UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series B Preferred Stock | (1) | (1) | Common Stock | 4,985,647 | $ (1) | I | By Vulcan Capital Venture Capital I LLC (2) |
Series C Preferred Stock | (3) | (3) | Common Stock | 1,373,217 | $ (3) | I | By Vulcan Capital Venture Capital I LLC (2) |
Series D Preferred Stock | (4) | (4) | Common Stock | 232,748 | $ (4) | I | By Vulcan Capital Venture Capital I LLC (2) |
Series E Preferred Stock | (5) | (5) | Common Stock | 223,393 | $ (5) | I | By VCVC III LLC (6) |
Series F Preferred Stock | (7) | (7) | Common Stock | 206,661 | $ (7) | I | By VCVC III LLC (6) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Vulcan Capital Venture Capital I LLC 505 FIFTH AVE. S, SUITE 900R SEATTLE, WA 98104 |
X | |||
Vulcan Ventures Inc. 505 FIFTH AVE. S, SUITE 900R SEATTLE, WA 98104 |
X | |||
Vulcan Capital Venture Capital Management I LLC 505 FIFTH AVE. S, SUITE 900R SEATTLE, WA 98104 |
X | |||
ALLEN PAUL G 505 FIFTH AVE. S, SUITE 900R SEATTLE, WA 98104 |
X | |||
Cougar Investment Holdings LLC 505 FIFTH AVE. S, SUITE 900R SEATTLE, WA 98104 |
X | |||
VCVC Management III LLC 505 FIFTH AVE. S, SUITE 900R SEATTLE, WA 98104 |
X | |||
VCVC III LLC 505 FIFTH AVE. S, SUITE 900R SEATTLE, WA 98104 |
X |
/s/ David R. Stewart, Vice President for Vulcan Ventures Incorporated | 07/27/2017 | |
**Signature of Reporting Person | Date | |
/s/ David R. Stewart, for Vulcan Capital Venture Capital Management I LLC, as Vice President of Vulcan Ventures Incorporated, its Managing Member | 07/27/2017 | |
**Signature of Reporting Person | Date | |
/s/ David R. Stewart, for Vulcan Capital Venture Capital I LLC, as Vice President of Vulcan Ventures Incorporated, the Managing Member of Vulcan Capital Venture Capital Management I LLC, the Manager of Vulcan Capital Venture Capital I LLC | 07/27/2017 | |
**Signature of Reporting Person | Date | |
/s/ David R. Stewart, as attorney-in-fact for Paul G. Allen | 07/27/2017 | |
**Signature of Reporting Person | Date | |
/s/ David R. Stewart, Vice President for Cougar Investment Holdings LLC | 07/27/2017 | |
**Signature of Reporting Person | Date | |
/s/ David R. Stewart, for VCVC Management III LLC, as Vice President of Cougar Investment Holdings LLC, its Managing Member | 07/27/2017 | |
**Signature of Reporting Person | Date | |
/s/ David R. Stewart, for VCVC III LLC, as Vice President of Cougar Investment Holdings LLC, the Managing Member of VCVC Management III LLC, the Manager of VCVC III LLC | 07/27/2017 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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) | Each share of the issuer's Series B Preferred Stock will automatically convert into 1 share of the issuer's Common Stock immediately upon the closing of the issuer's initial public offering ("IPO") and has no expiration date. |
(2) | These securities are held of record by Vulcan Capital Venture Capital I LLC ("VCVC I"). Vulcan Capital Venture Capital Management I LLC ("VCVC Management I") manages VCVC I. VCVC Management I is managed by Vulcan Ventures Incorporated, which is wholly owned by Paul G. Allen, who has sole voting and investment power over the shares held by VCVC I. Mr. Allen disclaims beneficial ownership over such securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes. |
(3) | Each share of the issuer's Series C Preferred Stock will automatically convert into 1 share of the issuer's Common Stock immediately upon the closing of the issuer's IPO and has no expiration date. |
(4) | Each share of the issuer's Series D Preferred Stock will automatically convert into 1 share of the issuer's Common Stock immediately upon the closing of the issuer's IPO and has no expiration date. |
(5) | Each share of the issuer's Series E Preferred Stock will automatically convert into 1 share of the issuer's Common Stock immediately upon the closing of the issuer's IPO and has no expiration date. |
(6) | These securities are held of record by VCVC III LLC ("VCVC III"). VCVC Management IIII LLC ("VCVC Management III") manages VCVC III. VCVC Management III is managed by Cougar Investment Holdings LLC, which is wholly owned by Paul G. Allen, who has sole voting and investment power over the shares held by VCVC III. Mr. Allen disclaims beneficial ownership over such securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes. |
(7) | Each share of the issuer's Series F Preferred Stock will automatically convert into 1 share of the issuer's Common Stock immediately upon the closing of the issuer's IPO and has no expiration date. |
Remarks: Exhibit List - Exhibit 24 - Power of Attorney |