SEC FORM
4
SEC Form 4
FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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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OMB APPROVAL |
OMB Number: |
3235-0287 |
Estimated average burden |
hours per response: |
0.5 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b). |
1. Name and Address of Reporting Person*
1600 AMPHITHEATRE PARKWAY |
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(Street)
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2. Issuer Name and Ticker or Trading Symbol
Verve Therapeutics, Inc.
[ VERV ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
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10% Owner |
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Officer (give title below) |
X |
Other (specify below) |
Member of 10% Group |
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3. Date of Earliest Transaction
(Month/Day/Year) 10/31/2022
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock |
10/31/2022 |
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J
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53,697 |
D |
$0.00
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6,267,208 |
I |
By GV 2017 L.P.
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Common Stock |
10/31/2022 |
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S
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23,732 |
D |
$37.9061
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29,965 |
I |
By Alphabet Holdings LLC
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Common Stock |
10/31/2022 |
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S
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23,276 |
D |
$38.9432
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6,689 |
I |
By Alphabet Holdings LLC
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Common Stock |
10/31/2022 |
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S
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6,601 |
D |
$40.1569
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88 |
I |
By Alphabet Holdings LLC
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Common Stock |
10/31/2022 |
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S
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88 |
D |
$40.6445
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0 |
I |
By Alphabet Holdings LLC
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Common Stock |
10/31/2022 |
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S
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23,732 |
D |
$37.9061
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4,448,777 |
I |
By GV 2019 L.P.
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Common Stock |
10/31/2022 |
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S
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23,275 |
D |
$38.9432
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4,425,502 |
I |
By GV 2019 L.P.
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Common Stock |
10/31/2022 |
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S
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6,601 |
D |
$40.1569
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4,418,901 |
I |
By GV 2019 L.P.
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Common Stock |
10/31/2022 |
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S
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88 |
D |
$40.6445
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4,418,813 |
I |
By GV 2019 L.P.
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Common Stock |
11/01/2022 |
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J
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31,963 |
D |
$0.00
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6,235,245 |
I |
By GV 2017 L.P.
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Common Stock |
11/01/2022 |
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S
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29,326 |
D |
$36.6878
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2,637 |
I |
By Alphabet Holdings LLC
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Common Stock |
11/01/2022 |
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S
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2,377 |
D |
$37.821
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260 |
I |
By Alphabet Holdings LLC
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Common Stock |
11/01/2022 |
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S
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260 |
D |
$38.6385
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0 |
I |
By Alphabet Holdings LLC
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Common Stock |
11/01/2022 |
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S
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29,326 |
D |
$36.6878
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4,389,487 |
I |
By GV 2019 L.P.
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Common Stock |
11/01/2022 |
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S
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2,377 |
D |
$37.821
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4,387,110 |
I |
By GV 2019 L.P.
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Common Stock |
11/01/2022 |
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S
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260 |
D |
$38.6385
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4,386,850 |
I |
By GV 2019 L.P.
