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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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*
PAPPAS ARTHUR M

(Last) (First) (Middle)
P.O. BOX 110287

(Street)
RESEARCH TRIANGLE PARK NC 27709

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Liquidia Technologies Inc [ LQDA ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
07/30/2018
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 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, par value $0.001 per share 07/30/2018 C 191,788 A (1) 191,788 I See footnotes(2)(5)
Common Stock, par value $0.001 per share 07/30/2018 C 97,287 A (3) 289,075 I See footnotes(4)(5)
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 (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 Securities Underlying Derivative Security (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: 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 C Preferred Stock, par value $0.001 per share (1) 07/30/2018 C 1,481,553 (1) (1) Common Stock 191,788 $0 0 I See footnotes(2)(5)
Series D Preferred Stock, par value $0.001 per share (3) 07/30/2018 C 1,637,091 (3) (3) Common Stock 97,287 $0 0 I See footnotes(4)(5)
1. Name and Address of Reporting Person*
PAPPAS ARTHUR M

(Last) (First) (Middle)
P.O. BOX 110287

(Street)
RESEARCH TRIANGLE PARK NC 27709

(City) (State) (Zip)
1. Name and Address of Reporting Person*
A.M. Pappas Life Science Ventures IV LP

(Last) (First) (Middle)
P.O. BOX 110287

(Street)
RESEARCH TRIANGLE PARK NC 27709

(City) (State) (Zip)
1. Name and Address of Reporting Person*
PV IV CEO Fund, L.P.

(Last) (First) (Middle)
P.O. BOX 110287

(Street)
RESEARCH TRIANGLE PARK NC 27709

(City) (State) (Zip)
1. Name and Address of Reporting Person*
AMP&A Management IV, LLC

(Last) (First) (Middle)
P.O. BOX 110287

(Street)
RESEARCH TRIANGLE PARK NC 27709

(City) (State) (Zip)
1. Name and Address of Reporting Person*
PAPPAS CAPITAL, LLC

(Last) (First) (Middle)
P.O. BOX 110287

(Street)
RESEARCH TRIANGLE PARK NC 27709

(City) (State) (Zip)
Explanation of Responses:
1. The Series C Preferred Stock, par value $0.001 per share, converted into Common Stock, par value $0.001 per share, on approximately a 0.1295-for-1 basis and had no expiration date.
2. 1,414,240 shares of Series C Preferred Stock, converted into 183,074 shares of Common Stock, are held of record by A.M. Pappas Life Science Ventures IV, L.P. ("Pappas Ventures"), and 67,313 shares of Series C Preferred Stock, converted into 8,714 shares of Common Stock, are held of record by PV IV CEO Fund, L.P. (the "CEO Fund" and, together with Pappas Ventures, the "Funds").
3. The Series D Preferred Stock, par value $0.001 per share, converted into Common Stock, par value $0.001 per share, on approximately a 0.0594-for-1 basis and had no expiration date.
4. 1,562,712 shares of Series D Preferred Stock, converted into 92,867 shares of Common Stock, are held of record by Pappas Ventures, and 74,379 shares of Series D Preferred Stock, converted into 4,420 shares of Common Stock, are held by the CEO Fund.
5. AMP&A Management IV, LLC ("Management IV") is the general partner of each of the Funds and has a management agreement with Pappas Capital, LLC ("Pappas Capital") whereby Pappas Capital provides management services for the Funds. As a result, Pappas Capital's investment committee exercises sole dispositive and voting power over the securities owned by the Funds. Mr. Arthur Pappas is the sole managing member of Pappas Capital. By virtue of these relationships, Management IV, Pappas Capital and Mr. Pappas may be deemed to beneficially own the securities owned directly by the Funds. Each of Management IV, Pappas Capital and Mr. Pappas disclaims beneficial ownership of such securities except to the extent of its or his respective pecuniary interest therein.
/s/ Amanda Keister, attorney-in-fact for Arthur M. Pappas 08/01/2018
/s/ Amanda Keister, attorney-in-fact for A.M. Pappas Life Science Ventures IV, LP 08/01/2018
/s/ Amanda Keister, attorney-in-fact for PV IV CEO Fund, LP 08/01/2018
/s/ Amanda Keister, attorney-in-fact for AMP&A Management IV, LLC 08/01/2018
/s/ Amanda Keister, attorney-in-fact for Pappas Capital, LLC 08/01/2018
** Signature of Reporting Person Date
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