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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 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 (Month/Day/Year) |
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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
VAN HERK INVESTMENTS B.V. LICHTENAUERLAAN 30 ROTTERDAM, P7 3062 ME |
X | |||
Van Herk Private Equity Investments B.V. LICHTENAUERLAAN 30 ROTTERDAM, P7 3062 ME |
X | |||
Van Herk Management Services B.V. LICHTENAUERLAAN 30 ROTTERDAM, P7 3062 ME |
X | |||
Onroerend Goed Beheer- en Beleggingsmaatschappij A. van Herk B.V. LICHTENAUERLAAN 30 ROTTERDAM, P7 3062 ME |
X | |||
A. van Herk Holding B.V. LICHTENAUERLAAN 30 ROTTERDAM, P7 3062 ME |
X | |||
Stichting Administratiekantoor Abchrys LICHTENAUERLAAN 30 ROTTERDAM, P7 3062 ME |
X | |||
van Herk Adrianus LICHTENAUERLAAN 30 ROTTERDAM, P7 3062 ME |
X | |||
Stichting Administratiekantoor Penulata LICHTENAUERLAAN 30 ROTTERDAM, P7 3062 ME |
X |
Van Herk Investments B.V. By: /s/ Erik G. A. Esveld, Attorney-In-Fact* | 10/19/2018 | |
**Signature of Reporting Person | Date | |
Van Herk Private Equity Investments B.V. By: /s/ Erik G. A. Esveld, Attorney-In-Fact* | 10/19/2018 | |
**Signature of Reporting Person | Date | |
Stichting Administratiekantoor Penulata By: /s/ Erik G. A. Esveld, Attorney-In-Fact* | 10/19/2018 | |
**Signature of Reporting Person | Date | |
Van Herk Management Services B.V. By: /s/ Erik G. A. Esveld, Attorney-In-Fact* | 10/19/2018 | |
**Signature of Reporting Person | Date | |
Onroerend Goed Beheer- en Beleggingsmaatschappij A. van Herk B.V. By: /s/ Erik G. A. Esveld, Attorney-In-Fact* | 10/19/2018 | |
**Signature of Reporting Person | Date | |
A. van Herk Holding B.V. By: /s/ Erik G. A. Esveld, Attorney-In-Fact* | 10/19/2018 | |
**Signature of Reporting Person | Date | |
Stichting Administratiekantoor Abchrys By: /s/ Erik G. A. Esveld, Attorney-In-Fact* | 10/19/2018 | |
**Signature of Reporting Person | Date | |
Adrianus van Herk /s/ Erik G. A. Esveld, Attorney-In-Fact* | 10/19/2018 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | These securities are held by Van Herk Investments B.V., a private company with limited liability incorporated under the laws of the Netherlands ("VHI"). This statement is being filed by (i) VHI, (ii) Van Herk Private Equity Investments B.V., a private company with limited liability incorporated under the laws of the Netherlands ("VHPI"), (iii) Stichting Administratiekantoor Penulata, a foundation organized under the laws of the Netherlands ("Penulata"), (iv) Van Herk Management Services B.V., a private company with limited liability incorporated under the laws of the Netherlands ("VHMS"), (v) Onroerend Goed Beheer- en Beleggingsmaatschappij A. van Herk B.V., a private company with limited liability incorporated under the laws of the Netherlands ("OGBBA"), (vi) A. van Herk Holding B.V., a private company with limited liability incorporated under the laws of the Netherlands ("Holdings"), Footnote (1) continued in Footnote (2). |
(2) | Footnote (2) continued from Footnote (1). (vii) Stichting Administratiekantoor Abchrys, a foundation organized under the laws of the Netherlands ("Abchrys"), and (viii) Adrianus van Herk ("Mr. van Herk"). Mr. van Herk is (i) an investor, (ii) the holder of all of the depositary receipts issued by Penulata and Abchrys, (iii) the sole board member of Penulata and Abchrys, and (iii) the sole managing director of VHMS, OGBBA and Holdings. Penulata holds substantially all of the issued and outstanding shares of VHPI. VHPI is the sole shareholder of VHI. VHI is principally engaged in making investments. Abchrys holds substantially all of the issued and outstanding shares of Holdings. Holdings is the sole shareholder of OGBBA. OGBBA is the sole shareholder of VHMS and is principally engaged in making investments. Footnote (2) continued in Footnote (3). |
(3) | Footnote (3) continued from Footnote (2). VHMS is the sole managing director of VHI and VHPI. Each of Mr. van Herk, VHPI, Penulata, VHMS, OGBBA, Holdings and Abchrys disclaims beneficial ownership of the securities covered by this statement except to the extent of their pecuniary interest therein, if any, and this statement shall not be deemed an admission that any of them is a beneficial owner of such securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose. |
Remarks: * Pursuant to a Power of Attorney, dated as of February 27, 2018, by and among the Reporting Persons. Exhibit 24.1 Power of Attorney, dated as of February 27, 2018, by and among the Reporting Persons, incorporated herein by reference to Exhibit 3 to Schedule 13D/A filed by the Reporting Persons on March 13, 2018 with respect to Ablynx NV (File No. 005-90201). |