Insider filing report for Changes in Beneficial Ownership
- Schedule 13G & 13D forms are used to report a party's ownership of stock which exceeds 5% of a company's total stock issue.
- Schedule 13G is a shorter version of Schedule 13D with fewer reporting requirements.
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. )*
Fusion Pharmaceuticals Inc.
(Name of Issuer)
Common Stock
(Title of Class of Securities)
36118A100
(CUSIP Number)
December 31, 2020
(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) |
| x | Rule 13d-1(d) |
| * | The remainder of this cover page shall be filled out for a reporting person’s 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).
CUSIP No.: 36118A100
| 1 |
NAMES OF REPORTING PERSONS
Adams Street Partners, LLC |
| 2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
(a)
¨ |
| 3 |
SEC USE ONLY
|
| 4 |
CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: |
5 |
SOLE VOTING POWER
3,492,749 |
| 6 |
SHARED VOTING POWER
0 | |
| 7 |
SOLE DISPOSITIVE POWER
3,492,749 | |
| 8 |
SHARED DISPOSITIVE POWER
0 |
| 9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
3,492,749 |
| 10 |
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
¨ |
| 11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
8.4% |
| 12 |
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
IA |
CUSIP No.: 36118A100
| 1 |
NAMES OF REPORTING PERSONS
Adams Street 2014 Direct Fund LP |
| 2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
(a)
¨ |
| 3 |
SEC USE ONLY
|
| 4 |
CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: |
5 |
SOLE VOTING POWER
561,424 |
| 6 |
SHARED VOTING POWER
0 | |
| 7 |
SOLE DISPOSITIVE POWER
561,424 | |
| 8 |
SHARED DISPOSITIVE POWER
0 |
| 9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
561,424 |
| 10 |
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
¨ |
| 11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
1.4% |
| 12 |
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
PN |
CUSIP No.: 36118A100
| 1 |
NAMES OF REPORTING PERSONS
Adams Street 2015 Direct Venture/Growth Fund LP |
| 2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
(a)
¨ |
| 3 |
SEC USE ONLY
|
| 4 |
CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware |
| NUMBER OF SH ARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: |
5 |
SOLE VOTING POWER
430,956 |
| 6 |
SHARED VOTING POWER
0 | |
| 7 |
SOLE DISPOSITIVE POWER
430,956 | |
| 8 |
SHARED DISPOSITIVE POWER
0 |
| 9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
430,956 |
| 10 |
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
¨ |
| 11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
1.0% |
| 12 |
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
PN |
CUSIP No.: 36118A100
| 1 |
NAMES OF REPORTING PERSONS
Adams Street 2016 Direct Venture/Growth Fund LP |
| 2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
(a)
¨ |
| 3 |
SEC USE ONLY
|
| 4 |
CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: |
5 |
SOLE VOTING POWER
418,034 |
| 6 |
SHARED VOTING POWER
0 | |
| 7 |
SOLE DISPOSITIVE POWER
418,034 | |
| 8 |
SHARED DISPOSITIVE POWER
0 |
| 9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 418,034 |
| 10 |
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
¨ |
| 11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
1.0% |
| 12 |
TYPE OF REPORTING PERSON (S EE INSTRUCTIONS)
PN |
CUSIP No.: 36118A100
| 1 |
NAMES OF REPORTING PERSONS
Adams Street 2017 Direct Venture/Growth Fund LP |
| 2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
(a)
¨ |
| 3 |
SEC USE ONLY
|
| 4 |
CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: |
5 |
SOLE VOTING POWER
625,766 |
| 6 |
SHARED VOTING POWER
0 | |
| 7 |
SOLE DISPOSITIVE POWER
625,766 | |
| 8 |
SHARED DISPOSITIVE POWER
0 |
| 9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
625,766 |
| 10 |
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
¨ |
| 11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
1.5% |
| 12 |
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
PN |
CUSIP No.: 36118A100
| 1 |
NAMES OF REPORTING PERSONS
Adams Street Venture/Growth Fund VI LP |
| 2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
(a)
¨ |
| 3 |
SEC USE ONLY
|
| 4 |
CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: |
5 |
SOLE VOTING POWER
1,456,569 |
| 6 |
SHARED VOTING POWER
0 | |
| 7 |
SOLE DISPOSITIVE POWER
1,456,569 | |
| 8 |
SHARED DISPOSITIVE POWER
0 |
| 9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,456,569 |
| 10 |
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
¨ |
| 11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
3.5% |
| 12 |
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
PN |
Item 1(a) Name of issuer: Fusion Pharmaceuticals Inc.
