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) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Series B-1 Preferred Shares
|
(1)
|
(2)
|
Ordinary Shares
|
13,921
|
$
(1)
|
I
|
By Advent Life Sciences LLP
(3)
|
Series B-1 Preferred Shares
|
(1)
|
(2)
|
Ordinary Shares
|
391,147
|
$
(1)
|
I
|
By Advent Life Sciences Fund II LP
(4)
|
Series B-2 Preferred Shares
|
(5)
|
(2)
|
Ordinary Shares
|
7,771
|
$
(5)
|
I
|
By Advent Life Sciences LLP
(3)
|
Series B-2 Preferred Shares
|
(5)
|
(2)
|
Ordinary Shares
|
218,338
|
$
(5)
|
I
|
By Advent Life Sciences Fund II LP
(4)
|
* |
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) |
The Series B-1 Preferred Shares are convertible into Ordinary Shares of the Issuer at the option of the holder. The Series B-1 Preferred Shares will automatically convert into Ordinary Shares of the Issuer on a 1-to-1 basis upon closing of the initial public offering of the Issuer. |
(2) |
Not applicable. |
(3) |
Securities are held by Advent Life Sciences LLP ("Advent"). The Reporting Person is a general partner of Advent, and disclaims beneficial ownership of the shares held by Advent except to the extent of his indirect pecuniary interest therein. |
(4) |
Advent Life Sciences Fund II LP. Advent is the general partner of Advent Life Sciences Fund II LP and the Reporting Person is a partner of Advent. The Reporting Person and Advent disclaim beneficial ownership of the shares held by Advent Life Sciences Fund II LP except to the extent of his indirect pecuniary interest therein. |
(5) |
The Series B-2 Preferred Shares are convertible into Ordinary Shares of the Issuer at the option of the holder. The Series B-2 Preferred Shares will automatically convert into Ordinary Shares of the Issuer on a 1-to-1 basis upon closing of the initial public offering of the Issuer. |