Form D Raw Data - Electronic Filing Depository

EFDID: 238831EFD: Raw Data

Issuer: Bellerophon Therapeutics, Inc. (0001600132) - D

Accession: 0001600132-17-000054 () (EDGAR Files) (Form D)

Edgar Posted: May. 19, 2017
EFD Posted: May. 19, 2017

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< schemaVersion > X0707 </ schemaVersion >

< submissionType > D </ submissionType >

< testOrLive > LIVE </ testOrLive >

- < primaryIssuer >

< cik > 0001600132 </ cik >

< entityName > Bellerophon Therapeutics, Inc. </ entityName >

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< street1 > 184 LIBERTY CORNER ROAD, SUITE 302 </ street1 >

< city > WARREN </ city >

< stateOrCountry > NJ </ stateOrCountry >

< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07059 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > (908) 574-4770 </ issuerPhoneNumber >

< jurisdictionOfInc > DELAWARE </ jurisdictionOfInc >

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< previousName > Bellerophon Therapeutics LLC </ previousName >

</ edgarPreviousNameList >

< entityType > Corporation </ entityType >

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< withinFiveYears > true </ withinFiveYears >

< value > 2015 </ value >

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< firstName > Fabian </ firstName >

< lastName > Tenenbaum </ lastName >

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< street2 > 184 Liberty Corner Road, Suite 302 </ street2 >

< city > Warren </ city >

< stateOrCountry > NJ </ stateOrCountry >

< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07059 </ zipCode >

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< relationship > Executive Officer </ relationship >

< relationship > Director </ relationship >

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< relationshipClarification > Chief Executive Officer and Director </ relationshipClarification >

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< firstName > Peter </ firstName >

< lastName > Fernandes </ lastName >

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< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07059 </ zipCode >

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< relationship > Executive Officer </ relationship >

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< relationshipClarification > Chief Regulatory and Safety Officer </ relationshipClarification >

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< firstName > Deborah </ firstName >

< lastName > Quinn </ lastName >

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< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07059 </ zipCode >

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< relationship > Executive Officer </ relationship >

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< relationshipClarification > Chief Medical Officer </ relationshipClarification >

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< firstName > Martin </ firstName >

< lastName > Dekker </ lastName >

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< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07059 </ zipCode >

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< relationship > Executive Officer </ relationship >

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< relationshipClarification > Vice President of Engineering and Manufacturing </ relationshipClarification >

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< firstName > Amy </ firstName >

< lastName > Edmonds </ lastName >

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< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07059 </ zipCode >

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< relationship > Executive Officer </ relationship >

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< relationshipClarification > Vice President of Clinical Operations and Administration </ relationshipClarification >

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< firstName > Parag </ firstName >

< lastName > Shah </ lastName >

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< zipCode > 07059 </ zipCode >

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< firstName > Megan </ firstName >

< lastName > Schoeps </ lastName >

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< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07059 </ zipCode >

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< relationshipClarification > Controller and Principal Financial Officer </ relationshipClarification >

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< firstName > Jonathan </ firstName >

< lastName > Peacock </ lastName >

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< street1 > c/o Bellerophon Therapeutics, Inc. </ street1 >

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< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07059 </ zipCode >

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< relationship > Director </ relationship >

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< relationshipClarification > Chairman of the Board </ relationshipClarification >

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< firstName > Naseem </ firstName >

< lastName > Amin </ lastName >

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< firstName > Scott </ firstName >

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< relationship > Director </ relationship >

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< firstName > Mary Ann </ firstName >

< lastName > Cloyd </ lastName >

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< street1 > c/o Bellerophon Therapeutics, Inc. </ street1 >

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< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07059 </ zipCode >

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< relationship > Director </ relationship >

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< firstName > Jens </ firstName >

< lastName > Luehring </ lastName >

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< street1 > c/o Bellerophon Therapeutics, Inc. </ street1 >

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< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

