Samsara BioCapital, L.P. - 29 Jun 2021 Form 4 Insider Report for Graphite Bio, Inc. (LENZ)

Role
10%+ Owner
Signature
Samsara BioCapital, L.P., By: Samsara BioCapital GP, LLC, its General Partner, By /s/ Srinivas Akkaraju, Managing Member
Issuer symbol
LENZ
Transactions as of
29 Jun 2021
Net transactions value
+$8,500,000
Form type
4
Filing time
01 Jul 2021, 17:39:35 UTC
Previous filing
24 Jun 2021
Next filing
08 Oct 2021

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction GRPH Common Stock Conversion of derivative security +6,167,763 6,167,763 29 Jun 2021 By Fund F1, F2
transaction GRPH Common Stock Conversion of derivative security +741,107 +12% 6,908,870 29 Jun 2021 By Fund F1, F2
transaction GRPH Common Stock Conversion of derivative security +22,753 22,753 29 Jun 2021 By Fund F1, F3
transaction GRPH Common Stock Purchase $8,245,000 +485,000 +7% $17.00 7,393,870 29 Jun 2021 By Fund F2
transaction GRPH Common Stock Purchase $255,000 +15,000 +66% $17.00 37,753 29 Jun 2021 By Fund F3

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 GRPH Series A Redeemable Convertible Preferred Stock Conversion of derivative security $0 -15,000,000 -100% $0.000000* 0 29 Jun 2021 Common Stock 6,167,763 By Fund F1, F2
transaction GRPH Series B Redeemable Convertible Preferred Stock Conversion of derivative security $0 -1,802,372 -100% $0.000000* 0 29 Jun 2021 Common Stock 741,107 By Fund F1, F2
transaction GRPH Series B Redeemable Convertible Preferred Stock Conversion of derivative security $0 -55,336 -100% $0.000000* 0 29 Jun 2021 Common Stock 22,753 By Fund F1, F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Each share of the redeemable convertible preferred stock automatically converted into shares of Common Stock immediately prior to the closing of the Issuer's initial public offering (the "IPO") for no additional consideration, on a one-for-2.432 basis, and had no expiration date.
F2 Shares held by Samsara BioCapital, L.P. ("Samsara LP"). Samsara BioCapital GP, LLC ("Samsara LLC") is the general partner of Samsara LP and may be deemed to beneficially own the shares held by Samsara LP. Dr. Srinivas Akkaraju, MD, Ph.D. has voting and investment power over the shares held by Samsara LP and, accordingly, may be deemed to beneficially own the shares held by Samsara LP. Each of Samsara LLC and Dr. Akkaraju disclaims beneficial ownership in these shares except to the extent of his or its respective pecuniary interest therein.
F3 Shares held by 436, L.P. ("436 LP"). 436, LLC ("436 LLC") is the general partner of 436 LP and may be deemed to beneficially own the shares held by 436 LP. Dr. Srinivas Akkaraju, MD, Ph.D. has voting and investment power over the shares held by 436 LP and, accordingly, may be deemed to beneficially own the shares held by 436 LP. Each of 436 LLC and Dr. Akkaraju disclaims beneficial ownership in these shares except to the extent of his or its respective pecuniary interest therein.