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) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Series A Preferred Stock (Convertible)
|
(2)
|
(2)
|
Common Stock
|
8,256,563
|
$
(2)
|
I
|
Foundation Capital VI, L.P.
(1)
|
Series A Preferred Stock (Convertible)
|
(2)
|
(2)
|
Common Stock
|
92,255
|
$
(2)
|
I
|
Foundation Capital VI Principals Fund, LLC
(1)
|
Series B Preferred Stock (Convertible)
|
(3)
|
(3)
|
Common Stock
|
2,756,383
|
$
(3)
|
I
|
Foundation Capital VI, L.P.
(1)
|
Series B Preferred Stock (Convertible)
|
(3)
|
(3)
|
Common Stock
|
30,798
|
$
(3)
|
I
|
Foundation Capital VI Principals Fund, LLC
(1)
|
Series C Preferred Stock (Convertible)
|
(4)
|
(4)
|
Common Stock
|
3,916,208
|
$
(4)
|
I
|
Foundation Capital VI, L.P.
(1)
|
Series C Preferred Stock (Convertible)
|
(4)
|
(4)
|
Common Stock
|
43,757
|
$
(4)
|
I
|
Foundation Capital VI Principals Fund, LLC
(1)
|
Series D Preferred Stock (Convertible)
|
(5)
|
(5)
|
Common Stock
|
357,150
|
$
(5)
|
I
|
Foundation Capital VI, L.P.
(1)
|
Series D Preferred Stock (Convertible)
|
(5)
|
(5)
|
Common Stock
|
3,991
|
$
(5)
|
I
|
Foundation Capital VI Principals Fund, LLC
(1)
|
Series E Preferred Stock (Convertible)
|
(6)
|
(6)
|
Common Stock
|
198,809
|
$
(6)
|
I
|
Foundation Capital VI, L.P.
(1)
|
Series E Preferred Stock (Convertible)
|
(6)
|
(6)
|
Common Stock
|
2,221
|
$
(6)
|
I
|
Foundation Capital VI Principals Fund, LLC
(1)
|
* |
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) |
Foundation Capital Management Co. VI, LLC is the sole manager of Foundation Capital VI, L.P. and Foundation Capital VI Principals Fund, LLC and has sole voting and investment power with respect to the shares held by Foundation Capital VI, L.P. and Foundation Capital VI Principals Fund, LLC. Steve Vassallo is a managing member of Foundation Capital Management Co. VI, LLC, and may be deemed to share voting and investment power over the shares owned by Foundation Capital VI, L.P. and Foundation Capital VI Principals Fund, LLC. As a managing member of Foundation Capital Management Co. VI, LLC, Mr. Vassallo disclaims beneficial ownership in the shares held by the aforementioned entities except to the extent of his pecuniary interest therein. |
(2) |
The Series A Preferred Stock is convertible into Common Stock on a 1:1 basis and has no expiration date. Immediately prior to the completion of the Issuer's initial public offering, all shares of Series A Preferred Stock will be converted into shares of Common Stock. |
(3) |
The Series B Preferred Stock is convertible into Common Stock on a 1:1 basis and has no expiration date. Immediately prior to the completion of the Issuer's initial public offering, all shares of Series B Preferred Stock will be converted into shares of Common Stock. |
(4) |
The Series C Preferred Stock is convertible into Common Stock on a 1:1 basis and has no expiration date. Immediately prior to the completion of the Issuer's initial public offering, all shares of Series C Preferred Stock will be converted into shares of Common Stock. |
(5) |
The Series D Preferred Stock is convertible into Common Stock on a 1:1 basis and has no expiration date. Immediately prior to the completion of the Issuer's initial public offering, all shares of Series D Preferred Stock will be converted into shares of Common Stock. |
(6) |
The Series E Preferred Stock is convertible into Common Stock on a 1:1 basis and has no expiration date. Immediately prior to the completion of the Issuer's initial public offering, all shares of Series E Preferred Stock will be converted into shares of Common Stock. |