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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series A Convertible Preferred Stock | (1) | 03/22/2011 | C | 82,915 | (1) | (1) | Common Stock | 82,915 | $ 0 | 0 | I | See footnote (6) | |||
Series B Convertible Preferred Stock | (2) | 03/22/2011 | C | 19,900 | (2) | (2) | Common Stock | 19,900 | $ 0 | 0 | I | See footnote (6) | |||
Series C Convertible Preferred Stock | (3) | 03/22/2011 | C | 217,656 | (3) | (3) | Common Stock | 217,656 | $ 0 | 0 | I | See footnote (6) | |||
Series D Convertible Preferred Stock | (4) | 03/22/2011 | C | 3,731,250 | (4) | (4) | Common Stock | 3,731,250 | $ 0 | 0 | I | See footnote (6) | |||
Series E Convertible Preferred Stock | (5) | 03/22/2011 | C | 150,757 | (5) | (5) | Common Stock | 150,757 | $ 0 | 0 | I | See footnote (6) | |||
Series D Convertible Preferred Warrant (right to buy) | $ 2.4 | 03/22/2011 | C(8) | 1,243,750 | (4) | (4) | Series D Convertible Preferred Stock | 1,243,750 | $ 0 | 0 | I | See footnote (6) | |||
Series E Convertible Preferred Warrant (right to buy) | $ 2.4 | 03/22/2011 | C(9) | 30,151 | (5) | (5) | Series E Convertible Preferred Stock | 30,151 | $ 0 | 0 | I | See footnote (6) | |||
Common Stock Warrant (right to buy) | $ 2.4 | 03/22/2011 | C(8)(9) | 1,273,901 | (10) | (10) | Common Stock | 1,273,901 | $ 0 | 1,273,901 | I | See footnote (6) | |||
Common Stock Warrant (right to buy) | $ 2.4 | 03/22/2011 | X | 1,273,901 | (7) | (7) | Common Stock | 1,273,901 | $ 0 | 0 | I | See footnote (6) | |||
Series A Convertible Preferred Stock | (1) | 03/22/2011 | C | 417 | (1) | (1) | Common Stock | 417 | $ 0 | 0 | I | See footnote (8) | |||
Series B Convertible Preferred Stock | (2) | 03/22/2011 | C | 100 | (2) | (2) | Common Stock | 100 | $ 0 | 0 | I | See footnote (8) | |||
Series C Convertible Preferred Stock | (3) | 03/22/2011 | C | 1,094 | (3) | (3) | Common Stock | 1,094 | $ 0 | 0 | I | See footnote (8) | |||
Series D Convertible Preferred Stock | (4) | 03/22/2011 | C | 18,750 | (4) | (4) | Common Stock | 18,750 | $ 0 | 0 | I | See footnote (8) | |||
Series E Convertible Preferred Stock | (5) | 03/22/2011 | C | 758 | (5) | (5) | Common Stock | 758 | $ 0 | 0 | I | See footnote (8) | |||
Series D Convertible Preferred Warrant (right to buy) | $ 2.4 | 03/22/2011 | C(8) | 6,250 | (4) | (4) | Series D Convertible Preferred Stock | 6,250 | $ 0 | 0 | I | See footnote (8) | |||
Series E Convertible Preferred Warrant (right to buy) | $ 2.4 | 03/22/2011 | C(9) | 152 | (5) | (5) | Series E Convertible Preferred Stock | 152 | $ 0 | 0 | I | See footnote (8) | |||
Common Stock Warrant (right to buy) | $ 2.4 | 03/22/2011 | C(8)(9) | 6,402 | (10) | (10) | Common Stock | 6,402 | $ 0 | 6,402 | I | See footnote (8) | |||
Common Stock Warrant (right to buy) | $ 2.4 | 03/22/2011 | X | 6,402 | (7) | (7) | Common Stock | 6,402 | $ 0 | 0 | I | See footnote (8) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Bay Management Co XI LLC 490 S. CALIFORNIA AVENUE, SUITE 200 PALO ALTO, CA 94306 |
X | |||
Bay Partners XI L P 490 S. CALIFORNIA AVENUE, SUITE 200 PALO ALTO, CA 94306 |
X | |||
BAY PARTNERS XI PARALLEL FUND L P 490 S. CALIFORNIA AVENUE, SUITE 200 PALO ALTO, CA 94306 |
X | |||
PHILLIPS STUART G 490 S. CALIFORNIA AVENUE, SUITE 200 PALO ALTO, CA 94306 |
X |
/s/ Stuart G. Phillips, as Manager of Bay Management Company XI, LLC | 03/22/2011 | |
**Signature of Reporting Person | Date | |
/s/ Stuart G. Phillips, as Manager of Bay Management Company XI, LLC, the General Partner of Bay Partners XI, L.P. | 03/22/2011 | |
**Signature of Reporting Person | Date | |
/s/ Stuart G. Phillips, as Manager of Bay Management Company XI, LLC, the General Partner of Bay Partners XI Parallel Fund, L.P. | 03/22/2011 | |
**Signature of Reporting Person | Date | |
/s/ Stuart G. Phillips | 03/22/2011 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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). |
(1) | The Series A Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering of common stock and had no expiration date. |
(2) | The Series B Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering of common stock and had no expiration date. |
(3) | The Series C Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering of common stock and had no expiration date. |
(4) | The Series D Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering of common stock and had no expiration date. |
(5) | The Series E Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering of common stock and had no expiration date. |
(6) | The reported securities are held of record by Bay Partners XI, L.P. ("Bay Partners"). Stuart G. Phillips, the Manager of Bay Management Company XI, LLC ("Bay Mgmt"), the General Partner of Bay Partners, has sole voting and dispositive power with respect to the shares held of record by Bay Partners. Mr. Phillips disclaims beneficial ownership of these securities except to the extent of his individual respective pecuniary interest therein. |
(7) | The Common Stock Warrants were net exercised immediately prior to the closing of Issuer's initial public offering. |
(8) | The Series D Convertible Preferred Stock Warrants to purchase shares of Series D Convertible Preferred Stock automatically converted into warrants to purchase an equivalent number of shares of Common Stock, at the same exercise price, immediately prior to the closing of the Issuer's initial public offering. |
(9) | The Series E Convertible Preferred Stock Warrants to purchase shares of Series E Convertible Preferred Stock automatically converted into warrants to purchase an equivalent number of shares of Common Stock, at the same exercise price, immediately prior to the closing of the Issuer's initial public offering. |
(10) | The Common Stock Warrants are immediately exercisable and expire upon closing of the Issuer's initial public offering of common stock. |