Amended Statement of Ownership (sc 13g/a)
February 13 2017 - 4:12PM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 2)
Vital
Therapies, Inc.
(Name of Issuer)
Common Stock
(Title of
Class of Securities)
92847R104
(CUSIP Number)
December
31, 2016
(Date of Event which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
☐ Rule 13d-1(b)
☒
Rule 13d-1(c)
☐ Rule 13d-1(d)
*
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The remainder of this cover page shall be filled out for a reporting persons initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information
which would alter disclosures provided in a prior cover page.
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The information required on the remainder of this cover page
shall not be deemed to be filed for the purpose of Section 18 of the Securities Exchange Act of 1934 (Act) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the
Act (however, see the Notes).
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1.
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NAMES
OF
R
EPORTING
P
ERSONS
KCK Ltd.
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2.
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CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP
(a) ☐ (b) ☐
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3.
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SEC USE ONLY
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4.
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CITIZENSHIP OR PLACE OF
ORGANIZATION
British Virgin Islands
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
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5.
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sole voting power
2,788,181 (See Item 4(a))
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6.
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shared voting power
0
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7.
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sole dispositive power
2,788,181 (See Item 4(a))
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8.
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shared dispositive power
0
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9.
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aggregate amount beneficially owned by each reporting person
2,788,181 (See Item 4(a))
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10.
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check box if the aggregate amount in
row (9) excludes certain shares ☐
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11.
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percent of class represented by amount
in row (9)
8.7% (See Item 4(a) and 4(b))
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12.
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type of Reporting Person
OO
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Page 2 of 6 Pages
(a) Name of issuer:
Vital Therapies, Inc.
(b)
Address of issuers principal executive offices:
15010 Avenue of Science, Suite 200
San Diego, California 92128
(a) Name of person filing:
KCK Ltd.
(b) Address or
principal business office or, if none, residence:
KCK Ltd. A/C KCK Ltd.
OMC Chambers
Wickhams Cay1, Road
Town
Tortola VG1110
British
Virgin Islands
(c) Citizenship:
British Virgin Islands
(d)
Title of class of securities:
Common stock
(e) CUSIP No.:
92847R104
Item 3.
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If This Statement is Filed Pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check
Whether the Person
Filing is a:
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(a)
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☐
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Broker or dealer registered under Section 15 of the Act (15 U.S.C.
78o);
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(b)
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☐
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Bank as defined in Section 3(a)(6) of the Act (15 U.S.C. 78c);
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(c)
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☐
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Insurance company as defined in Section 3(a)(19) of the Act (15 U.S.C.
78c);
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(d)
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☐
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Investment company registered under Section 8 of the Investment Company Act of 1940 (15
U.S.C.
80a-8);
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(e)
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☐
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An investment adviser in accordance with Rule
13d-1(b)(1)(ii)(E);
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(f)
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☐
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An employee benefit plan or endowment fund in accordance with Rule
13d-1(b)(1)(ii)(F);
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(g)
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☐
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A parent holding company or control person in accordance with Rule
13d-1(b)(1)(ii)(G);
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(h)
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☐
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A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12
U.S.C. 1813);
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(i)
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☐
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A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C.
80a-3);
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(j)
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☐
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Group, in accordance with Rule
13d-1(b)(1)(ii)(J).
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Not applicable.
(Page 3 of 6 Pages)
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(a)
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Amount beneficially owned:
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2,788,181 shares of common stock *
8.7% (based on 32,050,850 shares of common stock, $0.0001 par value
per share, outstanding as of the close of business on October 31, 2016, as reported by the issuer in its Form
10-Q
filed with the U.S. Securities and Exchange Commission on November 3, 2016)
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(c)
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Number of shares as to which the person has:
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(i)
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Sole power to vote or to direct the vote
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2,788,181 shares of common stock*
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(ii)
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Shared power to vote or to direct the vote
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0
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(iii)
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Sole power to dispose or to direct the disposition of
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2,788,181 shares of common
stock*
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(iv)
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Shared power to dispose or to direct the disposition of
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0
*
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KCK Ltd., through a board of directors consisting of three or more persons, has sole voting and investment power with respect to the shares of common stock held by KCK Ltd.
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Item 5.
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Ownership of Five Percent or Less of a Class.
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If
this
statement
is
being
filed
to
report
the
fact
that
as
of
the
date
hereof
the
reporting
person
has
ceased
to
be
the
beneficial
owner
of
more
than
five
percent
of
the
class
of
securities,
check
the
following:
☐
Item 6.
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Ownership of More than Five Percent on Behalf of Another Person.
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N/A
Item 7.
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Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person.
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N/A
(Page 4 of 6 Pages)
Item 8.
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Identification and Classification of Members of the Group.
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N/A
Item 9.
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Notice of Dissolution of Group.
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N/A
By signing below each of the undersigned certifies that, to the best of
its knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in
connection with or as a participant in any transaction having that purpose or effect.
(Page 5 of 6 Pages)
Signature
After reasonable inquiry and to the best of its knowledge and belief, each of the undersigned certifies that the information set forth in this
statement is true, complete and correct.
Date: February 13, 2017
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KCK Ltd.
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/s/ Antoine Sacy
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Antoine Sacy, Director
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(Page 6 of 6 Pages)
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