SEC FORM 3 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*
Nanodimension Management Ltd

(Last) (First) (Middle)
GOVERNOR'S SQUARE, UNIT 3-213-62
23 LIME TREE BAY AVE

(Street)
GRAND CAYMAN E9 KY1-1302

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/21/2016
3. Issuer Name and Ticker or Trading Symbol
SELECTA BIOSCIENCES INC [ SELB ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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)
Form filed by One Reporting Person
X 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 23,167 I See Footnote(1)
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 B Convertible Preferred Stock (2) (2) Common Stock 315,729 (2) I See Footnote(1)
Series C Convertible Preferred Stock (2) (2) Common Stock 94,183 (2) I See Footnote(1)
Series D Convertible Preferred Stock (2) (2) Common Stock 83,596 (2) I See Footnote(1)
Series E Convertible Preferred Stock (2) (2) Common Stock 93,078 (2) I See Footnote(1)
Common Warrants 07/24/2015 07/24/2018 Common Stock 7,007 17.55 I See Footnote(1)
1. Name and Address of Reporting Person*
Nanodimension Management Ltd

(Last) (First) (Middle)
GOVERNOR'S SQUARE, UNIT 3-213-62
23 LIME TREE BAY AVE

(Street)
GRAND CAYMAN E9 KY1-1302

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Nanodimension Limited Partnership

(Last) (First) (Middle)
GOVERNOR'S SQUARE, UNIT 3-213-62
23 LIME TREE BAY AVE

(Street)
GRAND CAYMAN E9 KY1-1302

(City) (State) (Zip)
Explanation of Responses:
1. Held by NanoDimension L.P. ("ND LP"). NanoDimension Management Ltd., or ND GP, serves as the general partner of ND LP and possesses the power to direct the voting and disposition of the shares owned by ND LP and may be deemed to have indirect beneficial ownership of the shares held by ND LP. ND GP disclaims beneficial ownership of such shares, except to the extent of its pecuniary interest therein. Jonathan Nicholson and Richard Coles are the members of the board of directors of ND GP and share voting and dispositive power over the shares held by ND LP. Each reporting person disclaims beneficial ownership of the securities reported herein, except to the extent of their respective pecuniary interest therein.
2. The preferred stock is convertible at any time, at the holder's election and has no expiration date. The preferred stock will automatically convert into common stock upon the closing of the Issuer's initial public offering.
NanoDimension Management Ltd. By: /s/ Jonathan Nicholson, Director 06/21/2016
NanoDimension L.P. By: NanoDimension Management Ltd., its general partner By: /s/ Jonathan Nicholson, Director 06/21/2016
** 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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