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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- Peter Lynch
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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. ___)*
Versartis, Inc.
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(Name of Issuer)
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Ordinary shares, $0.0001 par value per share
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(Title of Class of Securities)
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9252L102
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(CUSIP Number)
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December 31, 2017
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(Date of Event Which Requires Filing of this Statement)
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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)
*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.
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9252L102
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1
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NAMES OF REPORTING PERSONS
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Index Ventures IV (Jersey) L.P.
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)☒
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(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
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Jersey, Channel Islands
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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
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0
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6
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SHARED VOTING POWER
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0
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7
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SOLE DISPOSITIVE POWER
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0
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8
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SHARED DISPOSITIVE POWER
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0
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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0
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10
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CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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☐
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
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0%
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12
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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PN
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Page 2 of 11
CUSIP No.
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9252L102
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1
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NAMES OF REPORTING PERSONS
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Index Ventures IV Parallel Entrepreneur Fund (Jersey) L.P.
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)☒
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(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
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Jersey, Channel Islands
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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
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0
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6
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SHARED VOTING POWER
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0
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7
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SOLE DISPOSITIVE POWER
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0
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8
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SHARED DISPOSITIVE POWER
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0
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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0
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10
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CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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☐
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
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0%
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12
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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PN
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Page 3 of 11
CUSIP No.
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9252L102
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1
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NAMES OF REPORTING PERSONS
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Yucca (Jersey) SLP
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)☒
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(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
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Jersey, Channel Islands
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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
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0
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6
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SHARED VOTING POWER
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0
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7
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SOLE DISPOSITIVE POWER
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0
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8
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SHARED DISPOSITIVE POWER
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0
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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0
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10
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CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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☐
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
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0%
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12
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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PN
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Page 4 of 11
CUSIP No.
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9252L102
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1
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NAMES OF REPORTING PERSONS
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Index Venture Associates IV Limited
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)☒
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(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
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Jersey, Channel Islands
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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
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0
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6
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SHARED VOTING POWER
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0
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7
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SOLE DISPOSITIVE POWER
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0
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8
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SHARED DISPOSITIVE POWER
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0
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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0
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10
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CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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☐
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
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0%
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12
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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CO
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Page 5 of 11
Item 1(a). |
Name of Issuer:
Versartis, Inc.
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Item 1(b). |
Address of Issuer's Principal Executive Offices:
4200 Bohannon Drive, Suite 250
Menlo Park, California 94025
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Item 2(a). | Name of Person Filing: |
i. ii. iii. iv. |
Index Ventures IV (Jersey) L.P.
Index Ventures IV Parallel Entrepreneur Fund (Jersey) L.P.
Yucca (Jersey) SLP
Index Venture Associates IV Limited
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Item 2(b). | Address of Principal Business Office or, if none, Residence: |
i. ii. iii. iv. |
44 Esplanade, St. Helier, Jersey, Channel Islands, JE4 9WG
44 Esplanade, St. Helier, Jersey, Channel Islands, JE4 9WG
44 Esplanade, St. Helier, Jersey, Channel Islands, JE4 9WG
44 Esplanade, St. Helier, Jersey, Channel Islands, JE4 9WG
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Item 2(c). | Citizenship: |
i. ii. iii. iv. |
Jersey (Channel Islands)
Jersey (Channel Islands)
Jersey (Channel Islands)
Jersey (Channel Islands)
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Item 2(d). |
Title and Class of Securities:
Ordinary shares, $0.0001 par value per share
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Item 2(e). |
CUSIP Number:
92529L102
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Page 6 of 11
Item 3. |
If this statement is filed pursuant to §§ 240.13d-1(b) or 240.13d-2(b) or
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(c), check whether the person filing is a:
(a) | ☐ Broker or dealer registered under Section 15 of the Act (15 U.S.C. 78o); |
(b) | ☐ Bank as defined in Section 3(a)(6) of the Act (15 U.S.C. 78c); |
(c) | ☐ Insurance company as defined in Section 3(a)(19) of the Act (15 U.S.C. 78c); |
(d) | ☐ Investment company registered under Section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8); |
(e) | ☐ Investment adviser in accordance with Section 240.13d-1(b)(1)(ii)(E); |
(f) | ☐ Employee benefit plan or endowment fund in accordance with Section 240.13d-1(b)(1)(ii)(F); |
(g) | ☐ Parent holding company or control person in accordance with Section 240.13d-1(b)(1)(ii)(G); |
(h) | ☐ Savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); |
(i) | ☐ 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); |
(j) | ☐ A non-U.S. institution in accordance with Section 240.13d-1(b)(1)(ii)(J); |
(k) | ☐ Group, in accordance with Section 240.13d-1(b)(1)(ii)(K). If filing as a non-U.S. institution in accordance with Section 240.13d-1(b)(1)(ii)(J), please specify the type of institution: ____________________________ . |
Item 4. |
Ownership
.
