0001012975-20-000531.txt : 20200604 0001012975-20-000531.hdr.sgml : 20200604 20200604160831 ACCESSION NUMBER: 0001012975-20-000531 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20200604 DATE AS OF CHANGE: 20200604 EFFECTIVENESS DATE: 20200604 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Atlas Venture Fund XII, L.P. CENTRAL INDEX KEY: 0001812049 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-368325 FILM NUMBER: 20943016 BUSINESS ADDRESS: STREET 1: 400 TECHNOLOGY SQUARE STREET 2: 10TH FLOOR CITY: CAMBRIDGE STATE: MA ZIP: 02139 BUSINESS PHONE: 857-201-2700 MAIL ADDRESS: STREET 1: 400 TECHNOLOGY SQUARE STREET 2: 10TH FLOOR CITY: CAMBRIDGE STATE: MA ZIP: 02139 D 1 primary_doc.xml X0708 D LIVE 0001812049 Atlas Venture Fund XII, L.P. 400 TECHNOLOGY SQUARE 10TH FLOOR CAMBRIDGE MA MASSACHUSETTS 02139 857-201-2700 DELAWARE None None Limited Partnership true 2020 N/A Atlas Venture Associates XII, L.P. 400 Technology Square 10th Floor Cambridge MA MASSACHUSETTS 02139 Executive Officer General partner of the Issuer (the "General Partner") N/A Atlas Venture Associates XII, LLC 400 Technology Square 10th Floor Cambridge MA MASSACHUSETTS 02139 Executive Officer General partner of the General Partner (the "GPLLC") Bruce Booth c/o Atlas Venture Life Science Advisors 400 Technology Square, 10th Floor Cambridge MA MASSACHUSETTS 02139 Executive Officer Member of the sole member of the GPLLC Jean-Francois Formela c/o Atlas Venture Life Science Advisors 400 Technology Square, 10th Floor Cambridge MA MASSACHUSETTS 02139 Executive Officer Member of the sole member of the GPLLC David Grayzel c/o Atlas Venture Life Science Advisors 400 Technology Square, 10th Floor Cambridge MA MASSACHUSETTS 02139 Executive Officer Member of the sole member of the GPLLC Jason Rhodes c/o Atlas Venture Life Science Advisors 400 Technology Square, 10th Floor Cambridge MA MASSACHUSETTS 02139 Executive Officer Member of the sole member of the GPLLC Kevin Bitterman c/o Atlas Venture Life Science Advisors 400 Technology Square, 10th Floor Cambridge MA MASSACHUSETTS 02139 Executive Officer Member of the sole member of the GPLLC Michael Gladstone c/o Atlas Venture Life Science Advisors 400 Technology Square, 10th Floor Cambridge MA MASSACHUSETTS 02139 Executive Officer Member of the sole member of the GPLLC Pooled Investment Fund Venture Capital Fund false Not Applicable 06b 3C 3C.7 false 2020-05-20 false true false 0 400000000 400000000 0 false 85 0 0 0 An Affiliate of the General Partner will receive a management fee payable by the Issuer quarterly in advance as specified in the Issuer's partnership agreement. false Atlas Venture Fund XII, L.P. /s/ Ommer Chohan Ommer Chohan CFO of the GP of the Issuer's GP 2020-06-04