 10017
No No Yes Yes
1352546 E James Flynn 780 Third Avenue
37Th Floor
New York NY 10017
No No Yes Yes
1680307 Deerfield Private Design Fund Iv, L.p. 780 Third Avenue 37Th Floor
New York NY 10017
No No Yes Yes
1713467 Deerfield Mgmt Iv, L.p. 780 Third Avenue, 37Th Floor
New York NY 10017
No No Yes Yes
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 2020-07-28 458,914 $0.00 458,914 No 4 C Indirect Through Deerfield Private Design Fund IV, L.P.
Common Stock Acquisiton 2020-07-28 458,914 $0.00 458,914 No 4 C Indirect Through Deerfield Partners, L.P.
Common Stock Acquisiton 2020-07-28 350,000 $17.00 808,914 No 4 P Indirect Through Deerfield Private Design Fund IV, L.P.
Common Stock Acquisiton 2020-07-28 350,000 $17.00 808,914 No 4 P Indirect Through Deerfield Partners, L.P.
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect Through Deerfield Private Design Fund IV, L.P.
No 4 C Indirect Through Deerfield Partners, L.P.
No 4 P Indirect Through Deerfield Private Design Fund IV, L.P.
No 4 P Indirect Through Deerfield Partners, L.P.
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series D Preferred Stock Disposition 2020-07-28 4,043,032 $0.00 458,914 $0.00
Common Stock Series D Preferred Stock Disposition 2020-07-28 4,043,031 $0.00 458,914 $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
Footnotes
  1. Each share of Series D Preferred Stock automatically converted into approximately 0.11351 shares of the Issuer's common stock upon the closing of the Issuer's initial public offering. The number of shares reported herein gives effect to the 1-for-8.81 reverse split of the Issuer's common stock effected by the Issuer on July 17, 2020 in connection with its initial public offering.
  2. This Form 4 is being filed by the undersigned as well as the entities listed on the Joint Filer Information Statement attached as an exhibit hereto (the "Reporting Persons"). Deerfield Mgmt IV, L.P. is the general partner of Deerfield Private Design Fund IV, L.P. ("Fund IV"). Deerfield Mgmt, L.P. is the general partner of Deerfield Partners, L.P. (collectively with Fund IV, the "Funds"). Deerfield Management Company, L.P. is the investment manager of the Funds. James E. Flynn is the sole member of the general partner of each of Deerfield Mgmt, L.P., Deerfield Mgmt IV, L.P. and Deerfield Management Company, L.P.
  3. In accordance with Instruction 4(b)(iv) to Form 4, the entire amount of the Issuer's securities held by the Funds is reported herein. For purposes of Section 16 of the Securities Exchange Act of 1934, as amended, each Reporting Person disclaims beneficial ownership of any such securities, except to the extent of his/its indirect pecuniary interest therein, if any, and this report shall not be deemed an admission that such Reporting Person is the beneficial owner of such securities for purposes of Section 16 or otherwise.