Statement of Changes in Beneficial Ownership (4)
June 22 2021 - 6:41PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
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SINGER DAVID B |
2. Issuer Name and Ticker or Trading Symbol
Seer, Inc.
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SEER
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
ONE LETTERMAN DRIVE, BUILDING D,, SUITE DM100 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
6/17/2021 |
(Street)
SAN FRANCISCO, CA 94129
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Stock Option (right to buy) | $33.74 | 6/17/2021 | | A | | 15000 | | (1) | 6/17/2031 | Class A Common Stock | 15000 | $0.00 | 15000 | D (2) | |
Explanation of Responses: |
(1) | Shares subject to the option vest on the earlier of (i) June 17, 2022 or (ii) the day prior to the date of the Issuer's next annual meeting of stockholders. |
(2) | The reporting person is a Managing Partner of Maverick Capital Ventures, LLC (Maverick Ventures), the general partner of Maverick Ventures Investment Fund, L.P. and Maverick Advisors Fund, L.P. The reporting person is deemed to hold the reported stock option for the benefit of the Maverick Ventures, which entity is entitled to the shares of Class A Common Stock issued upon exercise. Maverick Ventures may be deemed the indirect beneficial owner of this stock option, and the reporting person may be deemed the indirect beneficial owner of the option through his indirect interest in Maverick Ventures. The reporting person disclaims beneficial ownership of the stock option except to the extent of his pecuniary interest therein. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
SINGER DAVID B ONE LETTERMAN DRIVE, BUILDING D, SUITE DM100 SAN FRANCISCO, CA 94129 | X |
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Signatures
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/s/ Elona Kogan, by power of attorney | | 6/21/2021 |
**Signature of Reporting Person | Date |
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