Statement of Ownership (sc 13g)
12 Februar 2016 - 10:47PM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
UNDER THE SECURITIES EXCHANGE ACT OF 1934
GLOBEIMMUNE, INC.
(Name
of Issuer)
COMMON STOCK, $0.001 PAR VALUE
(Title of Class of Securities)
37957B 100
(CUSIP
Number)
DECEMBER 31, 2015
(Date of Event Which Requires Filing of This Statement)
Check the appropriate box to
designate the rule pursuant to which this Schedule is filed:
* |
The remainder of this cover page shall be filled out for a reporting persons initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information
which would alter the disclosures provided in a prior cover page. |
The information required in the remainder of this cover page shall not be
deemed to be filed for the purpose of Section 18 of the Securities Exchange Act of 1934 (Act) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act
(however, see the Notes).
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CUSIP No. 37957B 100 |
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Page
2
of 9 Pages |
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1. |
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Name of
Reporting Persons Sequel Limited Partnership III |
2. |
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Check the Appropriate Box if a Member
of a Group (See Instructions)
(a) ¨ (b) x (1) |
3. |
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SEC USE ONLY
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4. |
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Citizenship or Place of
Organization United States of America |
Number of
Shares Beneficially
Owned by Each
Reporting Person
With: |
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5. |
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Sole Voting Power
0 shares of common stock |
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6. |
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Shared Voting Power
337,547 shares of common stock (which includes 4,941 shares
issuable upon exercise of outstanding warrants) (2) |
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7. |
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Sole Dispositive Power
0 shares of common stock |
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8. |
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Shared Dispositive Power
337,547 shares of common stock (which includes 4,941 shares
issuable upon exercise of outstanding warrants) (2) |
9. |
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Aggregate Amount Beneficially Owned by Each Reporting Person
337,547 shares of common stock (which includes 4,941 shares issuable upon exercise of outstanding warrants)
(2) |
10. |
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Check if the Aggregate Amount in Row
(9) Excludes Certain Shares (See Instructions) ¨
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11. |
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Percent of Class Represented by Amount
in Row (9) 5.9% (3) |
12. |
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Type of Reporting Person (See
Instructions) PN |
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(1) |
This Schedule 13G is filed by Sequel Limited Partnership III (Sequel LP), Sequel Entrepreneurs Fund III, L.P. (Sequel Entrepreneurs) and Sequel Venture Partners III,
L.L.C. (Sequel GP and, together with Sequel LP and Sequel Entrepreneurs, the Sequel Entities). The Sequel Entities expressly disclaim status as a group for purposes of this Schedule
13G. |
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(2) |
Consists of 330,453 shares of common stock (which includes 4,808 shares issuable upon exercise of outstanding warrants) are held directly by Sequel LP and 7,094 shares of common stock (which includes 133 shares issuable
upon exercise of outstanding warrants) are held directly by Sequel Entrepreneurs. Sequel GP serves as the sole general partner of Sequel LP and Sequel Entrepreneurs and does not directly own any securities of the Issuer. Sequel GP may be deemed to
have shared power to vote or direct the vote of, and to dispose or direct the disposition of, the securities of the Issuer held by Sequel LP and Sequel Entrepreneurs but disclaims beneficial ownership thereof except to the extent of its pecuniary
interest therein. The information with respect to the ownership of the Common Stock of the Issuer by the persons filing this state on Schedule 13G is provided as of December 31, 2015. |
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(3) |
This percentage is calculated based upon 5,751,574 shares of common stock outstanding as of December 31, 2015 as provided by GlobeImmune, Inc. |
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CUSIP No. 37957B 100 |
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Page
3
of 9 Pages |
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1. |
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Name of
Reporting Persons Sequel Entrepreneurs Fund III, L.P. |
2. |
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Check the Appropriate Box if a Member
of a Group (See Instructions)
(a) ¨ (b) x (1) |
3. |
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SEC USE ONLY
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4. |
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Citizenship or Place of
Organization United States of America |
Number of
Shares Beneficially
Owned by Each
Reporting Person
With: |
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5. |
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Sole Voting Power
0 shares of common stock |
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6. |
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Shared Voting Power
337,547 shares of common stock (which includes 4,941 shares
issuable upon exercise of outstanding warrants) (2) |
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7. |
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Sole Dispositive Power
0 shares of common stock |
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8. |
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Shared Dispositive Power
337,547 shares of common stock (which includes 4,941 shares
issuable upon exercise of outstanding warrants) (2) |
9. |
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Aggregate Amount Beneficially Owned by Each Reporting Person
337,547 shares of common stock (which includes 4,941 shares issuable upon exercise of outstanding warrants)
(2) |
10. |
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Check if the Aggregate Amount in Row
(9) Excludes Certain Shares (See Instructions) ¨
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11. |
