Amended Statement of Ownership (sc 13g/a)
February 16 2021 - 6:55AM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 1)*
HOOKIPA
Pharma Inc.
(Name of Issuer)
Common Stock,
par value $0.0001 per share
(Title of Class of Securities)
43906K100
(CUSIP Number)
31 DECEMBER 2020
(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 the disclosures provided in a prior cover page.
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The information required in 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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CUSIP No. 90064101
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13G/A
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Page
2
of 6 Pages
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1.
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NAMES OF REPORTING PERSONS
I.R.S.
IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
Forbion Capital
Fund II Coöperatief U.A.
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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
The
Netherlands
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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
0
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6.
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SHARED VOTING POWER
2,141,887
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7.
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SOLE DISPOSITIVE POWER
0
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8.
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SHARED DISPOSITIVE POWER
2,141,887
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9.
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,141,887
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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
7.4% (1)
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12.
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TYPE OF REPORTING
PERSON
OO
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1
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This calculation assumed that there are 29,061,468 common shares outstanding as set forth in HOOKIPA Pharma
Incs (the Issuer) final prospectus supplement filed with the Securities and Exchange Commission (the Commission) on December 10, 2020.
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CUSIP No. 90064101
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13G/A
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Page
3
of 6 Pages
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1.
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NAMES OF REPORTING PERSONS
I.R.S.
IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
Forbion II
Management B.V.
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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
The
Netherlands
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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
0
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6.
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SHARED VOTING POWER
2,141,887
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7.
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SOLE DISPOSITIVE POWER
0
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8.
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SHARED DISPOSITIVE POWER
2,141,887
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9.
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,141,887
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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
7.4% (2)
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12.
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TYPE OF REPORTING
PERSON
OO
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2
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This calculation assumed that there are 29,061,468 common shares outstanding as set forth in HOOKIPA Pharma
Incs (the Issuer) final prospectus supplement filed with the Securities and Exchange Commission (the Commission) on December 10, 2020.
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CUSIP No. 90064101
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13G/A
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Page
4
of 6 Pages
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Item 1(a).
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Name of Issuer:
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HOOKIPA Pharma Inc.
Item 1(b).
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Address of Issuers Principal Executive Offices:
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50 Fifth Avenue, 72nd Floor, Suite 7240 New York, New York
Item 2(a).
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Name of Person Filing:
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This Statement is being filed by Forbion Capital Fund II Coöperatief U.A. (Coop II ), and Forbion II Management B.V.
(Forbion II), the director of Coop II. Coop II and Forbion II are sometimes referred to collectively herein as the Reporting Persons.
Item 2(b).
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Address of Principal Business Office or, if None, Residence:
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The address of the principal business and principal office of each of the Reporting Persons is c/o Forbion Capital Partners, Gooimeer 2-35, 1411 DC Naarden, The Netherlands.
Forbion Capital Fund II Coöperatief U.A. The Netherlands
Forbion II Management B.V. The Netherlands
Item 2(d).
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Title of Class of Securities:
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Common Stock, par value $0.0001 per share
43906K100
Forbion Capital Fund II Coöperatief U.A. is the beneficial owner of 2,141,887 shares of Common Stock (the Shares). In
addition Coop II is entitled to 9,600 stock options issued to SJH Van Deventer which are not exercised and are not in the money. Forbion II, the director of Coop II, has voting and investment power over the shares held by Coop II, which are
exercised through Forbions investment committee, consisting of H. A. Slootweg, M. A. van Osch, H.N. Reithinger, G.J. Mulder and S. J. H. van Deventer. None of the members of the investment committee have individual voting and investment power
with respect to such shares, and the members disclaim beneficial ownership of such shares except to the extent of their proportionate pecuniary interests therein.
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(a)
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Amount beneficially owned: 2,141,887
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CUSIP No. 90064101
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13G/A
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Page
5
of 6 Pages
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(b)
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Percent of class: 7.4%
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The foregoing percentage is calculated based on 29,061,468 common shares outstanding as set forth in HOOKIPA Pharma Incs (the
Issuer) final prospectus supplement filed with the Securities and Exchange Commission (the Commission) on December 10, 2020.
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(c)
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Number of shares as to which such person has:
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(i)
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Sole power to vote or to direct the vote: 0
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(ii)
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Shared power to vote or to direct the vote: 2,141,887
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(iii)
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Sole power to dispose or to direct the disposition of: 0
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(iv)
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Shared power to dispose or to direct the disposition of: 2,141,887
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Item 5.
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Ownership of Five Percent or Less of a Class.
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Not applicable.
Item 6.
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Ownership of More than Five Percent on Behalf of Another Person.
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Not applicable.
Item 7.
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Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the
Parent Holding Company.
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Not applicable.
Item 8.
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Identification and Classification of Members of the Group.
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The Reporting Persons are making this single, joint filing because they may be deemed to constitute a group within the meaning of
Section 13(d)(3) of the Securities Exchange Act of 1934, as amended (the Exchange Act). The Reporting Persons disclaim membership in a group and this report shall not be deemed an admission by any of the Reporting
Persons that they are or may be members of a group for purposes of Rule 13d-5 or for any other purpose.
Item 9.
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Notice of Dissolution of Group.
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Not applicable.
Not applicable .
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CUSIP No. 90064101
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13G/A
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Page
6
of 6 Pages
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SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true,
complete and correct.
Date: February 12, 2021
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FORUNIQURE B.V.
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By:
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/s/ V. Van Houten
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/s/ H.A. Slootweg
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Name: V. van Houten
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H.A. Slootweg
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Title: Directors of its director
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FORBION 1 MANAGEMENT B.V.
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By:
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/s/ V. van Houten
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/s/ H.A. Slootweg
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Name: V. van Houten
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H.A. Slootweg
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Title: its Directors
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