SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Gould Terry P

(Last) (First) (Middle)
C/O APTINYX INC.
909 DAVIS STREET, SUITE 600

(Street)
EVANSTON IL 60201

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/20/2018
3. Issuer Name and Ticker or Trading Symbol
Aptinyx Inc. [ APTX ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 249,791 I See footnote(1)(12)
Common Stock 216,053 I See footnote(2)(12)
Common Stock 122,728 I See footnote(3)(12)
Common Stock 106,754 I See footnote(4)(12)
Common Stock 52,139 I See footnote(5)(12)
Common Stock 39,440 I See footnote(7)(12)
Common Stock 53,646 I See footnote(8)(12)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Series A-1 Convertible Preferred Stock (6) (6) Common Stock 159,749 (6) I See footnote(5)(12)
Series A-2 Convertible Preferred Stock (6) (6) Common Stock 182,568 (6) I See footnote(5)(12)
Series B Convertible Preferred Stock (6) (6) Common Stock 121,331 (6) I See footnote(5)(12)
Series A-1 Convertible Preferred Stock (6) (6) Common Stock 120,841 (6) I See footnote(7)(12)
Series A-2 Convertible Preferred Stock (6) (6) Common Stock 138,103 (6) I See footnote(7)(12)
Series B Convertible Preferred Stock (6) (6) Common Stock 91,781 (6) I See footnote(7)(12)
Series A-1 Convertible Preferred Stock (6) (6) Common Stock 164,365 (6) I See footnote(8)(12)
Series A-2 Convertible Preferred Stock (6) (6) Common Stock 187,844 (6) I See footnote(8)(12)
Series B Convertible Preferred Stock (6) (6) Common Stock 124,838 (6) I See footnote(8)(12)
Series A-1 Convertible Preferred Stock (6) (6) Common Stock 126,168 (6) I See footnote(9)(12)
Series A-2 Convertible Preferred Stock (6) (6) Common Stock 144,192 (6) I See footnote(9)(12)
Series B Convertible Preferred Stock (6) (6) Common Stock 95,827 (6) I See footnote(9)(12)
Series A-1 Convertible Preferred Stock (6) (6) Common Stock 109,921 (6) I See footnote(10)(12)
Series A-2 Convertible Preferred Stock (6) (6) Common Stock 125,623 (6) I See footnote(10)(12)
Series B Convertible Preferred Stock (6) (6) Common Stock 83,487 (6) I See footnote(10)(12)
Series A-1 Convertible Preferred Stock (6) (6) Common Stock 366,404 (6) I See footnote(11)(12)
Series A-2 Convertible Preferred Stock (6) (6) Common Stock 418,745 (6) I See footnote(11)(12)
Series B Convertible Preferred Stock (6) (6) Common Stock 278,290 (6) I See footnote(11)(12)
Explanation of Responses:
1. The shares are held directly by Adams Street 2008 Direct Fund, L.P. ("AS 2008").
2. The shares are held directly by Adams Street 2009 Direct Fund, L.P. ("AS 2009").
3. The shares are held directly by Adams Street 2010 Direct Fund, L.P. ("AS 2010").
4. The shares are held directly by Adams Street 2011 Direct Fund LP ("AS 2011").
5. The shares are held directly by Adams Street 2012 Direct Fund LP ("AS 2012").
6. All series of convertible preferred stock will automatically convert into the number of shares of the Issuer's common stock on a 27.58621-for-1 basis immediately prior to the closing of the Issuer's initial public offering and have no expiration date.
7. The shares are held directly by Adams Street 2013 Direct Fund LP ("AS 2013").
8. The shares are held directly by Adams Street 2014 Direct Fund LP ("AS 2014").
9. The shares are held directly by Adams Street 2015 Direct Venture/Growth Fund LP ("AS 2015").
10. The shares are held directly by Adams Street 2016 Direct Venture/Growth Fund LP ("AS 2016").
11. The shares are held directly by Adams Street Venture/Growth Fund VI, LP ("ASVG VI").
12. Adams Street Partners, LLC is the managing member of the general partner of each of AS 2008, AS 2009, and AS 2010, and the managing member of the general partner of the general partner of AS 2011, AS 2012, AS 2013, AS 2014, AS 2015, AS 2016 and ASVG VI. Thomas S. Bremner, Jeffrey T. Diehl, Elisha P. Gould III, Robin P. Murray, Fred Wang and Michael R. Zappert, each of whom is a partner of Adams Street Partners, LLC (or subsidiary thereof), may be deemed to have shared voting and investment power over the above-listed shares. Mr. Gould is a member of the Issuer's Board of Directors. Adams Street Partners, LLC and Thomas S. Bremner, Jeffrey T. Diehl, Elisha P. Gould III, Robin P. Murray, Fred Wang and Michael R. Zappert disclaim beneficial ownership of the shares held by each of the aforementioned funds except to the extent of their pecuniary interests therein.
Remarks:
Exhibit 24 - Power of Attorney
/s/ Terry P. Gould 06/20/2018
** 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 5 (b)(v).
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