Filing Details

Accession Number:
0001209191-20-052343
Form Type:
4
Zero Holdings:
No
Publication Time:
2020-09-29 16:42:21
Reporting Period:
2020-09-29
Accepted Time:
2020-09-29 16:42:21
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1534133 Graybug Vision Inc. GRAY () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1145929 L Christy Shaffer C/O Graybug Vision, Inc.
275 Shoreline Drive, Suite 450
Redwood City CA 94065
Yes No 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 2020-09-29 1,586,490 $0.00 1,586,490 No 4 C Indirect See footnote
Common Stock Acquisiton 2020-09-29 18,750 $16.00 1,605,240 No 4 P Indirect See footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
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 Series A-2 Preferred Stock Disposition 2020-09-29 193,224 $0.00 193,224 $0.00
Common Stock Series B Preferred Stock Disposition 2020-09-29 1,242,120 $0.00 1,242,120 $0.00
Common Stock Series C Preferred Stock Disposition 2020-09-29 151,146 $0.00 151,146 $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
Footnotes
  1. Each share of the Issuer's Series A-2 Preferred Stock, Series B Preferred Stock and Series C Preferred Stock automatically converted into 1 share of the Issuer's Common Stock immediately prior to the closing of the Issuer's initial public offering for no additional consideration and has no expiration date.
  2. These securities are held of record by Hatteras Venture Partners IV SBIC, L.P. ("HVP IV SBIC"). Hatteras Venture Advisors IV SBIC, L.L.C. ("HVA IV SBIC") is the general partner of HVP IV SBIC. The managing members of HVA IV SBIC include: Robert Ingram, Douglas Reed, Clay Thorp, John Crumpler and Kenneth Lee. These managing members share voting and dispositive power over the securities directly held by HVP IV SBIC. The Reporting Person is a partner of Hatteras Venture Partners and disclaims beneficial ownership of the securities held by HVP IV SBIC except to the extent of her pecuniary interest therein, if any.