SEC FORM
4
SEC Form 4
FORM 4 |
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 or Section 30(h) of the Investment Company Act of 1940
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OMB APPROVAL |
OMB Number: |
3235-0287 |
Estimated average burden |
hours per response: |
0.5 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b). |
1. Name and Address of Reporting Person*
1700 OWENS STREET |
SUITE 500 |
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Revolution Medicines, Inc.
[ RVMD ]
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5. 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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3. Date of Earliest Transaction
(Month/Day/Year) 11/16/2020
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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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 Acquired, Disposed of, or Beneficially Owned |
1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction 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 |
V |
Amount |
(A) or (D) |
Price |
Common Stock |
11/16/2020 |
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S |
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952,023 |
D |
$36.4
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2,151,026 |
D
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Common Stock |
11/16/2020 |
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S |
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1,075,133 |
D |
$36.4
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2,429,180 |
I |
See Footnote
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Common Stock |
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685,011 |
I |
See Footnote
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Common Stock |
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685,011 |
I |
See Footnote
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
1. Name and Address of Reporting Person*
1700 OWENS STREET |
SUITE 500 |
(Street)
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1. Name and Address of Reporting Person*
1700 OWENS STREET |
SUITE 500 |
(Street)
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1. Name and Address of Reporting Person*
1700 OWENS STREET |
SUITE 500 |
(Street)
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1. Name and Address of Reporting Person*
1700 OWENS STREET |
SUITE 500 |
(Street)
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1. Name and Address of Reporting Person*
1700 OWENS STREET |
SUITE 500 |
(Street)
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1. Name and Address of Reporting Person*
1700 OWENS STREET |
SUITE 500 |
(Street)
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1. Name and Address of Reporting Person*
1700 OWENS STREET |
SUITE 500 |
(Street)
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1. Name and Address of Reporting Person*
1700 OWENS STREET |
SUITE 500 |
(Street)
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1. Name and Address of Reporting Person*
1700 OWENS STREET |
SUITE 500 |
(Street)
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Explanation of Responses: |
Remarks: |
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/s/ James Evangelista, Attorney-in-fact |
11/18/2020 |
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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
4
(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. |
THE COLUMN GROUP, LLC
THE COLUMN GROUP GP, LP
THE COLUMN GROUP II GP, LP
THE COLUMN GROUP III GP, LP
THE COLUMN GROUP MANAGEMENT, LP
THE COLUMN GROUP II MANAGEMENT, LP
PONOI MANAGEMENT, LLC
PONOI II MANAGEMENT, LLC
TCG IV GP, LLC
THE COLUMN GROUP IV GP, LP
THE COLUMN GROUP, LP
THE COLUMN GROUP II, LP
THE COLUMN GROUP III, LP
THE COLUMN GROUP III-A, LP
PONOI CAPITAL, LP
PONOI CAPITAL II, LP
THE COLUMN GROUP IV, LP
THE COLUMN GROUP IV-A, LP
DAVID GOEDDEL
PETER SVENNILSON
TIM KUTZKEY
POWER OF ATTORNEY
Each of the undersigned, including (i) The Column Group GP, LP, The Column Group
II GP, LP, The Column Group III GP, LP, and The Column Group IV GP, LP ("TCG IV
GP"), each a Delaware limited partnership and Ponoi Management, LLC, Ponoi II
Management, LLC, and TGC IV GP, LLC, each a Delaware limited liability company
(collectively, the "General Partners"), in the normal course of their business
and in their respective capacities as the general partner of The Column Group,
LP, The Column Group II, LP, The Column Group III, LP, The Column Group III-A,
LP, Ponoi Capital, LP, Ponoi Capital II, LP, The Column Group IV, LP and The
Column Group IV-A, LP (collectively, the "Funds") and TCG IV GP, (ii) The Column
Group Management, LP, The Column Group II Management, LP and The Column Group,
LLC (collectively, the "Management Entities") and (iii) each of David Goeddel,
Peter Svennilson and Tim Kutzkey (collectively, the "Managing Individuals") in
their respective capacities as the managing members or managing partners of
certain of the General Partners and the Management Entities and individually as
solely related to the business and affairs of the General Partners, the Funds
and the Management Entities (as explicitly set forth herein), hereby constitutes
