Filing Details

Accession Number:
0001209191-21-049823
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-08-04 21:19:46
Reporting Period:
2021-07-28
Accepted Time:
2021-08-04 21:19:46
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1739410 Rallybio Corp RLYB () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1664281 Kush Parmar C/O Rallybio Corporation
234 Church Street, Suite 1020
New Haven CT 06510
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 2021-07-28 2,784,626 $0.00 2,784,626 No 4 J Indirect 5AM Ventures V, L.P.
Common Stock Acquisiton 2021-07-28 790,714 $0.00 790,714 No 4 J Indirect 5AM Opportunities I, L.P.
Common Stock Acquisiton 2021-08-02 615,384 $13.00 1,406,098 No 4 P Indirect 5AM Opportunities I, L.P.
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 J Indirect 5AM Ventures V, L.P.
No 4 J Indirect 5AM Opportunities I, L.P.
No 4 P Indirect 5AM Opportunities I, L.P.
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series A-1 Preferred Units Disposition 2021-07-28 1,795,946 $0.00 282,044 $0.00
Common Stock Series A-2 Preferred Units Disposition 2021-07-28 8,742,654 $0.00 1,372,990 $0.00
Common Stock Series B Preferred Units Disposition 2021-07-28 7,192,795 $0.00 1,129,592 $0.00
Common Stock Series B Preferred Units Disposition 2021-07-28 5,034,955 $0.00 790,714 $0.00
Common Stock Option (Right to Buy) Acquisiton 2021-07-28 13,440 $0.00 13,440 $13.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 J Indirect
0 No 4 J Indirect
0 No 4 J Indirect
0 No 4 J Indirect
13,440 No 4 A Direct
Footnotes
  1. The Series A-1 Preferred Units, Series A-2 Preferred Units and Series B Preferred units (collectively, the "Preferred Units") reported herein were preferred units of Rallybio Holdings, LLC. The shares of common stock of the Issuer were received on July 28, 2021 pursuant to the Plan of Liquidation and Dissolution, dated July 28, 2021, among Rallybio Holdings, LLC and its members (the "Plan of Liquidation"). Pursuant to the Plan of Liquidation, the holders of Preferred Units received approximately 6.37 shares of common stock of the Issuer for each Preferred Unit. Rallybio Holdings, LLC was subsequently dissolved. The Preferred Units had no expiration date prior to the liquidation.
  2. These securities are held directly by 5AM Ventures V, L.P. ("Ventures V"). 5AM Partners V, LLC ("Partners V") is the sole general partner of Ventures V. Dr. Parmar is a managing member of Partners V and may be deemed to share voting and investment power over the securities held by Ventures V. Dr. Parmar disclaims beneficial ownership of the securities held by Ventures V except to the extent of his pecuniary interest therein.
  3. These securities are held directly by 5AM Opportunities I, L.P. ("Opportunities I, L.P."). 5AM Opportunities I (GP), LLC ("Opportunities I (GP)") is the general partner of Opportunities I, L.P. Dr. Parmar is a managing member of Opportunities I (GP), and may be deemed to share voting and dispositive power over the securities held by Opportunities I, L.P. Dr. Parmar disclaims beneficial ownership of the securities held by Opportunities I, L.P. except to the extent of his pecuniary interest therein.
  4. Prior to the effectiveness of the Plan of Liquidation, the Preferred Units were convertible into common units of Rallybio Holdings, LLC.
  5. The option vests as to the underlying shares of Common Stock on the earlier of July 28, 2022 and the date of the first annual meeting of stockholders of the Issuer following the closing of its initial public offering.