UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 1)*
AXSOME THERAPEUTICS, INC.
(Name of Issuer)
Common Stock, Par Value $0.0001
(Title of Class of Securities)
05464T104
(CUSIP Number)
December 31, 2022
(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)
x Rule
13d-1(c)
¨ Rule
13d-1(d)
* The
remainder of this cover page shall be filled out for a reporting
person’s 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.
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).
1. |
|
Names of Reporting Persons
I.R.S. Identification No. of Above Persons (Entities Only)
Fairmount Funds Management LLC
|
2. |
|
Check the Appropriate Box if a Member of a Group (See
Instructions)
(a)
¨ (b)
¨
|
3. |
|
SEC Use Only
|
4. |
|
Citizenship or Place of Organization
Delaware
|
Number of
Shares
Beneficially
Owned by
Each
Reporting
Person
With
|
|
5. |
|
Sole Voting Power
0
|
|
6. |
|
Shared Voting Power
2,011,647(1)
|
|
7. |
|
Sole Dispositive Power
0
|
|
8. |
|
Shared Dispositive Power
2,011,647(1)
|
9. |
|
Aggregate Amount Beneficially Owned by Each Reporting Person
2,011,647(1)
|
10. |
|
Check if
the Aggregate Amount in Row (9) Excludes Certain Shares (See
Instructions) ¨
|
11. |
|
Percent of Class Represented by Amount in Row (9)
4.6%(2)
|
12. |
|
Type of Reporting Person (See Instructions)
IA
|
|
|
|
|
|
|
|
(1) The shares reported herein for the Reporting Person represent
64,927 shares of the Issuer’s Common Stock held by Fairmount
Healthcare Fund LP and 1,946,720 shares of the Issuer’s Common
Stock held by Fairmount Healthcare Fund II LP (the “Funds”).
(2) Calculated based on 43,426,162 shares of the Issuer’s Common
Stock outstanding as of October 31, 2022, as disclosed on Form 10-Q
filed by the Issuer with the Securities and Exchange Commission on
November 7, 2022.
1. |
|
Names of Reporting Persons
I.R.S. Identification No. of Above Persons (Entities Only)
Peter Harwin
|
2. |
|
Check the Appropriate Box if a Member of a Group (See
Instructions)
(a)
¨ (b)
¨
|
3. |
|
SEC Use Only
|
4. |
|
Citizenship or Place of Organization
United States
|
Number of
Shares
Beneficially
Owned by
Each
Reporting
Person
With
|
|
5. |
|
Sole Voting Power
0
|
|
6. |
|
Shared Voting Power
2,011,647 (1)
|
|
7. |
|
Sole Dispositive Power
0
|
|
8. |
|
Shared Dispositive Power
2,011,647 (1)
|
9. |
|
Aggregate Amount Beneficially Owned by Each Reporting Person
2,011,647 (1)
|
10. |
|
Check if
the Aggregate Amount in Row (9) Excludes Certain Shares (See
Instructions) ¨
|
11. |
|
Percent of Class Represented by Amount in Row (9)
4.6%(2)
|
12. |
|
Type of Reporting Person (See Instructions)
HC, IN
|
|
|
|
|
|
|
|
(1) The shares reported herein for the Reporting Person represent
64,927 shares of the Issuer’s Common Stock held by Fairmount
Healthcare Fund LP and 1,946,720 shares of the Issuer’s Common
Stock held by Fairmount Healthcare Fund II LP (the “Funds”).
(2) Calculated based on 43,426,162 shares of the Issuer’s Common
Stock outstanding as of October 31, 2022, as disclosed on Form 10-Q
filed by the Issuer with the Securities and Exchange Commission on
November 7, 2022.