and approves James Evangelista as his or its true and lawful attorney-in-fact
to:
(1) Execute for and on behalf of the undersigned any and all documents,
agreements, filings, reports, consents, waivers or proxies, or
amendments or modifications to any of the foregoing requested by the
undersigned in connection with the conduct of the undersigned's
business;
(2) Do and perform any and all acts for and on behalf of the undersigned
which may be necessary or desirable to complete and execute any and all
such documents, agreements, filings, reports, consents, waivers, proxies
or amendments or modifications thereto;
(3) Execute for and on behalf of each of the undersigned (a "Reporting
Person") any and all reports, notices, communications and other
documents (including, but not limited to, reports on Schedule 13D,
Schedule 13F, Schedule 13G, Form 13H, Form 13-F, Form 3, Form 4 and Form
5) that such Reporting Person may be required to file with the United
States Securities and Exchange Commission pursuant to the Securities Act
of 1933, as amended, and the Securities Exchange Act of 1934, as amended
(collectively, the "Reports") with respect to each Reporting Person's
(a) status as an officer or director of, or (b) ownership of, or
transactions in, securities of, any entity whose securities are
beneficially owned (directly or indirectly) by the applicable Reporting
Person;
(4) Do and perform any and all acts for and on behalf of each of the
undersigned which may be necessary or desirable to complete and execute
any such Reports and timely file such forms and schedules with the
United States Securities and Exchange Commission and any other stock
exchange or similar authority; and
(5) Take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of
benefit to, in the best interest of, or legally required by, each of the
undersigned, it being understood that the documents executed by such
attorney-in-fact on behalf of the undersigned, pursuant to this Power of
Attorney, shall be in such form and shall contain such terms and
conditions as each such attorney-in-fact may approve in his discretion.
Each of the undersigned hereby grants to the Attorney-in-Fact full
power and authority to do and perform all and every act and thing whatsoever
requisite, necessary, and proper to be done in the exercise of any of the rights
and powers herein granted, as fully to all intents and purposes as the
undersigned might or could do if personally present, with full power of
substitution or revocation, hereby ratifying and confirming all that each such
attorney-in-fact, or his substitute or substitutes, shall lawfully do or cause
to be done by virtue of this Power of Attorney and the rights and powers herein
granted. Each of the undersigned acknowledges that no such attorney-in-fact, in
serving in such capacity at the request of the undersigned, is hereby assuming,
nor are the General Partners, any of the Funds, any of the Management Entities
or any of the Managing Individuals hereby assuming, any of the undersigned's
responsibilities under the laws of the United States or any state, including
without limitation, compliance with Section 16 or Section 13 of the Securities
Exchange Act of 1934, as amended.
This Power of Attorney shall remain in full force and effect until the
Attorney-in- Fact is separated from each of the undersigned, unless earlier
revoked by each of the undersigned in a signed writing delivered to the
Attorney-in-Fact.
IN WITNESS WHEREOF, each of the undersigned has caused this Power of
Attorney to be executed effective as of October 29, 2020.
By: /s/ David Goeddel
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David Goeddel, individually and in his capacity as a
Managing Individual of each of The Column Group, LLC, The
Column Group GP, LP, The Column Group II GP, LP, The
Column Group III GP, LP, The Column Group Management, LP,
The Column Group II Management, LP, Ponoi Management, LLC,
Ponoi II Management, LLC, TCG IV GP, LLC and The Column
Group IV GP, LP.
By: /s/ Peter Svennilson
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Peter Svennilson, individually and in his capacity as a
Managing Individual of each of The Column Group, LLC, The
Column Group GP, LP, The Column Group II GP, LP, The
Column Group III GP, LP, The Column Group Management, LP,
The Column Group II Management, LP, Ponoi Management, LLC,
Ponoi II Management, LLC, TCG IV GP, LLC and The Column
Group IV GP, LP.
By: /s/ Tim Kutzkey
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Tim Kutzkey, individually and in his capacity as a
Managing Individual of each of The Column Group, LLC, The
Column Group III GP, LP, The Column Group Management, LP,
Ponoi Management, LLC, Ponoi II Management, LLC, TCG IV
GP, LLC and The Column Group IV GP, LP.
THE COLUMN GROUP MANAGEMENT, LP
By: The Column Group, LLC, its General Partner
By: /s/ Peter Svennilson
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Name: Peter Svennilson
Title: Managing Member
THE COLUMN GROUP II MANAGEMENT, LP
By: The Column Group, LLC, its General Partner
By: /s/ Peter Svennilson
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Name: Peter Svennilson
Title: Managing Member