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Percent of Class Represented by Amount
in Row (9) 5.9% (3) |
12. |
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Type of Reporting Person (See
Instructions) PN |
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(1) |
This Schedule 13G is filed by Sequel Limited Partnership III (Sequel LP), Sequel Entrepreneurs Fund III, L.P. (Sequel Entrepreneurs) and Sequel Venture Partners III,
L.L.C. (Sequel GP and, together with Sequel LP and Sequel Entrepreneurs, the Sequel Entities). The Sequel Entities expressly disclaim status as a group for purposes of this Schedule
13G. |
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(2) |
Consists of 330,453 shares of common stock (which includes 4,808 shares issuable upon exercise of outstanding warrants) are held directly by Sequel LP and 7,094 shares of common stock (which includes 133 shares issuable
upon exercise of outstanding warrants) are held directly by Sequel Entrepreneurs. Sequel GP serves as the sole general partner of Sequel LP and Sequel Entrepreneurs and does not directly own any securities of the Issuer. Sequel GP may be deemed to
have shared power to vote or direct the vote of, and to dispose or direct the disposition of, the securities of the Issuer held by Sequel LP and Sequel Entrepreneurs but disclaims beneficial ownership thereof except to the extent of its pecuniary
interest therein. The information with respect to the ownership of the Common Stock of the Issuer by the persons filing this state on Schedule 13G is provided as of December 31, 2015. |
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(3) |
This percentage is calculated based upon 5,751,574 shares of common stock outstanding as of December 31, 2015 as provided by GlobeImmune, Inc. |
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CUSIP No. 37957B 100 |
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Page
4
of 9 Pages |
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1. |
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Name of
Reporting Persons Sequel Venture Partners III, L.L.C. |
2. |
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Check the Appropriate Box if a Member
of a Group (See Instructions)
(a) ¨ (b) x (1) |
3. |
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SEC USE ONLY
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4. |
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Citizenship or Place of
Organization United States of America |
Number of
Shares Beneficially
Owned by Each
Reporting Person
With: |
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5. |
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Sole Voting Power
0 shares of common stock |
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6. |
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Shared Voting Power
337,547 shares of common stock (which includes 4,941 shares
issuable upon exercise of outstanding warrants) (2) |
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7. |
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Sole Dispositive Power
0 shares of common stock |
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8. |
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Shared Dispositive Power
337,547 shares of common stock (which includes 4,941 shares
issuable upon exercise of outstanding warrants) (2) |
9. |
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Aggregate Amount Beneficially Owned by Each Reporting Person
337,547 (2) |
10. |
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Check if the Aggregate Amount in Row
(9) Excludes Certain Shares (See Instructions) ¨
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11. |
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Percent of Class Represented by Amount
in Row (9) 5.9% (3) |
12. |
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Type of Reporting Person (See
Instructions) PN |
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(1) |
This Schedule 13G is filed by Sequel Limited Partnership III (Sequel LP), Sequel Entrepreneurs Fund III, L.P. (Sequel Entrepreneurs) and Sequel Venture Partners III,
L.L.C. (Sequel GP and, together with Sequel LP and Sequel Entrepreneurs, the Sequel Entities). The Sequel Entities expressly disclaim status as a group for purposes of this Schedule
13G. |
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(2) |
Consists of 330,453 shares of common stock (which includes 4,808 shares issuable upon exercise of outstanding warrants) are held directly by Sequel LP and 7,094 shares of common stock (which includes 133 shares issuable
upon exercise of outstanding warrants) are held directly by Sequel Entrepreneurs. Sequel GP serves as the sole general partner of Sequel LP and Sequel Entrepreneurs and does not directly own any securities of the Issuer. Sequel GP may be deemed to
have shared power to vote or direct the vote of, and to dispose or direct the disposition of, the securities of the Issuer held by Sequel LP and Sequel Entrepreneurs but disclaims beneficial ownership thereof except to the extent of its pecuniary
interest therein. The information with respect to the ownership of the Common Stock of the Issuer by the persons filing this state on Schedule 13G is provided as of December 31, 2015. LP and Sequel Entrepreneurs but disclaims beneficial
ownership thereof except to the extent of its pecuniary interest therein. |
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(3) |
This percentage is calculated based upon 5,751,574 shares of common stock outstanding as of December 31, 2015 as provided by GlobeImmune, Inc. |
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CUSIP No. 37957B 100 |
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Page
5
of 9 Pages |
Introductory Note: This Statement on Schedule 13G is filed on behalf of Sequel Limited Partnership III, a
limited partnership organized under the laws of the State of Delaware (Sequel LP), Sequel Entrepreneurs Fund III, L.P., a limited partnership organized under the laws of the State of Delaware (Sequel
Entrepreneurs) and Sequel Venture Partners III, L.L.C., a limited liability company organized under the laws of the State of Delaware (Sequel GP and, together with Sequel LP and Sequel Entrepreneurs, the
Sequel Entities) in respect of shares of Common Stock of GlobeImmune, Inc.
GlobeImmune, Inc.
Item 1(b) |
Address of Issuers Principal Executive Offices |
1450 Infinite Drive
Louisville, CO 80027
Item 2(a) |
Name of Person Filing |
Sequel Limited Partnership III (Sequel LP)
Sequel Entrepreneurs Fund III, L.P. (Sequel Entrepreneurs)
Sequel Venture Partners III, L.L.C. (Sequel GP)
Item 2(b) |
Address of Principal Business Office or, if none, Residence |
c/o Sequel Venture Partners III,
L.L.C.
