UNITED STATES SECURITIES AND EXCHANGE COMMISSION | OMB APPROVAL |
Washington, D.C. 20549 | OMB Number: 3235-0104 |
Estimated average burden | |
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF | hours per response... 0.5 |
SECURITIES | |
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the | |
Investment Company Act of 1940 |
1. Name and Address of Reporting Person * | 2. Date of Event Requiring | 3. Issuer Name and Ticker or Trading Symbol |
Statement (MM/DD/YYYY) | ||
Blackstone Holdings II L.P. | 1/4/2019 | Forty Seven, Inc. [FTSV] |
C/O THE BLACKSTONE GROUP | _____ Director | ___ X ___ 10% Owner |
L.P., 345 PARK AVENUE | _____ Officer (give title below) | _____ Other (specify below) |
(Street) | 5. If Amendment, Date | 6. Individual or Joint/Group Filing (Check Applicable Line) |
Original Filed (MM/DD/YYYY) | ||
NEW YORK, NY 10154 | ___ Form filed by One Reporting Person | |
_ X _ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Beneficially Owned
(1) (2) (3)
Common Stock
3816951
ISee Footnotes
Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
Explanation of Responses:
(1) These securities are held directly by Clarus Lifesciences III, L.P. ("Clarus III"). Clarus Ventures III GP, L.P. ("Clarus III GP") is the sole general partner of Clarus III. Blackstone Clarus III L.L.C. is the sole general partner of Clarus GP. The sole member of Blackstone Clarus III L.L.C. is Blackstone Holdings II L.P. The sole general partner of Blackstone Holdings II L.P. is Blackstone Holdings I/II GP Inc. The controlling shareholder of Blackstone Holdings I/II GP Inc. is The Blackstone Group L.P. The sole general partner of The Blackstone Group L.P. is Blackstone Group Management L.L.C. Blackstone Group Management L.L.C. is wholly-owned by Blackstone's senior managing directors and controlled by its founder, Stephen A. Schwarzman.
(2) Information with respect to each of the Reporting Persons is given solely by such Reporting Person, and no Reporting Person has responsibility for the accuracy or completeness of information supplied by another Reporting Person.
(3) Each of such Reporting Persons may be deemed to beneficially own the shares beneficially owned by Clarus III, but each disclaims beneficial ownership of such shares, except to the extent of such Reporting Person's pecuniary interest therein. The filing of this statement shall not be deemed to be an admission that, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the Reporting Persons are the beneficial owners of any securities reported herein.
Remarks:
This Form 3 is being filed in connection with the acquisition by The Blackstone Group L.P. and certain of its affiliates ("Blackstone") of Clarus Ventures, LLC and certain of its affiliates (collectively, "Clarus"). On January 4, 2019, Blackstone integrated the Clarus business into Blackstone (the "Clarus Integration"). As a result of such integration, Blackstone may be deemed to have become the beneficial owner of the securities beneficially owned by Clarus, including the securities of the Issuer.
Reporting Owners
Reporting Owner Name / Address
Director 10% Owner Officer Other
Blackstone Holdings II L.P.
C/O THE BLACKSTONE GROUP L.P. 345 PARK AVENUE
NEW YORK, NY 10154
X
Blackstone Clarus III L.L.C. C/O THE BLACKSTONE GROUP L.P. 345 PARK AVENUE NEW YORK, NY 10154 | X |
Blackstone Holdings I/II GP Inc C/O THE BLACKSTONE GROUP L.P. 345 PARK AVENUE NEW YORK, NY 10154 | X |
Blackstone Group L.P. 345 PARK AVENUE NEW YORK, NY 10154 | X |
Blackstone Group Management L.L.C. C/O THE BLACKSTONE GROUP L.P. 345 PARK AVENUE NEW YORK, NY 10154 | X |
SCHWARZMAN STEPHEN A C/O THE BLACKSTONE GROUP L.P. 345 PARK AVENUE NEW YORK, NY 10154 | X |
Signatures
BLACKSTONE CLARUS III L.L.C., By: Blackstone Holdings II L.P., its managing member, By: Blackstone Holdings I/II GP Inc., its general partner, By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer
** Signature of Reporting Person
1/10/2019
Date
BLACKSTONE HOLDINGS II L.P., By: Blackstone Holdings I/II GP Inc., its general partner, By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer
** Signature of Reporting Person
1/10/2019
Date
BLACKSTONE HOLDINGS I/II GP INC., By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer
** Signature of Reporting Person
1/10/2019
Date
THE BLACKSTONE GROUP L.P., By: Blackstone Group Management L.L.C., its general partner, By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer
** Signature of Reporting Person
1/10/2019
Date
BLACKSTONE GROUP MANAGEMENT L.L.C., By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer
** Signature of Reporting Person
1/10/2019
Date
/s/ Stephen A. Schwarzman
** Signature of Reporting Person
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 5(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.
1/10/2019
Date
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Disclaimer
The Blackstone Group LP published this content on 15 January 2019 and is solely responsible for the information contained herein. Distributed by Public, unedited and unaltered, on 16 January 2019 10:08:06 UTC