Item 1(b) Address of issuer’s principal executive offices:
270 Longwood Road South, Hamilton, Ontario, Canada, L8P 0A6
2(a) Name of person filing:
| 1. | Adams Street 2014 Direct Fund LP |
| 2. | Adams Street 2015 Direct Venture/Growth Fund LP |
| 3. | Adams Street 2016 Direct Venture/Growth Fund LP |
| 4. | Adams Street 2017 Direct Venture/Growth Fund LP |
| 5. | Adams Street Venture/Growth Fund VI LP |
2(b) Address or principal business office or, if none, residence:
For all filing persons listed in 2(a) above: One North Wacker Drive, Suite 2700, Chicago, Illinois 60606
2(c) Citizenship:
| 1. | Adams Street 2014 Direct Fund LP: Delaware |
| 2. | Adams Street 2015 Direct Venture/Growth Fund LP: Delaware |
| 3. | Adams Street 2016 Direct Venture/Growth Fund LP: Delaware |
| 4. | Adams Street 2017 Direct Venture/Growth Fund LP: Delaware |
| 5. | Adams Street Venture/Growth Fund VI LP: Delaware |
2(d) Title of class of securities: Common Stock
2(e) CUSIP No.: 36118A100
Item 3. If this statement is filed pursuant to §§240.13d–1(b) or 240.13d–2(b) or (c), check whether the person filing is a:
NOT APPLICABLE
Item 4. Ownership
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.
| (a) | Amount beneficially owned: |
| 1. | Adams Street Partners, LLC: 3,492,749 (total number of shares of common stock of issuer held indirectly through the funds listed below) | |
| 2. | Adams Street 2014 Direct Fund LP: 561,424 |
| 3. | Ada ms Street 2015 Direct Venture/Growth Fund LP: 430,956 |
| 4. | Adams Street 2016 Direct Venture/Growth Fund LP: 418,034 |
| 5. | Adams Street 2017 Direct Venture/Growth Fund LP: 625,766 |
| 6. | Adams Street Venture/Growth Fund VI LP: 1,456,569 |
| (b) | Percent of class: |
| 1. | Adams Street Partners, LLC: 8.4% (total number of shares of common stock of issuer held indirectly through the funds listed below) | |
| 2. | Adams Street 2014 Direct Fund LP: 1.4% |
| 3. | Adams Street 2015 Direct Venture/Growth Fund LP: 1.0% |
| 4. | Adams Street 2016 Direct Venture/Growth Fund LP: 1.0% |
| 5. | Adams Street 2017 Direct Venture/Growth Fund LP: 1.5% |
| 6. | Adams Street Venture/Growth Fund VI LP: 3.5% |
| (c) | Number of shares as to which the person has: |
| (i) | Sole power to vote or to direct the vote: |
| 1. | Adams Street Partners, LLC: 3,492,749 (total number of shares of common stock of issuer held indirectly through the funds listed below) | |
| 2. | Adams Street 2014 Direct Fund LP: 561,424 |
| 3. | Adams Street 2015 Direct Venture/Growth Fund LP: 430,956 |
| 4. | Adams Street 2016 Direct Venture/Growth Fund LP: 418,034 |
| 5. | Adams Street 2017 Direct Venture/Growth Fund LP: 625,766 |
| 6. | Adams Street Venture/Growth Fund VI LP: 1,456,569 |
| (ii) | Shared power to vote or to direct the vote: 0 (for all filing persons) |
| (iii) | Sole power to dispose or to direct the disposition of: |
| 1. | Adams Street Partners, LLC: 3,492,749 (total number of shares of common stock of issuer held indirectly through the funds listed below) | |
| 2. | Adams Street 2014 Direct Fund LP: 561,424 |
| 3. | Adams Street 2015 Direct Venture/Growth Fund LP: 430,956 |
| 4. | Adams Street 2016 Direct Venture/Growth Fund LP: 418,034 |
| 5. | Adams Street 2017 Direct Venture/Growth Fund LP: 625,766 |
| 6. | Adams Street Venture/Growth Fund VI LP: 1,456,569 |
| (iv) | Shared power to dispose or to direct the disposition of: 0 (for all filing persons) |
Instruction. For computations regarding securities which represent a right to acquire an underlying security see §240.13d–3(d)(1).
Item 5. Ownership of 5 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 5 percent of the class of securities, check the following ¨.
NOT APPLICABLE
Instruction. Dissolution of a group requires a response to this item.
Item 6. Ownership of More than 5 Percent on Behalf of Another Person. If any other person is known to have the right to receive or the power to direct the receipt of dividends from, or the proceeds from the sale of, such securities, a statement to that effect should be included in response to this item and, if such interest relates to more than 5 percent of the class, such person should be identified. A listing of the shareholders of an investment company registered under the Investment Company Act of 1940 or the beneficiaries of employee benefit plan, pension fund or endowment fund is not required.
