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*
SHV Management Services, LLC

(Last) (First) (Middle)
C/O SANTE VENTURES
201 WEST 5TH STREET, SUITE 1500

(Street)
AUSTIN TX 78701

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Molecular Templates, Inc. [ MTEM ]
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)
04/30/2020
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 04/30/2020 J(1) 1,000,000 D $0.00 6,897,298(2) I Held by Sante Health Ventures I, L.P.(3)
Common Stock 864,665 I Held by Sante Health Ventures I Annex Fund, L.P.(3)
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
1. Name and Address of Reporting Person*
SHV Management Services, LLC

(Last) (First) (Middle)
C/O SANTE VENTURES
201 WEST 5TH STREET, SUITE 1500

(Street)
AUSTIN TX 78701

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Cunningham Joe H

(Last) (First) (Middle)
C/O SANTE VENTURES
201 WEST 5TH STREET, SUITE 1500

(Street)
AUSTIN TX 78701

(City) (State) (Zip)
1. Name and Address of Reporting Person*
FRENCH DOUGLAS D

(Last) (First) (Middle)
C/O SANTE VENTURES
201 WEST 5TH STREET, SUITE 1500

(Street)
AUSTIN TX 78701

(City) (State) (Zip)
1. Name and Address of Reporting Person*
SHV Management Services, LP

(Last) (First) (Middle)
C/O SANTE VENTURES
201 WEST 5TH STREET, SUITE 1500

(Street)
AUSTIN TX 78701

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Sante Health Ventures I Annex Fund, LP

(Last) (First) (Middle)
C/O SANTE VENTURES
201 WEST 5TH STREET, SUITE 1500

(Street)
AUSTIN TX 78701

(City) (State) (Zip)
1. Name and Address of Reporting Person*
SHV Annex Services, LP

(Last) (First) (Middle)
C/O SANTE VENTURES
201 WEST 5TH STREET, SUITE 1500

(Street)
AUSTIN TX 78701

(City) (State) (Zip)
1. Name and Address of Reporting Person*
SANTE HEALTH VENTURES I LP

(Last) (First) (Middle)
C/O SANTE VENTURES
201 WEST 5TH STREET, SUITE 1500

(Street)
AUSTIN TX 78701

(City) (State) (Zip)
Explanation of Responses:
1. Sante Health Ventures I, LP distributed these shares to its partners on a pro rata basis, for no consideration.
2. SHV Management Services, LP is the general partner of Sante Health Ventures I, L.P., and owns a 5% interest therein. SHV Management Services, LP therefore received 50,000 of the shares distributed by Sante Health Ventures I, L.P and now owns those shares directly. The SHV Directors and SHV Management own those shares indirectly.
3. The securities held by Sante Health Ventures I, L.P. and Sante Health Ventures I Annex Fund, L.P. may be deemed to be beneficially owned by Joe Cunningham, M.D. and Douglas D. French, who are managing directors (the "SHV Directors") of SHV Management Services, LLC ("SHV Management"). SHV Management is the general partner of SHV Management Services, LP, which is the general partner of Sante Health Ventures I, L.P., and SHV Annex Services, LP, which is the general partner of Sante Health Ventures I Annex Fund, L.P. Each of the SHV Directors, SHV Management, SHV Management Services, LP and SHV Annex Services, LP disclaims beneficial ownership of the reported securities except to the extent of his or its pecuniary interest therein.
Remarks:
SHV MANAGEMENT SERVICES, LLC, By: /s/ Kevin Lalande, Its Managing Member 05/04/2020
/s/ Joe Cunningham, MD 05/04/2020
/s/ Douglas D. French 05/04/2020
SHV MANAGEMENT SERVICES, L.P., By: SHV Management Services, LLC, Its general partner, By: /s/ Kevin Lalande, Its Managing Member 05/04/2020
SANTE HEALTH VENTURES I ANNEX FUND, L.P., By: SHV Annex Services, LP, Its general partner, By: SHV Management Services, LLC, Its general partner, By: /s/ Kevin Lalande, Its Managing Member 05/04/2020
SHV ANNEX SERVICES, L.P., By: SHV Management Services, LLC, Its general partner, By: /s/ Kevin Lalande, Its Managing Member 05/04/2020
SANTE HEALTH VENTURES I, L.P., By: SHV Management Services, L.P., Its general partner, By: SHV Management Services, LLC, Its general partner, By: /s/ Kevin Lalande, Its Managing Member 05/04/2020
** 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).
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