Sec Form 4 Filing - RA CAPITAL MANAGEMENT, LLC @ G1 Therapeutics, Inc. - 2017-05-22

Insider filing report for Changes in Beneficial Ownership
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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
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
RA CAPITAL MANAGEMENT, LLC
2. Issuer Name and Ticker or Trading Symbol
G1 Therapeutics, Inc. [ GTHX]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
_____ Officer (give title below) X __ Other (specify below)
Fmr 10% Owner See Footnote (2)
(Last) (First) (Middle)
20 PARK PLAZA, SUITE 1200,
3. Date of Earliest Transaction (MM/DD/YY)
05/22/2017
(Street)
BOSTON, MA02116
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_____ Form filed by One Reporting Person
__ X __ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 05/22/2017 C 1,723,304 A 1,723,304 I See footnotes ( 1 ) ( 2 )
Common Stock 05/22/2017 C 560,940 ( 3 ) A 2,284,244 I See footnotes ( 2 )
Common Stock 05/22/2017 P 400,000 ( 6 ) A $ 15 2,684,244 ( 7 ) I See footnote ( 2 )
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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
Series B Preferred Stock ( 4 ) 05/22/2017 C 5,169,916 ( 8 ) ( 4 ) ( 4 ) Common Stock 1,723,304 $ 1.4507 0 I See footnotes ( 1 ) ( 2 )
Series C Preferred Stock ( 5 ) 05/22/2017 C 1,682,822 ( 9 ) ( 5 ) ( 5 ) Common Stock 560,940 ( 3 ) $ 2.9712 0 I See footnotes ( 2 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
RA CAPITAL MANAGEMENT, LLC
20 PARK PLAZA, SUITE 1200
BOSTON, MA02116
Fmr 10% Owner See Footnote (2)
RA Capital Healthcare Fund LP
C/O RA CAPITAL MANAGEMENT, LLC
20 PARK PLAZA, SUITE 1200
BOSTON, MA02116
Fmr 10% Owner See Footnote (2)
Kolchinsky Peter
C/O RA CAPITAL MANAGEMENT, LLC
20 PARK PLAZA, SUITE 1200
BOSTON, MA02116
Fmr 10% Owner See Footnote (2)
Signatures
/s/ Peter Kolchinsky, Manager of RA Capital Management, LLC 05/24/2017
Signature of Reporting Person Date
/s/ Peter Kolchinsky, individually 05/24/2017
Signature of Reporting Person Date
/s/ Peter Kolchinsky, Manager of RA Capital Management, LLC, the General Partner of RA Capital Healthcare Fund, L.P. 05/24/2017
Signature of Reporting Person Date
Explanation of Responses:
( 1 )These securities are held by RA Capital Healthcare Fund, L.P. (the "Fund").
( 2 )RA Capital Management, LLC ("Adviser") is the general partner of the Fund and the investment adviser for a separately managed account (the "Account"). Peter Kolchinsky is the manager of Adviser. Adviser and Dr. Kolchinsky may be deemed indirect beneficial owners of the reported securities and disclaim beneficial ownership thereof: (A) in reliance on Rule 16a-1(a)(1)(v) and (vii); and (B) held by Fund, for purposes of Rule 16a-1(a)(2), except to the extent of their pecuniary interest therein. Adviser and Dr. Kolchinsky have no pecuniary interest in the reported securities held in the Account and disclaim: (A) beneficial ownership thereof for purposes of Rule 16a-1(a)(2); and (B) any filing obligations under Section 16 other than as a director by deputization and a director, respectively. This Form 4 shall not be construed as an admission that Adviser or Dr. Kolchinsky is or was under Section 16(a), or otherwise, the beneficial owner of any of the reported securities.
( 3 )These securities include 453,801 shares held by the Fund and 107,139 shares held in the Account.
( 4 )Each share of the Series B Preferred Stock converted into Common Stock on a 1-for-3 basis automatically upon the closing of the Issuer's initial public offering, and had no expiration date.
( 5 )Each share of the Series C Preferred Stock converted into Common Stock on a 1-for-3 basis automatically upon the closing of the Issuer's initial public offering, and had no expiration date.
( 6 )These securities include 322,895 shares held by the Fund and 77,105 shares held in the Account.
( 7 )These securities include 2,500,000 shares held by the Fund and 184,244 shares held in the Account.
( 8 )These shares are held by the Fund.
( 9 )These securities include 1,361,403 shares held by the Fund and 321,419 shares held in the Account.

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