UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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. |
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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series A Preferred Stock | (3) | (3) | Common Stock | 1,244,871 | $ (3) | I | See Footnote (1) |
Series B Preferred Stock | (3) | (3) | Common Stock | 607,234 | $ (3) | I | See Footnote (1) |
Series A Preferred Stock | (3) | (3) | Common Stock | 37,179 | $ (3) | I | See Footnote (2) |
Series B Preferred Stock | (3) | (3) | Common Stock | 18,136 | $ (3) | I | See Footnote (2) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SEIDENBERG BETH C 2750 SAND HILL ROAD MENLO PARK, CA 94025 |
X | X |
/s/ Paul Vronsky, Attorney-in-Fact | 10/15/2014 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | The shares are directly held by Kleiner Perkins Caufield & Byers XV, LLC ("KPCB XV"). All shares are held for convenience in the name of "KPCB Holdings, Inc., as nominee". The managing member of KPCB XV is KPCB XV Associates, LLC ("XV Associates"), of which the Reporting Person is a member. The voting and dispositive control over the shares is shared by the managing members of XV Associates and the Reporting Person. |
(2) | The shares are directly held by KPCB Founders Fund, LLC ("KPCB XV FF"). All shares are held for convenience in the name of "KPCB Holdings, Inc., as nominee". The managing member of KPCB XV FF is XV Associates, of which the Reporting Peron is a member. The voting and dispositive control over the shares is shared by the managing members of XV Associates and the Reporting Person. |
(3) | Each share of Series A Preferred Stock and Series B Preferred Stock is convertible into one share of Common Stock without payment of further consideration and will automatically convert into one share of Common Stock upon the closing of the Issuer's initial public offering without payment of further consideration. The shares have no expiration date. |
Remarks: The Reporting Person disclaims beneficial ownership of these shares except to the extent of any pecuniary interest therein, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these shares for purposes of Section 16 or for any other purpose. |