Todd Shegog - 14 Oct 2022 Form 4 Insider Report for Forma Therapeutics Holdings, Inc.

Source evidence Original filing metadata and source links for verification. 5 source fields
SEC form
4
Accepted by SEC
14 Oct 2022, 16:06:34 UTC
Prior SEC filing
09 Jun 2022
Next SEC filing
08 Jun 2023
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Jeannette Potts, as Attorney-in-Fact

Key filing fact

Todd Shegog filed Form 4 for Forma Therapeutics Holdings, Inc. on 14 Oct 2022.

Key facts

  • This page summarizes Todd Shegog's Form 4 filing for Forma Therapeutics Holdings, Inc..
  • 7 reported transactions and 6 derivative rows are listed below.
  • Accepted by SEC: 14 Oct 2022, 16:06.

Change

  • Previous filing in this sequence was filed on 09 Jun 2022.
  • Current net transaction value: $0.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

FMTX transaction

Common Stock

Disposition pursuant to a tender of shares in a change of control transaction

Transaction value
Shares
-56,143
Change %
-100%
Price
Shares after
0
Date
14 Oct 2022
Ownership
Direct
Footnotes
F1, F2

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

FMTX transaction Derivative

Stock Option (Right to Buy)

Disposed to Issuer

Transaction value
Shares
-153,528
Change %
-100%
Price
Shares after
0
Date
14 Oct 2022
Ownership
Direct
Underlying class
Common Stock
Underlying amount
153,528
Exercise price
$5.05
Footnotes
F1, F3
FMTX transaction Derivative

Stock Option (Right to Buy)

Disposed to Issuer

Transaction value
Shares
-11,689
Change %
-100%
Price
Shares after
0
Date
14 Oct 2022
Ownership
Direct
Underlying class
Common Stock
Underlying amount
11,689
Exercise price
$5.05
Footnotes
F1, F3
FMTX transaction Derivative

Stock Option (Right to Buy)

Disposed to Issuer

Transaction value
Shares
-116,890
Change %
-100%
Price
Shares after
0
Date
14 Oct 2022
Ownership
Direct
Underlying class
Common Stock
Underlying amount
116,890
Exercise price
$5.43
Footnotes
F1, F3
FMTX transaction Derivative

Stock Option (Right to Buy)

Disposed to Issuer

Transaction value
Shares
-70,134
Change %
-100%
Price
Shares after
0
Date
14 Oct 2022
Ownership
Direct
Underlying class
Common Stock
Underlying amount
70,134
Exercise price
$20.00
Footnotes
F1, F3
FMTX transaction Derivative

Stock Option (Right to Buy)

Disposed to Issuer

Transaction value
Shares
-50,250
Change %
-100%
Price
Shares after
0
Date
14 Oct 2022
Ownership
Direct
Underlying class
Common Stock
Underlying amount
50,250
Exercise price
$38.61
Footnotes
F1, F3
FMTX transaction Derivative

Stock Option (Right to Buy)

Disposed to Issuer

Transaction value
Shares
-50,000
Change %
-100%
Price
Shares after
0
Date
14 Oct 2022
Ownership
Direct
Underlying class
Common Stock
Underlying amount
50,000
Exercise price
$9.86
Footnotes
F1, F3
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Section 16 status

Todd Shegog is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may still apply in specific circumstances.

Explanation of responses 3 footnotes

Footnote F1

This Form 4 reports securities disposed of pursuant to the terms of the Agreement and Plan of Merger (the "Merger Agreement"), dated as of August 31, 2022, by and among Forma Therapeutics Holdings, Inc. (the "Issuer"), Novo Nordisk A/S (the "Parent"), and NNUS New Dev, Inc., a wholly owned indirect subsidiary of Parent ("Merger Sub"), pursuant to which Merger Sub completed a cash tender offer for shares of common stock of the Issuer (each, a "Share") and thereafter merged with and into the Issuer (the "Merger"), effective as of October 14, 2022 (the "Effective Time"). At the Effective Time, each issued and outstanding Share was cancelled and converted into the right to receive $20.00 in cash (the "Merger Consideration"), subject to withholding of applicable taxes and without interest.

Footnote F2

Consists of restricted stock units ("RSUs"), including those RSUs settled into Shares upon vesting. Pursuant to the terms of the Merger Agreement, at the Effective Time, each RSU (whether vested or unvested) that was outstanding immediately prior to the Effective Time, was cancelled and converted into the right to receive, for each Share underlying such RSU, an amount in cash equal to the Merger Consideration, subject to withholding of applicable taxes and without interest.

Footnote F3

Pursuant to the terms of the Merger Agreement, at the Effective Time, each option (whether vested or unvested) that was outstanding and unexercised immediately prior to the Effective Time, was cancelled and converted into the right to receive, for each Share underlying such option, an amount in cash equal to the excess, if any, of the Merger Consideration over the exercise price per share of such option. Each option that was outstanding and unexercised immediately prior to the Effective Time which had a per share exercise price greater than or equal to the Merger Consideration was cancelled with no consideration payable.

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