1. |
|
Names of Reporting Persons
I.R.S. Identification No. of Above Persons (Entities Only)
Tomas Kiselak
|
2. |
|
Check the Appropriate Box if a Member of a Group (See
Instructions)
(a)
¨ (b)
¨
|
3. |
|
SEC Use Only
|
4. |
|
Citizenship or Place of Organization
Slovak Republic
|
Number of
Shares
Beneficially
Owned by
Each
Reporting
Person
With
|
|
5. |
|
Sole Voting Power
0
|
|
6. |
|
Shared Voting Power
2,011,647 (1)
|
|
7. |
|
Sole Dispositive Power
0
|
|
8. |
|
Shared Dispositive Power
2,011,647 (1)
|
9. |
|
Aggregate Amount Beneficially Owned by Each Reporting Person
2,011,647 (1)
|
10. |
|
Check if
the Aggregate Amount in Row (9) Excludes Certain Shares (See
Instructions) ¨
|
11. |
|
Percent of Class Represented by Amount in Row (9)
4.6%(2)
|
12. |
|
Type of Reporting Person (See Instructions)
HC, IN
|
|
|
|
|
|
|
|
(1) The shares reported herein for the Reporting Person represent
64,927 shares of the Issuer’s Common Stock held by Fairmount
Healthcare Fund LP and 1,946,720 shares of the Issuer’s Common
Stock held by Fairmount Healthcare Fund II LP (the “Funds”).
(2) Calculated based on 43,426,162 shares of the Issuer’s Common
Stock outstanding as of October 31, 2022, as disclosed on Form 10-Q
filed by the Issuer with the Securities and Exchange Commission on
November 7, 2022.
1. |
|
Names of Reporting Persons
I.R.S. Identification No. of Above Persons (Entities Only)
Fairmount Healthcare Fund II L.P.
|
2. |
|
Check the Appropriate Box if a Member of a Group (See
Instructions)
(a)
¨ (b)
¨
|
3. |
|
SEC Use Only
|
4. |
|
Citizenship or Place of Organization
Delaware
|
Number of
Shares
Beneficially
Owned by
Each
Reporting
Person
With
|
|
5. |
|
Sole Voting Power
0
|
|
6. |
|
Shared Voting Power
1,946,720(1)
|
|
7. |
|
Sole Dispositive Power
0
|
|
8. |
|
Shared Dispositive Power
1,946,720 (1)
|
9. |
|
Aggregate Amount Beneficially Owned by Each Reporting Person
1,946,720 (1)
|
10. |
|
Check if
the Aggregate Amount in Row (9) Excludes Certain Shares (See
Instructions) ¨
|
11. |
|
Percent of Class Represented by Amount in Row (9)
4.5%(2)
|
12. |
|
Type of Reporting Person (See Instructions)
PN
|
|
|
|
|
|
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|
(1) The shares reported herein for the Reporting Person represent
1,946,720 shares of the Issuer’s Common Stock.
(2) Calculated based on 43,426,162 shares of the Issuer’s Common
Stock outstanding as of October 31, 2022, as disclosed on Form 10-Q
filed by the Issuer with the Securities and Exchange Commission on
November 7, 2022.
Item 1.
|
(a) |
Name of Issuer: Axsome
Therapeutics, Inc. |
|
(b) |
Address of Issuer’s Principal
Executive Offices: 22 Cortlandt Street, 16th Floor,
New York, New York 10007. |
Item 2.
This Amendment No. 1 to Schedule 13G amends and restates the
statements on Schedule 13G originally filed on October 25,
2022.
|
(a) |
Name of Person(s) Filing: This
joint statement on Schedule 13G is being filed by Fairmount Funds
Management LLC (“Fairmount”), Peter Harwin, Tomas Kiselak, and
Fairmount Healthcare Fund II L.P. (“Fund II”). Fairmount, Mr.
Harwin, Mr. Kiselak, and Fund II are collectively referred to
herein as the “Reporting Persons.” |
The Common Stock reported herein includes Common Stock beneficially
owned directly by Fairmount Healthcare Fund L.P. (the “Fund”) and
Common Stock beneficially owned directly by Fund II. Fairmount
Healthcare Fund GP LLC is the general partner of the Fund.
