Terry P. Gould - 28 Jul 2021 Form 3 Insider Report for Icosavax, Inc.

Signature
/s/ Thomas Russo, Attorney-in-Fact
Issuer symbol
N/A
Transactions as of
28 Jul 2021
Net transactions value
$0
Form type
3
Filing time
28 Jul 2021, 21:29:19 UTC
Previous filing
16 Jun 2021
Next filing
03 Aug 2021

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
holding ICVX Series A-1 Preferred Stock 28 Jul 2021 Common Stock 873,755 $0.000000 See footnotes F1, F2, F8
holding ICVX Series A-1 Preferred Stock 28 Jul 2021 Common Stock 844,608 $0.000000 See footnotes F1, F3, F8
holding ICVX Series A-1 Preferred Stock 28 Jul 2021 Common Stock 250,768 $0.000000 See footnotes F1, F4, F8
holding ICVX Series A-1 Preferred Stock 28 Jul 2021 Common Stock 324,402 $0.000000 See footnotes F1, F5, F8
holding ICVX Series A-1 Preferred Stock 28 Jul 2021 Common Stock 484,459 $0.000000 See footnotes F1, F6, F8
holding ICVX Series A-1 Preferred Stock 28 Jul 2021 Common Stock 225,229 $0.000000 See footnotes F1, F7, F8
holding ICVX Series B-1 Preferred Stock 28 Jul 2021 Common Stock 74,432 $0.000000 See footnotes F1, F2, F8
holding ICVX Series B-1 Preferred Stock 28 Jul 2021 Common Stock 71,950 $0.000000 See footnotes F1, F3, F8
holding ICVX Series B-1 Preferred Stock 28 Jul 2021 Common Stock 21,362 $0.000000 See footnotes F1, F4, F8
holding ICVX Series B-1 Preferred Stock 28 Jul 2021 Common Stock 27,635 $0.000000 See footnotes F1, F5, F8
holding ICVX Series B-1 Preferred Stock 28 Jul 2021 Common Stock 41,269 $0.000000 See footnotes F1, F6, F8
holding ICVX Series B-1 Preferred Stock 28 Jul 2021 Common Stock 19,186 $0.000000 See footnotes F1, F7, F8
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The shares of Series A-1 Preferred Stock and Series B-1 Preferred Stock are convertible, at any time, at the holder's election, to shares of the Issuer's common stock at a ratio of 4.1557-for-1. In addition, effective immediately prior to the closing of the Issuer's initial public offering of its common stock, each share of Series A-1 Preferred Stock and Series B-1 Preferred Stock will automatically convert to shares of the Issuer's common stock at a ratio of 4.1557-for-1. The Series A-1 Preferred Stock and Series B-1 Preferred Stock have no expiration date.
F2 The shares are held directly by Adams Street Venture/Growth Fund VI LP ("ASVG VI").
F3 The shares are held directly by Adams Street Growth Equity Fund VII LP ("AS GE VII").
F4 The shares are held directly by Adams Street 2016 Direct Venture/Growth Fund LP ("AS 2016").
F5 The shares are held directly by Adams Street 2017 Direct Venture/Growth Fund LP ("AS 2017").
F6 The shares are held directly by Adams Street 2018 Direct Venture/Growth Fund LP ("AS 2018").
F7 The shares are held directly by Adams Street 2019 Direct Growth Equity Fund LP ("AS 2019").
F8 Adams Street Partners, LLC as the managing member of the general partner of the general partner of ASVG VI, AS GE VII, AS 2016, AS 2017, AS 2018 and AS 2019 (collectively the "Funds"), may be deemed to beneficially own the shares held by the Funds. Thomas S. Bremner, Jeffrey T. Diehl, Elisha P. Gould III, Robin P. 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 held by the Funds. 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 held by the Funds except to the extent of their pecuniary interest therein.

Remarks:

Exhibit 24 - Power of Attorney