Statement of Ownership (sc 13g)
15 Mai 2017 - 11:22PM
Edgar (US Regulatory)
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. )*
Altimmune,
Inc.
(Name of Issuer)
Common Stock, par value $0.0001 per share
(Title of Class of Securities)
02155H 101
(CUSIP
Number)
May 4, 2017
(Date of Event Which Requires Filing of this Statement)
Check the
appropriate box to designate the rule pursuant to which this Schedule is filed:
☐ Rule 13d-1(b)
☒ Rule 13d-1(c)
☐
Rule 13d-1(d)
*
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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.
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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).
13G
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CUSIP No. 02155H 101
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Page 2 of 9
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1.
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NAMES OF
REPORTING PERSONS
HealthCap V, L.P.
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2.
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CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP
(a) ☐ (b) ☒
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3.
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SEC USE ONLY
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4.
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CITIZENSHIP OR PLACE OF
ORGANIZATION
Delaware
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH:
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5.
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SOLE VOTING POWER
0
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6.
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SHARED VOTING POWER
1,164,190
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7.
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SOLE DISPOSITIVE POWER
0
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8.
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SHARED DISPOSITIVE POWER
1,164,190
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9.
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,164,190
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10.
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CHECK BOX 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
7.5%
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12.
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TYPE OF REPORTING PERSON
PN
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13G
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CUSIP No. 02155H 101
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Page 3 of 9
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1.
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NAMES OF
REPORTING PERSONS
OFCO Club V
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2.
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CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP
(a) ☐ (b) ☒
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3.
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SEC USE ONLY
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4.
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CITIZENSHIP OR PLACE OF
ORGANIZATION
Sweden
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
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5.
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SOLE VOTING POWER
0
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6.
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SHARED VOTING POWER
17,715
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7.
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SOLE DISPOSITIVE POWER
0
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8.
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SHARED DISPOSITIVE POWER
17,715
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9.
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
17,715
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10.
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CHECK BOX 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
0.1%
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12.
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TYPE OF REPORTING PERSON
OO
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Item 1(a).
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Name of Issuer:
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Altimmune, Inc. (the Issuer)
Item 1(b).
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Address of Issuers Principal Executive Offices:
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19 Firstfield Rd., Suite 200
Gaithersburg, MD 20878
Item 2(a).
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Name of Persons Filing:
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This statement is filed on behalf of the following persons with
respect to shares of Common Stock of the Issuer:
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(i)
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HealthCap V, L.P., and
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The foregoing persons are hereinafter referred to collectively as the
Reporting Persons.
Item 2(b).
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Address of Principal Business Office or, if None, Residence:
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HealthCap V, L.P.
18 Avenue dOuchy,
CH-1006
Lausanne, Switzerland.
OFCO Club V
Engelbrektsplan 1,
11434 Stockholm, Sweden.
HealthCap V, L.P. is a Delaware limited partnership
OFCO Club V, is a partnership organized under the laws of Sweden.
Item 2(d).
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Title of Class of Securities:
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Common stock, par value $0.0001 per share
(Common Stock).
02155H 101
4
Item 3.
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If this statement is filed pursuant to Rule
§§240.13d-1(b),
or
13d-2(b)
or (c), check whether the person filing is a:
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(a)
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☐
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Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o);
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(b)
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☐
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Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c);
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(c)
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☐
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Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c);
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(d)
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☐
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Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C.
80a-8);
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(e)
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☐
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An investment adviser in accordance with
§240.13d-1(b)(1)(ii)(E);
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(f)
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☐
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An employee benefit plan or endowment fund in accordance with
§240.13d-1(b)(1)(ii)(F);
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(g)
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☐
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A parent holding company or control person in accordance with
§240.13d-1(b)(1)(ii)(G);
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(h)
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☐
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A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);
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(i)
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☐
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A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C.
80a-3);
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(j)
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☐
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A
non-U.S.
institution in accordance with § 240.13d1(b)(1)(ii)(J);
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(k)
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☐
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Group, in accordance with §
240.13d-1(b)(1)(ii)(K).
If filing as a
non-U.S.
institution in accordance with
§ 240.13d-1(b)(1)(ii)(J),
please specify the type of institution:
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The following information with respect to the ownership of the Common Stock
by the Reporting Persons filing this statement on Schedule 13G is provided as of May 15, 2017 and is based on 15,450,602 shares of Common Stock outstanding as of May 4, 2017 as reported in the Issuers Current Report on Form
8-K
filed with the SEC on May 8, 2017.
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Reporting Persons
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Shares of
Common
Stock 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
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HealthCap V, L.P.
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1,164,190
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0
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1,164,190
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0
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1,164,190
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1,164,190
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7.5
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%
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OFCO Club V
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17,715
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0
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17,715
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0
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17,715
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17,715
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0.1
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%
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Total:
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1,181,905
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0
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1,181,905
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0
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1,181,905
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1,181,905
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7.6
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%
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HealthCap V GP SA (HCSA) is the sole general partner of HealthCap V, L.P. HCSA has voting and
dispositive power over the shares held by HealthCap V, L.P. HCSA disclaims beneficial ownership of such shares. Dag Richter and Francois Kaiser, the members of the board of HCSA, share voting and dispositive power over the shares held by HealthCap
V, L.P. and may be deemed to have indirect beneficial ownership of the shares held by such entities. The members of the board of HCSA disclaim beneficial ownership of shares held by HealthCap V, L.P.
OFP V Advisor AB (OFP AB) is a member of OFCO Club V (OFCO) and has voting and dispositive control over the shares held
by OFCO. Bjorn Ingemar Odlander, Per Olof
5
Eriksson, and Ann Christine Forsberg, the members of the board of OFP AB, may be deemed to possess voting and dispositive control over the shares held by OFCO and may be deemed to have indirect
beneficial ownership of the shares held by OFCO. OFP AB and each of its members of the board disclaim beneficial ownership of the shares held by OFCO.
Item 5.
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Ownership of Five Percent or Less of a Class.
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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 5 percent of the class of securities, check the following ☐.
Item 6.
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Ownership of More than Five Percent on Behalf of Another Person.
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Not applicable.
Item 7.
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Identification and Classification of the Subsidiary which Acquired the Security Being Reported on By the Parent Holding Company or Control Person.
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Not applicable.
Item 8.
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Identification and Classification of Members of the Group.
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Not applicable.
Item 9.
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Notice of Dissolution of Group.
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Not applicable
Each of the Reporting Persons hereby makes the following certification:
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose
of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.
6
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.
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Date: May 15, 2017
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HealthCap V, L.P.
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By its Sole General Partner, HealthCap V GP SA
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By:
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/s/ Dag Richter
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Print Name:
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Dag Richter
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Print Title:
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Director
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By:
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/s/ Francois Kaiser
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Print Name:
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Francois Kaiser
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Print Title:
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Director
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Date: May 15, 2017
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OFCO Club V
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By Odlander, Fredrikson & Co AB, as a member and on behalf of all members, if any, of the OFCO Club IV
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By:
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/s/ Jacob Gunterberg
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Print Name:
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Jacob Gunterberg
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Print Title:
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Partner
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By:
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/s/ Björn Odlander
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Print Name:
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Björn Odlander
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Print Title:
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Partner
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7
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