|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SHV Management Services, LLC C/O SANTE VENTURES 201 WEST 5TH STREET, SUITE 1500 AUSTIN, TX 78701 |
X | |||
Cunningham Joe H C/O SANTE VENTURES 201 WEST 5TH STREET, SUITE 1500 AUSTIN, TX 78701 |
X | |||
FRENCH DOUGLAS D C/O SANTE VENTURES 201 WEST 5TH STREET, SUITE 1500 AUSTIN, TX 78701 |
X | |||
SHV Management Services, LP C/O SANTE VENTURES 201 WEST 5TH STREET, SUITE 1500 AUSTIN, TX 78701 |
X | |||
SHV Annex Services, LP C/O SANTE VENTURES 201 WEST 5TH STREET, SUITE 1500 AUSTIN, TX 78701 |
X | |||
Sante Health Ventures I Annex Fund, LP C/O SANTE VENTURES 201 WEST 5TH STREET, SUITE 1500 AUSTIN, TX 78701 |
X | |||
SANTE HEALTH VENTURES I LP C/O SANTE VENTURES 201 WEST 5TH STREET, SUITE 1500 AUSTIN, TX 78701 |
X |
SHV Management Services, LLC, By: /s/ Kevin Lalande, Its Managing Member | 06/21/2022 | |
**Signature of Reporting Person | Date | |
/s/ Joe Cunningham, MD | 06/21/2022 | |
**Signature of Reporting Person | Date | |
/s/ Douglas D. French | 06/21/2022 | |
**Signature of Reporting Person | Date | |
SHV MANAGEMENT SERVICES, L.P., By: SHV Management Services, LLC, Its general partner, By: /s/ Kevin Lalande, Its Managing Member | 06/21/2022 | |
**Signature of Reporting Person | Date | |
SHV ANNEX SERVICES, L.P., By: SHV Management Services, LLC, Its general partner, By: /s/ Kevin Lalande, Its Managing Member | 06/21/2022 | |
**Signature of Reporting Person | Date | |
SANTE HEALTH VENTURES I, L.P., By: SHV Management Services, L.P., Its general partner, By: SHV Management Services, LLC, Its general partner, By: /s/ Kevin Lalande, Its Managing Member | 06/21/2022 | |
**Signature of Reporting Person | Date | |
SANTE HEALTH VENTURES I, L.P., By: SHV Management Services, L.P., Its general partner, By: SHV Management Services, LLC, Its general partner, By: /s/ Kevin Lalande, Its Managing Member | 06/21/2022 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The securities are held by SHVMS, LLC ("SHVMS"). Joe Cunningham, M.D. and Douglas D. French (the "SHV Directors") are managing directors of SHVMS and may be deemed to beneficially own the securities held by SHVMS. Each of the SHV Directors disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. |
(2) | The securities are held by Sante Health Ventures I, L.P., Sante Health Ventures I Annex Fund, L.P. and SHV Management Services, L.P. and may be deemed to be beneficially owned by the SHV Directors, who are managing directors of SHV Management Services, LLC ("SHV Management"). SHV Management is the general partner of SHV Management Services, LP, which is the general partner of Sante Health Ventures I, L.P., and SHV Annex Services, LP, which is the general partner of Sante Health Ventures I Annex Fund, L.P. Each of the SHV Directors, SHV Management, SHV Management Services, LP and SHV Annex Services, LP disclaims beneficial ownership of the reported securities except to the extent of his or its pecuniary interest therein. |