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.
- 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. __)*
GRAPHITE BIO, Inc.
(Name of Issuer)
Common Stock, Par Value $0.00001 Per Share
(Title of Class of Securities)
38870X104
(CUSIP Number)
December 31, 2021
(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) |
*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.
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. 38870X104 | 13G | Page 2 of 5 Pages |
1. |
NAMES OF REPORTING PERSONS
Matthew Porteus | |||||
2. | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) ☐ (b) ☐
| |||||
3. | SEC USE ONLY
| |||||
4. | CITIZENSHIP OR PLACE OF ORGANIZATION
United States |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5. | SOLE VOTING POWER
3,528,529 shares of Common Stock | ||||
6. | SHARED VOTING POWER
0 | |||||
7. | SOLE DISPOSITIVE POWER
3,528,529 shares of Common Stock | |||||
8. | SHARED DISPOSITIVE POWER
0 |
9. |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
3,528,529 shares of Common Stock | |||||
10. | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
☐ | |||||
11. | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
6.1%(1) | |||||
12. | TYPE OF REPORTING PERSON
IN |
(1) | Based on approximately 58,010,823 shares of the Issuers Common Stock outstanding as of December 31, 2021. |
CUSIP No. 38870X104 | 13G | Page 3 of 5 Pages |
Item 1(a). | Name of Issuer: |
Graphite Bio, Inc. (the Issuer)
Item 1(b). | Address of Issuers Principal Executive Offices: |
201 Haskins Way, Suite 210
South San Francisco, CA 94080
Item 2(a). | Name of Person Filing: |
Matthew Porteus
Item 2(b). | Address of Principal Business Office or, if None, Residence: |
c/o Graphite Bio, Inc.
279 East Grand Avenue, Suite 430
South San Francisco, CA 94080
Item 2(c). | Citizenship: |
United States
Item 2(d). | Title of Class of Securities: |
Common Stock
Item 2(e). | CUSIP Number: |
38870X104
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: |
(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) ☐ An investment adviser in accordance with ss.240.13d-1(b)(1)(ii)(E); |
(f) ☐ An employee benefit plan or endowment fund in accordance with ss.240.13d-1(b)(1)(ii)(F); |
(g) ☐ A parent holding company or control person in accordance with ss.240.13d-1(b)(1)(ii)(G); |
(h) ☐ A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); |
(i) ☐ 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); |
(j) ☐ Group, in accordance with ss.240.13d-1(b)(1)(ii)(J). |
Not applicable.
CUSIP No. 38870X104 | 13G | Page 4 of 5 Pages |
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: 3,528,529 shares of Common Stock |
(b) | Percent of class: 6.1% |
The foregoing percentage is calculated based on the 58,010,823 shares of Common Stock of the Issuer outstanding as of December 31, 2021.
< /td> | (c) | Number of shares as to which such person has: |
(i) | Sole power to vote or to direct the vote: 3,528,529 |
(ii) | Shared power to vote or to direct the vote: 0 |
(iii) | Sole power to dispose or to direct the disposition of: 3,528,529 |
(iv) | Shared power to dispose or to direct the disposition of: 0 |
Item 5. | Ownership of Five 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 [ ].
Item 6. | Ownership of More than Five Percent on Behalf of Another Person. |
Not applicable.
Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company. |
Not applicable.
Item 8. | Identification and Classification of Members of the Group. |
Not applicable.
Item 9. | Notice of Dissolution of Group. |
Not applicable.
Item | 10. Certification. |
Not applicable.
CUSIP No. 38870X104 | 13G | Page 5 of 5 Pages |
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 14, 2022
/s/ Matthew Porteus |
Matthew Porteus |