Terry P. Gould - 02 Aug 2021 Form 4 Insider Report for Icosavax, Inc.

Role
Director
Signature
/s/ Thomas Russo, Attorney-in-Fact
Issuer symbol
N/A
Transactions as of
02 Aug 2021
Net transactions value
+$2,000,010
Form type
4
Filing time
03 Aug 2021, 18:56:44 UTC
Previous filing
28 Jul 2021
Next filing
13 Sep 2021
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction ICVX Common Stock Conversion of derivative security $0 +948,188 $0.000000 948,188 02 Aug 2021 See footnotes F1, F2, F8, F9
transaction ICVX Common Stock Purchase $719,715 +47,981 +5.1% $15.00 996,169 02 Aug 2021 See footnotes F2, F8, F10
transaction ICVX Common Stock Conversion of derivative security $0 +916,558 $0.000000 916,558 02 Aug 2021 See footnotes F1, F3, F8
transaction ICVX Common Stock Purchase $695,715 +46,381 +5.1% $15.00 962,939 02 Aug 2021 See footnotes F3, F8, F11
transaction ICVX Common Stock Conversion of derivative security $0 +272,131 $0.000000 272,131 02 Aug 2021 See footnotes F1, F4, F8, F9
transaction ICVX Common Stock Conversion of derivative security $0 +352,037 $0.000000 352,037 02 Aug 2021 See footnotes F1, F5, F8
transaction ICVX Common Stock Conversion of derivative security $0 +525,729 $0.000000 525,729 02 Aug 2021 See footnotes F1, F6, F8, F9
transaction ICVX Common Stock Purchase $399,060 +26,604 +5.1% $15.00 552,333 02 Aug 2021 See footnotes F6, F8, F12
transaction ICVX Common Stock Conversion of derivative security $0 +244,415 $0.000000 244,415 02 Aug 2021 See footnotes F1, F7, F8
transaction ICVX Common Stock Purchase $185,520 +12,368 +5.1% $15.00 256,783 02 Aug 2021 See footnotes F7, F8, F13

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
transaction ICVX Series A-1 Preferred Stock Conversion of derivative security -3,631,066 -100% 0 02 Aug 2021 Common Stock 873,755 $0.000000 See footnotes F1, F2, F8
transaction ICVX Series A-1 Preferred Stock Conversion of derivative security -3,509,939 -100% 0 02 Aug 2021 Common Stock 844,608 $0.000000 See footnotes F1, F3, F8
transaction ICVX Series A-1 Preferred Stock Conversion of derivative security -1,042,120 -100% 0 02 Aug 2021 Common Stock 250,768 $0.000000 See footnotes F1, F4, F8
transaction ICVX Series A-1 Preferred Stock Conversion of derivative security -1,348,119 -100% 0 02 Aug 2021 Common Stock 324,402 $0.000000 See footnotes F1, F5, F8
transaction ICVX Series A-1 Preferred Stock Conversion of derivative security -2,013,269 -100% 0 02 Aug 2021 Common Stock 484,459 $0.000000 See footnotes F1, F6, F8
transaction ICVX Series A-1 Preferred Stock Conversion of derivative security -935,985 -100% 0 02 Aug 2021 Common Stock 225,229 $0.000000 See footnotes F1, F7, F8
transaction ICVX Series B-1 Preferred Stock Conversion of derivative security -309,321 -100% 0 02 Aug 2021 Common Stock 74,432 $0.000000 See footnotes F1, F2, F8
transaction ICVX Series B-1 Preferred Stock Conversion of derivative security -299,003 -100% 0 02 Aug 2021 Common Stock 71,950 $0.000000 See footnotes F1, F3, F8
transaction ICVX Series B-1 Preferred Stock Conversion of derivative security -88,775 -100% 0 02 Aug 2021 Common Stock 21,362 $0.000000 See footnotes F1, F4, F8
transaction ICVX Series B-1 Preferred Stock Conversion of derivative security -114,843 -100% 0 02 Aug 2021 Common Stock 27,635 $0.000000 See footnotes F1, F5, F8
transaction ICVX Series B-1 Preferred Stock Conversion of derivative security -171,505 -100% 0 02 Aug 2021 Common Stock 41,269 $0.000000 See footnotes F1, F6, F8
transaction ICVX Series B-1 Preferred Stock Conversion of derivative security -79,734 -100% 0 02 Aug 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 On August 2, 2021, the shares of Series A-1 Preferred Stock and Series B-1 Preferred Stock converted into shares of the Issuer's common stock at a ratio of 4.1557-for-1 automatically upon the closing of the Issuer's initial public offering without payment or further consideration. The shares have no expiration date. As a result of the Issuer's initial public offering, the reporting person is no longer a 10% owner of the Issuer and is therefore no longer subject to Section 16 in connection with its transactions in the equity securities of the Issuer.
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.
F9 Includes additional shares of Common Stock as a result of the conversion of Preferred Stock calculated on an aggregate basis of all shares of Preferred Stock held by the holder.
F10 ASVG VI acquired additional shares in the Issuer's initial public offering.
F11 AS GE VII acquired additional shares in the Issuer's initial public offering.
F12 AS 2018 acquired additional shares in the Issuer's initial public offering.
F13 AS 2019 acquired additional shares in the Issuer's initial public offering.