Fairmount Healthcare Fund II GP LLC is the general partner of Fund
II. The controlling persons of Fairmount are Mr. Harwin and Mr.
Kiselak. Fairmount serves as investment adviser for the Fund and
Fund II (collectively, the “Funds”) and may be deemed a beneficial
owner, for purposes of Section 13(d) of the Act, of any securities
of the Issuer held by the Funds. The Funds have delegated to
Fairmount the sole power to vote and the sole power to dispose of
all securities held in the Funds’ portfolios, including the shares
of the Issuer’s Common Stock reported herein. Because the Funds
have divested voting and investment power over the reported
securities they hold and cannot revoke such delegation on less than
61 days’ notice, the Funds disclaim beneficial ownership of the
securities for purposes of Section 13(d) of the Act and therefore
disclaim any obligation to report ownership of the reported
securities under Section 13(d) of the Act. As managing members of
Fairmount, Mr. Harwin and Mr. Kiselak may be deemed beneficial
owners, for purposes of Section 13(d) of the Act, of any securities
of the Issuer beneficially owned by Fairmount. Fairmount, Mr.
Harwin, and Mr. Kiselak disclaim beneficial ownership of the
securities reported in this Schedule 13G Statement (the
“Statement”) other than for the purpose of determining their
obligations under Section 13(d) of the Act, and the filing of the
Statement shall not be deemed an admission that any of Fairmount,
Mr. Harwin, or Mr. Kiselak is the beneficial owner of such
securities for any other purpose.
|
(b) |
Address of Principal Business
Office: The principal business office of the Reporting Persons
is c/o Fairmount Funds Management LLC, 200 Barr Harbor Drive, Suite
400, West Conshohocken, PA 19428. |
|
(c) |
Citizenship: Fairmount is a
Delaware limited liability company. Mr. Harwin is a United States
citizen. Mr. Kiselak is a Slovak Republic citizen. |
|
(d) |
Title of Class of
Securities: Common stock, Par Value $0.0001 (“Common
Stock”) |
|
(e) |
CUSIP Number: 05464T104 |
|
Item 3. |
If this statement is filed
pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether
the person filing is a: |
Not applicable.
(a) |
¨ |
Broker
or dealer registered under section 15 of the Act (15 U.S.C.
78o); |
|
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|
(b) |
¨ |
Bank
as defined in section 3(a)(6) of the Act (15 U.S.C.
78c); |
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|
(c) |
¨ |
Insurance
company as defined in section 3(a)(19) of the Act (15 U.S.C.
78c); |
|
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(d) |
¨ |
Investment
company registered under section 8 of the Investment Company Act of
1940 (15 U.S.C. 80a-8); |
|
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|
(e) |
¨ |
An
investment adviser in accordance with
§240.13d-1(b)(1)(ii)(E); |
|
|
|
(f) |
¨ |
An
employee benefit plan or endowment fund in accordance with
§240.13d-1(b)(1)(ii)(F); |
(g) |
¨ |
A
parent holding company or control person in accordance with
§240.13d-1(b)(1)(ii)(G); |
|
|
|
(h) |
¨ |
A
savings association as defined in Section 3(b) of the Federal
Deposit Insurance Act (12 U.S.C. 1813); |
|
|
|
(i) |
¨ |
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); |
|
|
|
(j) |
¨ |
A
non-U.S. institution in accordance with
§240.13d-1(b)(1)(ii)(J); |
|
|
|
(k) |
¨ |
Group,
in accordance with §240.13d-1(b)(1)(ii)(K). If filing as a non-U.S.
institution in accordance with §240.13d-1(b)(1)(ii)(J), please
specify the type of institution: _______________. |
Provide the following information regarding the aggregate number
and percentage of the class of securities of the issuer identified
in Item 1.
|
(a) |
Amount Beneficially Owned: |
See the response(s) to Item 9 on the attached cover page(s).