NOT APPLICABLE
Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person. If a parent holding company or control person has filed this schedule pursuant to Rule 13d–1(b)(1)(ii)(G), so indicate under Item 3(g) and attach an exhibit stating the identity and the
Item 3 classification of the relevant subsidiary. If a parent holding company or control person has filed this schedule pursuant to Rule 13d–1(c) or Rule 13d–1(d), attach an exhibit stating the identification of the relevant subsidiary.
NOT APPLICABLE
Item 8. Identification and Classification of Members of the Group. If a group has filed this schedule pursuant to §240.13d–1(b)(1)(ii)(J), so indicate under Item 3(j) and attach an exhibit stating the identity and Item 3 classification of each member of the group. If a group has filed this schedule pursuant to Rule 13d–1(c) or Rule 13d–1(d), attach an exhibit stating the identity of each member of the group.
Adams Street 2014 Direct Fund LP (“AS 2014”) is the record owner of 561,424 shares of common stock of the Issuer. Adams Street 2015 Direct Venture/Growth Fund LP (“AS 2015”) is the record owner of 430,956 shares of common stock of the Issuer. Adams Street 2016 Direct Venture/Growth Fund LP (“AS 2016”) is the record owner of shares of 418,034 common stock of the Issuer. Adams Street 2017 Direct Venture/Growth Fund LP (“AS 2017”) is the record owner of shares of 625,766 common stock of the Issuer. Adams Street Venture/Growth Fund VI LP (“AS VG VI”) is the record owner of 1,456,569 shares of common stock of the Issuer. The shares of common stock owned by AS 2014, AS 2015, AS 2016, AS 2017 and AS VG VI (the “Shares”) may be deemed to be beneficially owned by Adams Street Partners, LLC, the managing member of the general partner of the general partner of each of AS 2014, AS 2015, AS 2016, AS 2017 and AS VG VI. Thomas S. Bremner, Jeffrey T. Diehl, Elisha P. Gould, Robin Murray and Fred Wang, each of whom is a partner of Adams Street Partners, LLC (or a subsidiary thereof), may be deemed to have shared voting and investment power over the Shares. Adams Street Partners, LLC and Thomas S. Bremner, Jeffrey T. Diehl, Elisha P. Gould, Robin Murray and Fred Wang disclaim beneficial ownership of the Shares except to the extent of their pecuniary interest therein.
Item 9. Notice of Dissolution of Group. Notice of dissolution of a group may be furnished as an exhibit stating the date of the dissolution and that all further filings with respect to transactions in the security reported on will be filed, if required, by members of the group, in their individual capacity. See Item 5.
NOT APPLICABLE
Item 10. Certifications
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.
Date: February 10, 2021
| ADAMS STREET PARTNERS, LLC |
| By: |
/s/ Sara Robinson Dasse |
||
| Name: | Sara Robinson Dasse | ||
| Title: | Executive Vice President |
| ADAMS STREET 2014 DIRECT FUND LP | |||
| By: | ASP 2014 Direct Management LP, its General Partner | ||
| By: | ASP 2014 Direct Management LLC, its General Partner | ||
| By: | Adams Street Partners, LLC, its Managing Member | ||
| By: |
/s/ Sara Robinson Dasse |
||
| Name: | Sara Robinson Dasse | ||
| Title: | Executive Vice President | ||
| ADAMS STREET 2015 DIRECT VENTURE/GROWTH FUND LP | |||
| By: | ASP 2015 Direct Management LP, its General Partner | ||
| By: | ASP 2015 Direct Management LLC, its General Partner | ||
| By: | Adams Street Partners, LLC, its Managing Member | ||
| By: |
/s/ Sara Robinson Dasse |
||
| Name: | Sara Robinson Dasse | ||
| Title: | Executive Vice President | ||
| ADAMS STREET 2016 DIRECT VENTURE/GROWTH FUND LP | |||
| By: | ASP 2016 Direct Management LP, its General Partner | ||
| By: | ASP 2016 Direct Management LLC, its General Partner | ||
| By: | Adams Street Partners, LLC, its Managing Member | ||
| By: |
/s/ Sara Robinson Dasse |
||
| Name: | Sara Robinson Dasse | ||
| Title: | Executive Vice President | ||
| ADAMS STREET 2017 DIRECT VENTURE/GROWTH FUND LP | |||
| By: | ASP 2017 Direct Management LP, its General Partner | ||
| By: | ASP 2017 Direct Management LLC, its General Partner | ||
| By: | Adams Street Partners, LLC, its Managing Member | ||
| By: |
/s/ Sara Robinson Dasse |
||
| Name: | Sara Robinson Dasse | ||
| Title: | Executive Vice President |
| ADAMS STREET VENTURE/GROWTH FUND VI LP |
| ASP VG Management VI LP, its General Partner | |||
| ASP VG Management VI LLC, its General Partner | |||
| Adams Street Partners, LLC, its Managing Member | |||
/s/ Sara Robinson Dasse |
|||
| Sara Robinson Dasse | |||
| Executive Vice President | |||