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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| OMB APPROVAL |
| OMB Number: |
3235-0104 |
| Estimated average burden |
| hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
| 200 BARR HARBOR DRIVE |
| SUITE 400 |
(Street)
| WEST CONSHOHOCKEN |
PA |
19428 |
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2. Date of Event Requiring Statement
(Month/Day/Year) 08/29/2024
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3. Issuer Name and Ticker or Trading Symbol
Oruka Therapeutics, Inc.
[ ORKA ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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| Table I - Non-Derivative Securities Beneficially Owned |
| 1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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| Common Stock |
363,614
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I |
By Fairmount Healthcare Fund II L.P.
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| Common Stock |
2,573,308
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I |
By Fairmount Healthcare Co-Invest III L.P.
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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| 1. Title of Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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| Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Series B Non-Voting Convertible Preferred Stock |
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Common Stock |
11,428,166 |
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I |
By Fairmount Healthcare Fund II L.P.
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| Pre-funded Warrant |
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Common Stock |
5,297,664 |
0.001 |
I |
By Fairmount Healthcare Fund II L.P.
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1. Name and Address of Reporting Person*
| 200 BARR HARBOR DRIVE |
| SUITE 400 |
(Street)
| WEST CONSHOHOCKEN |
PA |
19428 |
|
1. Name and Address of Reporting Person*
| 200 BARR HARBOR DRIVE |
| SUITE 400 |
(Street)
| WEST CONSHOHOCKEN |
PA |
19428 |
|
1. Name and Address of Reporting Person*
| 200 BARR HARBOR DRIVE |
| SUITE 400 |
(Street)
| WEST CONSHOHOCKEN |
PA |
19428 |
|
1. Name and Address of Reporting Person*
| 200 BARR HARBOR DRIVE |
| SUITE 400 |
(Street)
| WEST CONSHOHOCKEN |
PA |
19428 |
|
1. Name and Address of Reporting Person*
| 200 BARR HARBOR DRIVE |
| SUITE 400 |
(Street)
| WEST CONSHOHOCKEN |
PA |
19428 |
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| Explanation of Responses: |
| Remarks: |
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/s/ Tomas Kiselak, Managing Member of Fairmount Funds Management LLC |
09/06/2024 |
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/s/ Tomas Kiselak, Managing Member of Fairmount Healthcare Fund II L.P. |
09/06/2024 |
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/s/ Tomas Kiselak, Managing Member of Fairmount Healthcare Co-Invest III L.P. |
09/06/2024 |
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/s/ Tomas Kiselak |
09/06/2024 |
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/s/ Peter Harwin |
09/06/2024 |
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** 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). |
| ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
Exhibit 24
POWER OF ATTORNEY
Know all by these present that the undersigned hereby constitutes
and appoints each of Paul Quinlan, Diana Kwon, Ryan Murr, and any of their substitutes, signing individually, the undersigned’s
true and lawful attorneys-in-fact and agents to:
(1) execute for and on behalf of the undersigned,
in the undersigned’s capacity as an officer, director or beneficial owner of more than 10% of a registered class of securities of
Oruka Therapeutics, Inc. (the “Company”), (a) Forms 3, 4 and 5 (including any amendments thereto) in accordance with Section
16(a) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”) and the rules thereunder and a (b) Form ID,
Uniform Application for Access Codes to File on EDGAR, including Update Passphrase Confirmation;
(2) do and perform any and all acts for and on
behalf of the undersigned that may be necessary or desirable to execute such Forms 3, 4 or 5 or Form ID (including any amendments thereto)
and timely file such forms with the United States Securities and Exchange Commission and any stock exchange or similar authority; and
(3) take any other action of any nature whatsoever
in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally
required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant
to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-fact’s discretion.
The undersigned hereby grants to each such attorney-in-fact full
power and authority to do and perform any and every act and thing whatsoever requisite, necessary or proper to be done in the exercise
of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally
present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact’s
substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned,
are not assuming, nor is the Company assuming, any of the undersigned’s responsibilities to comply with Section 16 of the Exchange
Act.
This Power of Attorney shall remain in full force and effect until
the earliest to occur of (a) the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned’s holdings
of and transactions in securities issued by the Company, (b) revocation by the undersigned in a signed writing delivered to the foregoing
attorneys-in-fact or (c) as to any attorney-in-fact individually, until such attorney-in-fact is no longer employed by the Company or
Gibson, Dunn & Crutcher LLP.
IN WITNESS WHEREOF, the undersigned has caused this
Power of Attorney to be executed as of August 29, 2024.
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/s/ Peter Harwin |
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Name: Peter Harwin
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