See the response(s) to Item 11 on the attached cover page(s).
|
(c) |
Number of shares as to which such
person has: |
|
(i) |
sole power to vote or to direct the
vote: |
See the response(s) to Item 5 on the attached cover page(s).
|
(ii) |
shared power to vote or to direct
the vote |
See the response(s) to Item 6 on the attached cover page(s).
|
(iii) |
sole power to dispose or to direct
the disposition of |
See the response(s) to Item 7 on the attached cover page(s).
|
(iv) |
shared power to dispose or to
direct the disposition of |
See the response(s) to Item 8 on the attached cover page(s).
|
Item 5. |
Ownership of Five Percent or Less of a Class |
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 x.
|
Item 6. |
Ownership of More than Five Percent on Behalf of Another
Person |
Not applicable.
|
Item 7. |
Identification and Classification of the Subsidiary Which
Acquired the Security Being Reported on By the Parent Holding
Company or Control Person |
Not applicable.
|
Item 8. |
Identification and Classification of Members of the
Group |
Not applicable.
|
Item 9. |
Notice of Dissolution of Group |
Not applicable.
By signing below I certify that, to the best of my 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, other
than activities solely in connection with a nomination under §
240.14a-11.
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.
Dated: February 14, 2023
|
FAIRMOUNT
FUNDS MANAGEMENT LLC |
|
|
|
|
|
By: |
|
/s/ Peter Harwin
|
/s/Tomas Kiselak
|
|
Name: |
|
Peter
Harwin |
Tomas
Kiselak |
|
Title: |
|
Managing
Member |
Managing
Member |
|
PETER
HARWIN |
|
|
|
|
By: |
|
/s/ Peter Harwin
|
|
TOMAS
KISELAK |
|
|
|
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By: |
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/s/Tomas Kiselak
|
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FAIRMOUNT HEALTHCARE FUND II L.P.
By: Fairmount Healthcare Fund II GP LLC
|
|
|
|
|
|
By: |
|
/s/ Peter Harwin
|
/s/Tomas Kiselak
|
|
Name: |
|
Peter
Harwin |
Tomas
Kiselak |
|
Title: |
|
Member |
Member |
Exhibit A
Joint Filing Agreement
In accordance with Rule 13d-1(k)(1) under the Securities Exchange
Act of 1934, as amended, the undersigned and each other person
executing this joint filing agreement (this “Agreement”) agree as
follows:
(i) The undersigned and each other person executing this Agreement
are individually eligible to use the Schedule 13G to which this
Exhibit is attached and such Schedule 13G is filed on behalf of the
undersigned and each other person executing this Agreement; and
(ii) The undersigned and each other person executing this Agreement
are responsible for the timely filing of such Schedule 13G and any
amendments thereto, and for the completeness and accuracy of the
information concerning such person contained therein; but none of
the undersigned or any other person executing this Agreement is
responsible for the completeness or accuracy of the information
statement concerning any other persons making the filing, unless
such person knows or has reason to believe that such information is
inaccurate.
This Agreement may be executed in any number of counterparts, each
of which shall be deemed to be an original, but all of which, taken
together, shall constitute one and the same instrument.
Dated: February 14, 20232
|
FAIRMOUNT
FUNDS MANAGEMENT LLC |
|
|
|
|
|
By: |
|
/s/ Peter Harwin
|
/s/Tomas Kiselak
|
|
Name: |
|
Peter
Harwin |
Tomas
Kiselak |
|
Title: |
|
Managing
Member |
Managing
Member |
|
PETER
HARWIN |
|
|
|
|
By: |
|
/s/ Peter Harwin
|
|
TOMAS
KISELAK |
|
|
|
|
By: |
|
/s/Tomas Kiselak
|
|
FAIRMOUNT HEALTHCARE FUND II L.P.
By: Fairmount Healthcare Fund II GP LLC
|
|
|
|
|
|
By: |
|
/s/ Peter Harwin
|
/s/Tomas Kiselak
|
|
Name: |
|
Peter
Harwin |
Tomas
Kiselak |
|
Title: |
|
Member |
Member |
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