The information requested hereinafter is set forth in items 5 through 9 and 11 of the cover pages to this Schedule 13G. Ownership is stated as of December 31, 2017 and the ownership percentages are based upon 35,809,311 ordinary shares outstanding as of October 31, 2017 as set forth on the Issuer’s Quarterly Report Form 10-Q for the quarterly period ended September 30, 2017 filed with the SEC on November 11, 2017.
Index Ventures IV (Jersey) L.P. (“Index Ventures IV”) is the record owner of 0 shares and Index Ventures IV Parallel Entrepreneur Fund (Jersey) L.P. (“Index Ventures IV Parallel” and together with Index Ventures IV, the “Funds”) is the record owner of 0 ordinary shares. As the managing general partner of the Funds, Index Venture Associates IV Limited (“Index Limited”) may be deemed to have shared dispositive power and shared voting power over any shares owned by the Funds.
Yucca (Jersey) SLP (“Yucca”) is the record owner of 0 shares of ordinary shares, which are held in a co-investment fund that is contractually required to mirror the Funds’ investments. As a result, Index Limited may be deemed to have shared dispositive and shared voting power over Yucca’s shares by virtue of its shared dispositive power over and shared voting power over any shares owned by the Funds.
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Page 7 of 11
Item 5. |
Ownership of Five Percent or Less of a Class.
Not applicable.
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Item 6. |
Ownership of More Than Five Percent on Behalf of Another Person.
Not applicable.
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Item 7. |
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company.
Not applicable.
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Item 8. |
Identification and Classification of Members of the Group.
See Exhibit 2.
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Item 9. |
Notice of Dissolution of Group.
Not applicable.
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Item 10.
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Certification.
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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 and 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.
Page 8 of 11
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.
Dated: February 14, 2018
INDEX VENTURES IV (JERSEY) L.P.
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By:
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/s/ Sinead Meehan
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Name: Sinead Meehan
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Title: Director
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INDEX VENTURES IV PARALLEL ENTREPRENEUR FUND (JERSEY) L.P.
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By:
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/s/ Sinead Meehan
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Name: Sinead Meehan
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Title: Director
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YUCCA (JERSEY) SLP
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By: | Intertrust Employee Benefit Services Limited as authorized signatory of Yucca (Jersey) SLP in its capacity as an Administrator of the Index Co-Investment Scheme | |
By:
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/s/ Alex di Santo
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Name: Alex di Santo
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Title: Authorized Signatory
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By:
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/s/ Sarah Earles
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Name: Sarah Earles
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Title: Authorized Signatory
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The original statement shall be signed by each person on whose behalf the statement is filed or his authorized representative. If the statement is signed on behalf of a person by his authorized representative (other than an executive officer or general partner of this filing person), evidence of the representative’s authority to sign on behalf of such person shall be filed with the statement, provided, however, that a power of at
torney for this purpose which is already on file with the Commission may be incorporated by reference. The name and any title of each person who signs the statement shall be typed or printed beneath his signature.
Attention: Intentional misstatements or omissions of fact constitute Federal criminal violations (See 18 U.S.C. 1001).
Page 9 of 11
Exhibit 1
AGREEMENT
Each of the undersigned, pursuant to Rule 13d-1(k)(1) under the Act, hereby agrees and acknowledges that only one statement containing the information required by Schedule 13G need be filed with respect to the ownership by each of the undersigned of the shares of Common Stock and the information required by this Schedule 13G, to which this Agreement is attached as an exhibit, is filed on behalf of them. The undersigned further agree that any further amendments or supplements thereto shall also be filed on behalf of each of them.
Dated: February 14, 2018
INDEX VENTURES IV (JERSEY) L.P.
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By:
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/s/ Sinead Meehan
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Name: Sinead Meehan
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Title: Director
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INDEX VENTURES IV PARALLEL ENTREPRENEUR FUND (JERSEY) L.P.
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By:
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/s/ Sinead Meehan
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Name: Sinead Meehan
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Title: Director
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YUCCA (JERSEY) SLP
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By: | Intertrust Employee Benefit Services Limited as authorized signatory of Yucca (Jersey) SLP in its capacity as an Administrator of the Index Co-Investment Scheme | |
By:
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/s/ Alex di Santo
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Name: Alex di Santo
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Title: Authorized Signatory
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By:
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/s/ Sarah Earles
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Name: Sarah Earles
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Title: Authorized Signatory
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Page 10 of 11
Exhibit 2
IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THIS GROUP
Index Ventures IV (Jersey) L.P. (“Index Ventures IV”), Index Ventures IV Parallel Entrepreneur Fund (Jersey) L.P. (“Index Ventures IV Parallel”), Index Venture Associates IV Limited (“Index IV Limited”) and Yucca Jersey SLP (“Yucca”) are filing this statement on Schedule 13G as a group.
Index Ventures IV is a Jersey (Channel Islands) partnership. Its managing general partner is Index IV Limited.
Index Ventures IV Parallel is a Jersey (Channel Islands) partnership. Its managing general partner is Index IV Limited.
Yucca is a Jersey (Channel Islands) separate limited partnership. Its corporate general partner is an affiliate of Index IV Limited.
Page 11 of 11