SEC FORM
3/A
SEC Form 3
FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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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OMB APPROVAL |
OMB Number: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 04/06/2016
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3. Issuer Name and Ticker or Trading Symbol
Aeglea BioTherapeutics, Inc.
[ AGLE ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
X |
10% Owner |
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Officer (give title below) |
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Other (specify below) |
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5. If Amendment, Date of Original Filed
(Month/Day/Year) 04/06/2016
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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Common Stock |
57,619 |
I |
by fund
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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 Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Series A Preferred Stock |
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Common Stock |
890,476 |
0.0
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I |
by fund
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Series B Preferred Stock |
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Common Stock |
1,120,448 |
0.0
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I |
by fund
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
115 W. WASHINGTON STREET |
SUITE 1680 SOUTH |
(Street)
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1. Name and Address of Reporting Person*
C/O LILLY VENTURES |
115 W. WASHINGTON STREET, STE 1680 SOUTH |
(Street)
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Explanation of Responses: |
Remarks: |
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Tiffany R. Benjamin, Authorized Person, authorization on file |
04/14/2016 |
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** Signature of Reporting Person |
Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* If the form is filed by more than one reporting person,
see
Instruction
5
(b)(v). |
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
Lilly Ventures Fund I, LLC
115 West Washington Street
Suite 1680-South
Indianapolis, Indiana 46204
Securities and Exchange Commission
Washington, D.C. 20549
AuthorizationRegardingReportingForms
I hereby authorize and designate the following persons to sign and file with the Commission on behalf of Lilly Ventures Fund I, LLC Forms relating to Section 16 and Schedule 13D or 13G of the Securities Exchange Act of 1934 and the rules thereunder:
James B. Lootens, Lilly Corporate Center, Indianapolis, Indiana
Bronwen Mantlo, Lilly Corporate Center, Indianapolis, Indiana
Tiffany R. Benjamin, Lilly Corporate Center, Indianapolis, Indiana
Eric M. Zinn, Lilly Corporate Center, Indianapolis, Indiana
This authorization and designation shall remain in effect until a written revocation is signed by me and provided to the Commission.
April 14, 2016
/s/ S. Edward Torres on behalf of Lilly Ventures Fund I, LLC
Shanafelt Armen
115 West Washington Street
Suite 1680-South
Indianapolis, Indiana 46204
Securities and Exchange Commission
Washington, D.C. 20549
Authorization Regarding Reporting Forms
I hereby authorize and designate the following persons to sign and file with the Commission on my behalf Forms relating to Section 16 and Schedule 13D or 13G of the Securities Exchange Act of 1934 and the rules thereunder:
James B. Lootens, Lilly Corporate Center, Indianapolis, Indiana
Bronwen Mantlo, Lilly Corporate Center, Indianapolis, Indiana
Tiffany R. Benjamin, Lilly Corporate Center, Indianapolis, Indiana
Eric M. Zinn, Lilly Corporate Center, Indianapolis, Indiana
This authorization and designation shall remain in effect until a written revocation is signed by me and provided to the Commission.
April 14, 2016
/s/ Shanafelt Armen
S. Edward Torres
115 West Washington Street
Suite 1680-South
Indianapolis, Indiana 46204
Securities and Exchange Commission
Washington, D.C. 20549
AuthorizationRegardingReportingForms
I hereby authorize and designate the following persons to sign and file with the Commission on my behalf Forms relating to Section 16 and Schedule 13D or 13G of the Securities Exchange Act of 1934 and the rules thereunder:
James B. Lootens, Lilly Corporate Center, Indianapolis, Indiana
Bronwen Mantlo, Lilly Corporate Center, Indianapolis, Indiana
Tiffany R. Benjamin, Lilly Corporate Center, Indianapolis, Indiana
Eric M. Zinn, Lilly Corporate Center, Indianapolis, Indiana
This authorization and designation shall remain in effect until a written revocation is signed by me and provided to the Commission.
April 14, 2016
/s/ S. Edward Torres