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*
Schroder Adveq Technology IX S.C.S.

(Last) (First) (Middle)
AFFOLTERNSTRASSE 56

(Street)
ZURICH V8 CH-8050

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/11/2021
3. Issuer Name and Ticker or Trading Symbol
Decibel Therapeutics, Inc. [ DBTX ]
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)
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 C Preferred Stock (1) (1) Common Stock 524,328 (1) I See footnote(2)
Series C Preferred Stock (1) (1) Common Stock 524,328 (1) I See footnote(3)
1. Name and Address of Reporting Person*
Schroder Adveq Technology IX S.C.S.

(Last) (First) (Middle)
AFFOLTERNSTRASSE 56

(Street)
ZURICH V8 CH-8050

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Schroder Adveq Management Luxembourg Sarl

(Last) (First) (Middle)
AFFOLTERNSTRASSE 56

(Street)
ZURICH V8 CH-8050

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Schroder Adveq cPl Global 2017 - 2019 C.V.

(Last) (First) (Middle)
AFFOLTERNSTRASSE 56

(Street)
ZURICH V8 CH-8050

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Schroder Adveq cPl Global Management III L.P.

(Last) (First) (Middle)
AFFOLTERNSTRASSE 56

(Street)
ZURICH V8 CH-8050

(City) (State) (Zip)
Explanation of Responses:
1. Each share of Series C Preferred Stock is convertible into shares of the Issuer???s common stock, $0.001 per value per share, on a 12.635:1 basis at any time at the holder???s election and will automatically convert immediately prior to the closing of the Issuer's initial public offering. The Series C Preferred Stock has no expiration date.
2. Held directly by Schroder Adveq Technology IX S.C.S. Schroder Adveq Management Luxembourg S.a.r.l. is the general partner of Schroder Adveq Technology IX S.C.S. Schroder Adveq Management Luxembourg S.a.r.l. disclaims beneficial ownership of the shares except to the extent of any pecuniary interest therein.
3. Held directly by Schroder Adveq cPl Global 2017 - 2019 C.V. Schroder Adveq cPl Global Management III L.P. is the general partner of Schroder Adveq cPl Global 2017 - 2019 C.V. Schroder Adveq cPl Global Management III L.P. disclaims beneficial ownership of the shares except to the extent of any pecuniary interest therein.
/s/ Manual Mouget and Paul de Haan, for Schroder Adveq Technology IX S.C.S. 03/08/2021
/s/ Manual Mouget and Paul de Haan, for Schroder Adveq Management Luxembourg S.a.r.l. 03/08/2021
/s/ Manual Mouget and Paul de Haan, for Schroder Adveq cPl Global 2017 - 2019 C.V. 03/08/2021
/s/ Manual Mouget and Paul de Haan, for Schroder Adveq cPl Global Management III L.P. 03/08/2021
** 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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