Sec Form 3 Filing - Northpond Ventures GP, LLC @ DICE Therapeutics, Inc. - 2021-09-14

Insider filing report for Changes in Beneficial Ownership
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FORM 3
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
Northpond Ventures GP, LLC
2. Issuer Name and Ticker or Trading Symbol
DICE Therapeutics, Inc. [ DICE]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
7500 OLD GEORGETOWN ROAD, SUITE 850
3. Date of Earliest Transaction (MM/DD/YY)
09/14/2021
(Street)
BETHESDA, MD20814
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
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 Convertible Preferred Stock ( 1 ) ( 1 ) ( 1 ) Common Stock 1,735,388 I By: Northpond Ventures, LP ( 4 )
Series C Convertible Preferred Stock ( 2 ) ( 2 ) ( 2 ) Common Stock 867,687 I By: Northpond Ventures, LP ( 4 )
Series C-1 Convertible Preferred Stock ( 3 ) ( 3 ) ( 3 ) Common Stock 454,796 I By: Northpond Ventures II, LP ( 5 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Northpond Ventures GP, LLC
7500 OLD GEORGETOWN ROAD, SUITE 850
BETHESDA, MD20814
X
Northpond Ventures, LP
7500 OLD GEORGETOWN ROAD, SUITE 850
BETHESDA, MD20814
X
Northpond Ventures GP II, LLC
7500 OLD GEORGETOWN ROAD, SUITE 850
BETHESDA, MD20814
X
Northpond Ventures II, LP
7500 OLD GEORGETOWN ROAD, SUITE 850
BETHESDA, MD20814
X
Rubin Michael P.
7500 OLD GEORGETOWN ROAD, SUITE 850
BETHESDA, MD20814
X
Signatures
Northpond Ventures GP, LLC By: /s/ Patrick Smerkers, Senior Vice President, Finance and Operations 09/14/2021
Signature of Reporting Person Date
Northpond Ventures, LP By: Northpond Ventures GP, LLC, its general partner By: /s/ Patrick Smerkers, Senior Vice President, Finance and Operations 09/14/2021
Signature of Reporting Person Date
Northpond Ventures GP II, LLC By: /s/ Patrick Smerkers, Senior Vice President, Finance and Operations 09/14/2021
Signature of Reporting Person Date
Northpond Ventures II, LP By: Northpond Ventures GP II, LLC, its general partner By: /s/ Patrick Smerkers, Senior Vice President, Finance and Operations 09/14/2021
Signature of Reporting Person Date
/s/ Michael P. Rubin 09/14/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )All shares of Series B Convertible Preferred Stock, par value $0.0001 per share (the "Series B Convertible Preferred Stock"), of DICE Therapeutics, Inc. (the "Issuer") will automatically convert on a one-for-one basis into shares of the Issuer's common stock, par value $0.0001 per share (the "Common Stock") prior to the closing of the Issuer's initial public offering of its Common Stock. The Series B Convertible Preferred Stock has no expiration date.
( 2 )All shares of Series C Convertible Preferred Stock, par value $0.0001 per share (the "Series C Convertible Preferred Stock"), of the "Issuer will automatically convert on a one-for-one basis into shares of the Issuer's Common Stock prior to the closing of the Issuer's initial public offering of its Common Stock. The Series C Preferred Stock has no expiration date.
( 3 )All shares of Series C-1 Convertible Preferred Stock, par value $0.0001 per share (the "Series C-1 Convertible Preferred Stock"), of the "Issuer will automatically convert on a one-for-one basis into shares of the Issuer's Common Stock prior to the closing of the Issuer's initial public offering of its Common Stock. The Series C-1 Preferred Stock has no expiration date.
( 4 )Northpond Ventures GP, LLC ("Northpond GP LLC") is the general partner of Northpond Ventures, LP ("Northpond Fund"), and Michael P. Rubin is the managing member of Northpond GP LLC. As a result, each of Northpond GP LLC and Mr. Rubin may be deemed to share beneficial ownership with respect to the shares held of record by Northpond Fund. Each of Northpond GP LLC and Mr. Rubin disclaim beneficial ownership of the securities reported herein, except to the extent of such Reporting Person's pecuniary interest therein, if any.
( 5 )Northpond Ventures GP II, LLC ("Northpond GP II LLC") is the general partner of Northpond Ventures II, LP ("Northpond Fund II"), and Michael P. Rubin is the managing member of Northpond GP II LLC. As a result, each of Northpond GP II LLC and Mr. Rubin may be deemed to share beneficial ownership with respect to the shares held of record by Northpond Fund II. Each of Northpond GP II LLC and Mr. Rubin disclaim beneficial ownership of the securities reported herein, except to the extent of such Reporting Person's pecuniary interest therein, if any.

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