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, 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. | 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 Convertible Preferred Stock | Â (3) | Â (4) | Common Stock | 1,500,000 | $ (3) | I | See footnote. (1) |
Series B Convertible Preferred Stock | Â (3) | Â (4) | Common Stock | 382,651 | $ (3) | I | See footnote. (1) |
Series C Convertible Preferred Stock | Â (3) | Â (4) | Common Stock | 188,679 | $ (3) | I | See footnote. (2) |
Series D Convertible Preferred Stock | Â (3) | Â (4) | Common Stock | 689,691 | $ (3) | I | See footnote. (1) |
Series D Convertible Preferred Stock | Â (3) | Â (4) | Common Stock | 648,488 | $ (3) | I | See footnote. (2) |
Series E Convertible Preferred Stock | Â (3) | Â (4) | Common Stock | 679,001 | $ (3) | I | See footnote. (2) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SCHOENDORF NANCY J 3000 SAND HILL ROAD, BUILDING 3 SUITE 290 MENLO PARK, CA 94025 |
 X |  X |  |  |
MOHR DAVIDOW VENTURES V LP 3000 SAND HILL ROAD, BUILDING 3 SUITE 290 MENLO PARK, CA 94025 |
 |  X |  |  |
Mohr, Davidow Ventures V-L, L.P. 3000 SAND HILL ROAD, BUILDING 3 SUITE 290 MENLO PARK, CA 94025 |
 |  X |  |  |
FIFTH MDV PARTNERS LLC 3000 SAND HILL ROAD, BUILDING 3 SUITE 290 MENLO PARK, CA 94025 |
 |  X |  |  |
FEIBER JONATHAN D 3000 SAND HILL ROAD, BUILDING 3 SUITE 290 MENLO PARK, CA 94025 |
 |  X |  |  |
Fifth-L MDV Partners, L.L.C. 3000 SAND HILL ROAD, BUILDING 3 SUITE 290 MENLO PARK, CA 94025 |
 |  X |  |  |
Nancy Schoendorf | 09/28/2006 | |
**Signature of Reporting Person | Date | |
Jonathan Feiber | 09/28/2006 | |
**Signature of Reporting Person | Date | |
Mohr, Davidow Ventures V, L.P., by Fifth MDV Partners, L.L.C., its general partner, by Nancy Schoendorf, a managing member | 09/28/2006 | |
**Signature of Reporting Person | Date | |
Mohr, Davidow Ventures V-L, L.P., by Fifth-L MDV Partners, L.L.C., its general partner, by Nancy Schoendorf, a managing member | 09/28/2006 | |
**Signature of Reporting Person | Date | |
Fifth MDV Partners, L.L.C., by Nancy Schoendorf, a managing member | 09/28/2006 | |
**Signature of Reporting Person | Date | |
Fifth-L MDV Partners, L.L.C., by Nancy Schoendorf, a managing member | 09/28/2006 | |
**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) | Shares are held directly by Mohr, Davidow Ventures V, L.P. ("MDV V"). Nancy Schoendorf, a director of the Issuer, and Jonathan Feiber are the managing members of Fifth MDV Partners, L.L.C. (the general partner of MDV V), and each may be deemed an indirect beneficial owner of those shares directly held by MDV V, but each disclaims beneficial ownership in such shares except to the extent of his/her pecuniary interest therein. |
(2) | Shares are held directly by Mohr, Davidow Ventures V-L, L.P. ("MDV V-L"). Nancy Schoendorf, a director of the Issuer, and Jonathan Feiber are the managing members of Fifth-L MDV Partners, L.L.C. (the general partner of MDV V-L), and each may be deemed an indirect beneficial owner of those shares directly held by MDV V-L, but each disclaims beneficial ownership in such shares except to the extent of his/her pecuniary interest therein. |
(3) | Each share converts automatically into one share of the Issuer's Common Stock upon the closing of the Issuer's initial public offering of Common Stock pursuant to an effective registration statement filed with the U.S. Securities and Exchange Commission. |
(4) | No expiration date. |