Statement of Ownership (sc 13g)
11 February 2023 - 04:21AM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
XBIOTECH INC. |
(Name of Issuer)
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Common Shares, no par value |
(Title of Class of Securities)
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98400H102 |
(CUSIP Number)
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December 31, 2022 |
(Date of Event
which Requires Filing of this Statement) |
Check the appropriate box to designate the rule pursuant to which
this Schedule is filed:
[_] Rule 13d-1(b)
[ ] Rule 13d-1(c)
[x] Rule 13d-1(d)
1The remainder of
this cover page shall be filled out for a reporting person’s
initial filing on this form with respect to the subject class of
securities, and for any subsequent amendment containing information
which would alter the disclosures provided in a prior cover
page.
The information required in the remainder of this cover page shall
not be deemed to be “filed” for the purpose of Section 18 of the
Securities Exchange Act of 1934 (“Act”) or otherwise subject to the
liabilities of that section of the Act but shall be subject to all
other provisions of the Act (however, see the Notes ).
SCHEDULE 13G
CUSIP No. |
98400H102 |
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1 |
Names of Reporting Persons |
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John Simard
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2 |
Check the
appropriate box if a member of a Group (see instructions) |
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(a) [ ]
(b) [ ]
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3 |
Sec Use
Only |
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4 |
Citizenship
or Place of Organization |
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Canada |
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5 |
Sole Voting Power |
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5,193,547 (1) |
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Number of Shares |
6 |
Shared Voting Power |
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Beneficially Owned |
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by Each Reporting |
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N/A |
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Person With: |
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Sole Dispositive Power |
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5,193,547 (1) |
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8 |
Shared Dispositive Power |
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N/A |
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9 |
Aggregate
Amount Beneficially Owned by Each Reporting Person |
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5,193,547 (1) |
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10 |
Check box
if the aggregate amount in row (9) excludes certain shares (See
Instructions) |
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[ ] |
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11 |
Percent of
class represented by amount in row (9) |
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16.33%(2) |
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12 |
Type of
Reporting Person (See Instructions) |
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IN |
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(1) |
These figures include
shares of common stock underlying stock options held by the
Reporting Person, including options which are immediately
exercisable within 60 days of December 31, 2022. |
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(2) |
The percentage is calculated based
upon 30,439,275 shares outstanding as of December 31, 2022. |
Item 1.
XBiotech Inc.
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(b) |
Address of Issuer’s
Principal Executive Offices: |
5217 Winnebago Ln, Austin, TX 78744
Item 2.
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(a) |
Name of Person Filing: |
John Simard
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(b) |
Address of Principal Business Office or,
if None, Residence: |
5217 Winnebago Ln, Austin, TX 78744
Canada
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(d) |
Title and Class of
Securities: |
Common Shares, no par value
98400H102
Item 3. |
If this statement is filed pursuant to §§
240.13d-1(b) or 240.13d-2(b) or (c), check whether the person
filing is a: |
Not Applicable
As of December 31, 2022
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(a) |
Amount Beneficially
Owned: |
5,193,547(1)
shares
16.33%(2)
(c) Number of shares as
to which such person has:
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(i) |
Sole power to vote
or to direct the vote: |
5,193,547 (1)
shares
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(ii) |
Shared power to vote
or to direct the vote: |
Not Applicable
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(iii) |
Sole power to
dispose or to direct the disposition of: |
5,193,547 (1 )
shares
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(iv) |
Shared power to
dispose or to direct the disposition of: |
Not Applicable
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(1) |
These figures include
shares of common stock underlying stock options held by the
Reporting Person, including options which are immediately
exercisable within 60 days of December 31, 2022. |
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(2) |
The percentage is
calculated based upon 30,439,275 shares outstanding as of December
31, 2022. |
Item 5. |
Ownership of Five Percent or Less of a
Class. |
If this statement is being filed to report the fact that as of the
date hereof the reporting person has ceased to be the beneficial
owner of more than five percent of the class of securities, check
the following [ ].
Item 6. |
Ownership of more than Five Percent on
Behalf of Another Person. |
Not Applicable
Item 7. |
Identification and
classification of the subsidiary which acquired the security being
reported on by the parent holding company or control
person. |
Not Applicable
Item 8. |
Identification and classification of
members of the group. |
Not Applicable
Item 9. |
Notice of Dissolution of Group. |
Not Applicable
Not Applicable
SIGNATURE
After reasonable inquiry and to the best of my knowledge and
belief, I certify that the information set forth in this statement
is true, complete and correct.
Dated: February 10, 2023
/s/ John Simard
John Simard/President & CEO, XBiotech Inc.
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