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< firstName > Andre </ firstName >

< lastName > Moura </ lastName >

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< street1 > c/o Bellerophon Therapeutics, Inc. </ street1 >

< street2 > 184 Liberty Corner Road, Suite 302 </ street2 >

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< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07059 </ zipCode >

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< relationship > Director </ relationship >

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< firstName > Daniel </ firstName >

< lastName > Tasse </ lastName >

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< street1 > c/o Bellerophon Therapeutics, Inc. </ street1 >

< street2 > 184 Liberty Corner Road, Suite 302 </ street2 >

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< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07059 </ zipCode >

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< firstName > Adam </ firstName >

< lastName > Weinstein </ lastName >

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< street1 > c/o Bellerophon Therapeutics, Inc. </ street1 >

< street2 > 184 Liberty Corner Road, Suite 302 </ street2 >

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< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07059 </ zipCode >

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< relationship > Director </ relationship >

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</ relatedPersonsList >

- < offeringData >

- < industryGroup >

< industryGroupType > Pharmaceuticals </ industryGroupType >

</ industryGroup >

- < issuerSize >

< revenueRange > Decline to Disclose </ revenueRange >

</ issuerSize >

- < federalExemptionsExclusions >

< item > 06b </ item >

</ federalExemptionsExclusions >

- < typeOfFiling >

- < newOrAmendment >

< isAmendment > false </ isAmendment >

</ newOrAmendment >

- < dateOfFirstSale >

< value > 2017-05-09 </ value >

</ dateOfFirstSale >

</ typeOfFiling >

- < durationOfOffering >

< moreThanOneYear > false </ moreThanOneYear >

</ durationOfOffering >

- < typesOfSecuritiesOffered >

< isOptionToAcquireType > true </ isOptionToAcquireType >

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- < businessCombinationTransaction >

< isBusinessCombinationTransaction > false </ isBusinessCombinationTransaction >

< clarificationOfResponse />

</ businessCombinationTransaction >

< minimumInvestmentAccepted > 0 </ minimumInvestmentAccepted >

- < salesCompensationList >

- < recipient >

< recipientName > H.C. Wainwright & Co., LLC </ recipientName >

< recipientCRDNumber > 375 </ recipientCRDNumber >

< associatedBDName > None </ associatedBDName >

< associatedBDCRDNumber > None </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 430 Park Avenue </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10022 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< value > All States </ value >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

</ salesCompensationList >

- < offeringSalesAmounts >

< totalOfferingAmount > 1612500 </ totalOfferingAmount >

< totalAmountSold > 1612500 </ totalAmountSold >

< totalRemaining > 0 </ totalRemaining >

< clarificationOfResponse />

</ offeringSalesAmounts >

- < investors >

< hasNonAccreditedInvestors > false </ hasNonAccreditedInvestors >

< totalNumberAlreadyInvested > 7 </ totalNumberAlreadyInvested >

</ investors >

- < salesCommissionsFindersFees >

- < salesCommissions >

< dollarAmount > 210000 </ dollarAmount >

</ salesCommissions >

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< dollarAmount > 0 </ dollarAmount >

</ findersFees >

< clarificationOfResponse />

</ salesCommissionsFindersFees >

- < useOfProceeds >

- < grossProceedsUsed >

< dollarAmount > 0 </ dollarAmount >

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< clarificationOfResponse />

</ useOfProceeds >

- < signatureBlock >

< authorizedRepresentative > false </ authorizedRepresentative >

- < signature >

< issuerName > Bellerophon Therapeutics, Inc. </ issuerName >

< signatureName > /s/ Fabian Tenenbaum </ signatureName >

< nameOfSigner > Fabian Tenenbaum </ nameOfSigner >

< signatureTitle > Chief Executive Officer and Director </ signatureTitle >

< signatureDate > 2017-05-18 </ signatureDate >

</ signature >

</ signatureBlock >

</ offeringData >

</ edgarSubmission >