Termination of Registration of a Class of Security Under Section 12(b) (15-12b)
29 Avril 2019 - 2:28PM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 15
CERTIFICATION
AND NOTICE OF TERMINATION OF REGISTRATION UNDER SECTION
12(g) OF THE SECURITIES EXCHANGE ACT OF 1934 OR SUSPENSION OF DUTY TO FILE
REPORTS UNDER SECTIONS 13 AND 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.
Commission File Number:
001-38177
CLEMENTIA PHARMACEUTICALS INC.
(Exact name of registrant as specified
in its charter)
1000 de la Gauchetiere Street West, Suite 1200
Montreal, Quebec, Canada H3B 4W5
(514)
940-3600
(Address, including zip code and
telephone number, including area code, of registrants principal executive offices)
Common Shares, no par value
(Title of each class of securities
covered by this Form)
None
(Titles of all other classes of
securities for which a duty to file reports under section 13(a) or 15(d) remains)
Please place an X in the box(es) to designate the appropriate rule
provision(s) relied upon to terminate or suspend the duty to file reports:
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Rule
12g-4(a)(1)
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☒
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Rule
12g-4(a)(2)
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☐
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Rule
12h-3(b)(1)(i)
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☒
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Rule
12h-3(b)(1)(ii)
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☐
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Rule
15d-6
Rule
15d-22(b)
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☐
☐
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Approximate number of holders of record as of the certification or notice date: One*
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, CLEMENTIA PHARMACEUTICALS INC. has duly caused this certification/notice to be signed on
its behalf by the undersigned duly authorized person.
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CLEMENTIA PHARMACEUTICALS INC.
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Date: April 29, 2019
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By:
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/s/ Steve Forte
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Name: Steve Forte
Title: Chief Financial
Officer
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* On April 17, 2019, pursuant to that certain arrangement agreement, dated as of February 24, 2019, among Clementia
Pharmaceuticals Inc., a corporation existing under the
Canada Business Corporations Act
(Clementia), Ipsen S.A., a
société anonyme
existing under the laws of France (Ipsen), and 11188291 Canada
Inc., a corporation existing under the
Canada Business Corporations Act
and a wholly owned subsidiary of Ipsen, Ipsen acquired all of the outstanding shares of Clementia.
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