Filing Details

Accession Number:
0001209191-20-062390
Form Type:
4
Zero Holdings:
No
Publication Time:
2020-12-08 20:43:32
Reporting Period:
2020-12-08
Accepted Time:
2020-12-08 20:43:32
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1671858 Silverback Therapeutics Inc. SBTX () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1357522 A. Peter Thompson C/O Silverback Therapeutics, Inc.
500 Fairview Avenue N, Suite 600
Seattle WA 98109
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 2020-12-08 238,100 $21.00 507,423 No 4 P Indirect By OrbiMed Private Investments VI, LP
Common Stock Acquisiton 2020-12-08 3,462,737 $0.00 3,970,160 No 4 C Indirect By OrbiMed Private Investments VI, LP
Common Stock Acquisiton 2020-12-08 2,493,741 $0.00 6,463,901 No 4 C Indirect By OrbiMed Private Investments VI, LP
Common Stock Acquisiton 2020-12-08 1,055,287 $0.00 7,519,188 No 4 C Indirect By OrbiMed Private Investments VI, LP
Common Stock Acquisiton 2020-12-08 952,377 $21.00 952,377 No 4 P Indirect By OrbiMed Partners Master Fund Limited
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By OrbiMed Private Investments VI, LP
No 4 C Indirect By OrbiMed Private Investments VI, LP
No 4 C Indirect By OrbiMed Private Investments VI, LP
No 4 C Indirect By OrbiMed Private Investments VI, LP
No 4 P Indirect By OrbiMed Partners Master Fund Limited
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series A Preferred Stock Disposition 2020-12-08 12,857,142 $0.00 3,462,737 $0.00
Common Stock Series B Preferred Stock Disposition 2020-12-08 9,259,259 $0.00 2,493,741 $0.00
Common Stock Series C Preferred Stock Disposition 2020-12-08 3,918,279 $0.00 1,055,287 $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
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 269,323 Indirect By OPI VI -IP HoldCo LLC
Footnotes
  1. The shares were purchased in the Issuer's initial public offering.
  2. These securities are held of record by OrbiMed Private Investments VI, LP ("OPI VI"). OrbiMed Capital GP VI LLC ("GP VI") is the general partner to OPI VI and OrbiMed Advisors LLC ("OrbiMed Advisors") is the managing member of GP VI. By virtue of such relationships, GP VI and OrbiMed Advisors may be deemed to have voting and investment power with respect to the shares held by OPI VI. Both GP VI and OrbiMed Advisors may be deemed to directly or indirectly, including by reason of their mutual affiliation, to be beneficial owners of the shares held by OPI VI. OrbiMed Advisors exercise investment and voting power through a management committee comprised of Carl L. Gordon, Jonathan T. Silverstein and Sven H. Borho, each of whom disclaims beneficial ownership of the shares of OPI VI.
  3. The Reporting Person is the designated representative of OrbiMed Advisors on the Issuer's Board of Directors. Thereportable securities are owned indirectly by OPI VI. GP VI is the generalpartner of OPI VI and OrbiMed Advisors is the managing member of GP VI. The Reporting Person disclaims beneficial ownership of thesecurities reported herein for the purposes of Rule 16a-1(a) under the Securities Exchange Act of 1934, as amended (the "Exchange Act"),except to the extent of his pecuniary interest therein, if any.
  4. All outstanding shares of Preferred Stock automatically converted into shares of Common Stock immediately upon the closing of the Issuer's initial public offering, for no additional consideration at a rate of one share of Common Stock for each 3.713 shares of Preferred Stock, based on the conversion price currently in effect. The Preferred Stock has no expiration date.
  5. These securities are held of record by OrbiMed Partners Master Fund Limited ("OPM"). OrbiMed Capital LLC ("OrbiMed Capital") is the investment advisor to OPM. OrbiMed Capital is a relying advisor of OrbiMed Advisors. OrbiMed Advisors and OrbiMed Capital exercise voting and investment power through a management committee comprised of Carl L. Gordon, Jonathan T. Silverstein and Sven H. Borho, each of whom disclaims beneficial ownership of the shares held by OPM.
  6. These securities are held of record by OPI VI - IP HoldCo LLC ("HoldCo"). OPI VI - IP TopCo LLC ("TopCo") is the sole member of HoldCo. OrbiMed Private Investments VI - IP, LP ("OPI VI IP") is the sole member of TopCo. GP VI is the general partner of OPI VI IP. OrbiMed Advisors is the managing member of GP VI. By virtue of such relationships, OrbiMed Advisors and GP VI may be deemed to have voting and investment power over the securities held by HoldCo and as a result, may be deemed to have beneficial ownership over such securities. Advisors exercises voting and investment power through a management committee comprised of Carl L. Gordon, Jonathan T. Silverstein and Sven H. Borho, each of whom disclaims beneficial ownership of the shares held by HoldCo.