4430 Arapahoe Avenue, Suite 220
Boulder, CO 80303
Delaware
Item 2(d) |
Title of Class of Securities |
Common Stock, $0.001 par value
37957B 100
Not applicable.
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CUSIP No. 37957B 100 |
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Page
6
of 9 Pages |
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Sequel Entity (1) |
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Shares Held Directly |
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Sole Voting Power |
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Shared Voting Power |
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Sole Dispositive Power |
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Shared Dispositive Power |
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Beneficial Ownership |
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Percentage of Class (2) |
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Sequel Limited Partnership III |
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330,453 |
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0 |
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337,547 |
(3) |
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0 |
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337,547 |
(3) |
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337,547 |
(3) |
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5.9 |
% |
Sequel Entrepreneurs Fund III, L.P. |
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7,094 |
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0 |
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337,547 |
(3) |
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0 |
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337,547 |
(3) |
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337,547 |
(3) |
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5.9 |
% |
Sequel Venture Partners III, L.L.C. |
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0 |
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0 |
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337,547 |
(3) |
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0 |
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337,547 |
(3) |
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337,547 |
(3) |
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5.9 |
% |
(1) |
This Schedule 13G is filed by Sequel Limited Partnership III (Sequel LP), Sequel Entrepreneurs Fund III, L.P. (Sequel Entrepreneurs) and Sequel Venture Partners III,
L.L.C. (Sequel GP and, together with Sequel LP and Sequel Entrepreneurs, the Sequel Entities). The Sequel Entities expressly disclaim status as a group for purposes of this Schedule
13G. These shares do not include 10,000 shares held by the Dan J. Mitchell. Mr. Mitchell is a member of Sequel GP. |
(2) |
This percentage is calculated based upon 5,751,574 shares of common stock outstanding as of December 31, 2015 as provided by GlobeImmune, Inc. |
(3) |
Represents 330,453 shares (including 4,808 shares issuable upon exercise of outstanding warrants) held directly by Sequel LP and 7,094 shares (including 133 shares issuable upon exercise of outstanding warrants) held
directly by Sequel Entrepreneurs. Sequel GP serves as the sole general partner of Sequel LP and Sequel Entrepreneurs and does not directly own any securities of the Issuer. Sequel GP may be deemed to have shared power to vote or direct the vote of,
and to dispose or direct the disposition of, the securities of the Issuer held by Sequel LP and Sequel Entrepreneurs but disclaims beneficial ownership thereof except to the extent of its pecuniary interest therein. |
Item 5 |
Ownership of Five Percent or Less of a Class |
If this statement is being filed to report the fact that
as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following. ¨
Item 6 |
Ownership of More than Five Percent of Another Person |
Not applicable.
Item 7 |
Identification and Classification of the Subsidiary which Acquired the Security Being Reported on by the Parent Holding Company |
Not applicable.
Item 8 |
Identification and Classification of Members of the Group |
Not applicable.
Item 9 |
Notice of Dissolution of Group |
Not applicable.
Not applicable.
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true,
complete and correct.
EXECUTED this 12th day of February, 2016.
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SEQUEL LIMITED PARTNERSHIP III |
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By: |
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Sequel Venture Partners III, L.L.C, its general partner |
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By: |
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/s/ John T. Greff |
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John T. Greff, Manager |
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SEQUEL ENTREPRENEURS FUND III, L.P. |
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By: |
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Sequel Venture Partners III, L.L.C, its general partner |
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By: |
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/s/ John T. Greff |
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John T. Greff, Manager |
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SEQUEL VENTURE PARTNERS III, L.L.C |
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By: |
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/s/ John T. Greff |
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John T. Greff, Manager |
EXHIBIT INDEX
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Exhibit
No. |
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99.1 |
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Agreement pursuant to 13d-1(k)(1) among Sequel Limited Partnership III, Sequel Entrepreneurs Fund III, L.P. and Sequel Venture Partners III, L.L.C. |
Exhibit 99.1
AGREEMENT
Pursuant to
Rule 13d-1(k)(l) promulgated pursuant to the Securities Exchange Act of 1934, as amended, the undersigned agree that the attached Schedule 13G is being filed on behalf of each of the undersigned.
EXECUTED this 12th day of February, 2016.
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SEQUEL LIMITED PARTNERSHIP III |
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By: |
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Sequel Venture Partners III, L.L.C, its general partner |
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By: |
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/s/ John T. Greff |
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John T. Greff, Manager |
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SEQUEL ENTREPRENEURS FUND III, L.P. |
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By: |
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Sequel Venture Partners III, L.L.C, its general partner |
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By: |
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/s/ John T. Greff |
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John T. Greff, Manager |
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SEQUEL VENTURE PARTNERS III, L.L.C |
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By: |
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/s/ John T. Greff |
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John T. Greff, Manager |
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