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
1. Name and Address of Reporting Person*
1600 AMPHITHEATRE PARKWAY |
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(Street)
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1. Name and Address of Reporting Person*
1600 AMPHITHEATRE PARKWAY |
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(Street)
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1. Name and Address of Reporting Person*
1600 AMPHITHEATRE PARKWAY |
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(Street)
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1. Name and Address of Reporting Person*
1600 AMPHITHEATRE PARKWAY |
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(Street)
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1. Name and Address of Reporting Person*
1600 AMPHITHEATRE PARKWAY |
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(Street)
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1. Name and Address of Reporting Person*
1600 AMPHITHEATRE PARKWAY |
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(Street)
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1. Name and Address of Reporting Person*
1600 AMPHITHEATRE PARKWAY |
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(Street)
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Explanation of Responses: |
Remarks: |
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/s/ Inga Goldbard, General Counsel of GV 2017 GP, L.L.C. |
11/02/2022 |
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/s/ Inga Goldbard, General Counsel of GV 2017 GP, L.P. |
11/02/2022 |
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/s/ Inga Goldbard, General Counsel of GV 2017, L.P. |
11/02/2022 |
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/s/ Inga Goldbard, General Counsel of GV 2019 GP, L.L.C. |
11/02/2022 |
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/s/ Inga Goldbard, General Counsel of GV 2019 GP, L.P. |
11/02/2022 |
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/s/ Inga Goldbard, General Counsel of GV 2019, L.P. |
11/02/2022 |
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/s/ Inga Goldbard, Attorney-in-Fact for Alphabet Inc. |
11/02/2022 |
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** Signature of Reporting Person |
Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* If the form is filed by more than one reporting person,
see
Instruction
4
(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). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
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 Number. |
POWER OF ATTORNEY
Know all by these presents, that each of the undersigned hereby makes,
constitutes and appoints each of Inga Goldbard and Daphne Chang, or either of
them acting singly, the undersigned's true and lawful attorney-in-fact (each of
such persons being referred to herein as the "Attorney-in-Fact"), with full
power to act for the undersigned and in the undersigned's name, place and stead,
in any and all capacities, to:
1. Prepare, execute and submit to the Securities and Exchange Commission
("SEC"), Verve Therapeutics, Inc. (the "Company"), and/or any national
securities exchange on which the Company's securities are listed any
and all reports (including any amendments thereto) the undersigned is
required to file with the SEC, or which the Attorney-in-Fact considers
it advisable to file with the SEC, under Section 13 or Section 16 of
the Securities Exchange Act of 1934 (the "Exchange Act") or any rule
or regulation thereunder, or under Rule 144 under the Securities Act
of 1933 ("Rule 144"), with respect to the any security of the Company,
including Forms 3, 4 and 5, Schedules 13D and 13G, and Forms 144; and
2. Obtain, as the undersigned's representative and on the undersigned's
behalf, information regarding transactions in the Company's equity
securities from any third party, including the Company and any brokers,
dealers, employee benefit plan administrators and trustees, and the
undersigned hereby authorizes any such third party to release any such
information to the Attorney-in-Fact.
The undersigned acknowledges that:
a. This Power of Attorney authorizes, but does not require, the
Attorney-in-Fact to act in his or her discretion on information
provided to such Attorney-in-Fact without independent verification of
such information;
b. Any documents prepared or executed by the Attorney-in-Fact on behalf of
the undersigned pursuant to this Power of Attorney will be in such form
and will contain such information as the Attorney-in-Fact, in his or
her discretion, deems necessary or desirable;
c. Neither the Company nor the Attorney-in-Fact assumes any liability for
the undersigned's responsibility to comply with the requirements of
Section 13 or Section 16 of the Exchange Act or Rule 144, any liability
of the undersigned for any failure to comply with such requirements, or
any liability of the undersigned for disgorgement of profits under
Section 16(b) of the Exchange Act; and
d. This Power of Attorney does not relieve the undersigned from
responsibility for compliance with the undersigned's obligations under
Section 13 or Section 16 of the Exchange Act, including, without
limitation, the reporting requirements under Section 13 or Section 16
of the Exchange Act.
The undersigned hereby grants to the Attorney-in-Fact full power and
authority to do and perform each and every act and thing requisite, necessary or
advisable to be done in connection with the foregoing, as fully, to all intents
and purposes, as the undersigned might or could do in person, hereby ratifying
and confirming all that the Attorney-in-Fact, shall lawfully do or cause to be
done by authority of this Power of Attorney.
This Power of Attorney shall remain in full force and effect until the
earlier of (i) the date the undersigned is no longer required to file Forms 4 or
5 or Schedules 13D or 13G or Forms 144 with respect to the undersigned's
holdings of or transactions in securities of the Company, (ii) the date the
Attorney-in-Fact is no longer employed by GV Management Company, L.L.C. or an
affiliate thereof, or (iii) the date the undersigned revokes this Power of
Attorney in a signed writing delivered to the Attorney-in-Fact. This Power of
Attorney revokes all previous powers of attorney with respect to the subject
matter of this Power of Attorney.
IN WITNESS WHEREOF, the undersigned have executed this Power of Attorney
this 18th day of October, 2022.
Alphabet Holdings LLC
By: /s/Kathryn W. Hall
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Name: Kathryn W. Hall
Title: Secretary
Alphabet Inc.
By: /s/Kathryn W. Hall
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Name: Kathryn W. Hall
Title: Assistant Secretary