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FATE THERAPEUTICS INC Director's Dealing 2013

Oct 7, 2013

34091_dirs_2013-10-07_73376673-9d73-4a8c-99b2-14751de9e73c.zip

Director's Dealing

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SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: FATE THERAPEUTICS INC (FATE)
CIK: 0001434316
Period of Report: 2013-10-04

Reporting Person: Nashat Amir (Director, 10% Owner)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2013-10-04 Common Stock C 1202459 Acquired 1202459 Indirect
2013-10-04 Common Stock C 255950 Acquired 1458409 Indirect
2013-10-04 Common Stock C 23436 Acquired 1481845 Indirect
2013-10-04 Common Stock C 4988 Acquired 1486833 Indirect
2013-10-04 Common Stock C 8237 Acquired 1495070 Indirect
2013-10-04 Common Stock C 1753 Acquired 1496823 Indirect
2013-10-04 Common Stock C 12024 Acquired 1508847 Indirect
2013-10-04 Common Stock C 2560 Acquired 1511407 Indirect
2013-10-04 Common Stock J 123943 $6 Acquired 1635350 Indirect
2013-10-04 Common Stock J 2415 $6 Acquired 1637765 Indirect
2013-10-04 Common Stock J 849 $6 Acquired 1638614 Indirect
2013-10-04 Common Stock J 1239 $6 Acquired 1639853 Indirect
2013-10-04 Common Stock P 804112 $6 Acquired 2443965 Indirect
2013-10-04 Common Stock P 15672 $6 Acquired 2459637 Indirect
2013-10-04 Common Stock P 5508 $6 Acquired 2465145 Indirect
2013-10-04 Common Stock P 8041 $6 Acquired 2473186 Indirect

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2013-10-04 Series A Convertible Preferred Stock $ C 651806 Disposed Common Stock (651806) Indirect
2013-10-04 Series A Convertible Preferred Stock $ C 12704 Disposed Common Stock (12704) Indirect
2013-10-04 Series A Convertible Preferred Stock $ C 4465 Disposed Common Stock (4465) Indirect
2013-10-04 Series A Convertible Preferred Stock $ C 6518 Disposed Common Stock (6518) Indirect
2013-10-04 Series B Convertible Preferred Stock $ C 222677 Disposed Common Stock (255950) Indirect
2013-10-04 Series B Convertible Preferred Stock $ C 4340 Disposed Common Stock (4988) Indirect
2013-10-04 Series B Convertible Preferred Stock $ C 1525 Disposed Common Stock (1753) Indirect
2013-10-04 Series B Convertible Preferred Stock $ C 2227 Disposed Common Stock (2560) Indirect
2013-10-04 Series C Convertible Preferred Stock $ C 550653 Disposed Common Stock (550653) Indirect
2013-10-04 Series C Convertible Preferred Stock $ C 10732 Disposed Common Stock (10732) Indirect
2013-10-04 Series C Convertible Preferred Stock $ C 3772 Disposed Common Stock (3772) Indirect
2013-10-04 Series C Convertible Preferred Stock $ C 5506 Disposed Common Stock (5506) Indirect

Footnotes

F1: The aggregate number of shares of Issuer's Preferred Stock held by the Reporting Persons converted into Common Stock immediately prior to the closing of the Issuer's initial public offering and has no expiration date. These shares converted into Common Stock on a 1-for-1 basis.

F2: The aggregate number of shares of Issuer's Preferred Stock held by the Reporting Persons converted into Common Stock immediately prior to the closing of the Issuer's initial public offering and has no expiration date. These shares converted into Common Stock on approximately a 1-for-1.15 basis.

F3: These shares are owned directly by Polaris Venture Partners V, L.P., whose sole general partner is Polaris Venture Management Co. V, LLC ("Polaris Management"). The members of North Star Venture Management 2010 LLC are also members of Polaris Management, and as members of the general partner, they may be deemed to share voting and investment power of such shares. The Reporting Person is a member of Polaris Management and has shared voting and investment power over such shares and may be deemed the indirect beneficial owner of such shares. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for Section 16 or any other purpose.

F4: These shares are owned directly by Polaris Venture Partners Entrepreneurs' Fund V, L.P., whose sole general partner is Polaris Management. The members of North Star Venture Management 2010 LLC are also members of Polaris Management, and as members of the general partner, they may be deemed to share voting and investment power of such shares. The Reporting Person is a member of Polaris Management and has shared voting and investment power over such shares and may be deemed the indirect beneficial owner of such shares. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for Section 16 or any other purpose.

F5: These shares are owned directly by Polaris Venture Partners Founders' Fund V, L.P., whose sole general partner is Polaris Management. The members of North Star Venture Management 2010 LLC are also members of Polaris Management, and as members of the general partner, they may be deemed to share voting and investment power of such shares. The Reporting Person is a member of Polaris Management and has shared voting and investment power over such shares and may be deemed the indirect beneficial owner of such shares. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for Section 16 or any other purpose.

F6: These shares are owned directly by Polaris Venture Partners Special Founders' Fund V, L.P., whose sole general partner is Polaris Management. The members of North Star Venture Management 2010 LLC are also members of Polaris Management, and as members of the general partner, they may be deemed to share voting and investment power of such shares. The Reporting Person is a member of Polaris Management and has shared voting and investment power over such shares and may be deemed the indirect beneficial owner of such shares. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for Section 16 or any other purpose.

F7: The shares were acquired upon conversion of a convertible promissory note exempt from the definition of a derivative security because the conversion price did not become fixed until automatic conversion at the time of the closing of the Issuer's initial public offering.