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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
NORWEST VENTURE PARTNERS X L P 525 UNIVERSITY AVENUE SUITE 800 PALO ALTO, CA 94301 |
 |  X |  |  |
Genesis VC Partners X, LLC 525 UNIVERSITY AVENUE SUITE 800 PALO ALTO, CA 94301 |
 |  X |  |  |
STILL GEORGE J JR 525 UNIVERSITY AVENUE SUITE 800 PALO ALTO, CA 94301 |
 |  X |  |  |
HAQUE PROMOD 525 UNIVERSITY AVENUE, SUITE 800 PALO ALTO, CA 94301 |
 |  X |  |  |
BETCHER KURT L 525 UNIVERSITY AVENUE SUITE 800 PALO ALTO, CA 94301 |
 |  X |  |  |
/s/ Kurt L. Betcher, Authorized Signer of Genesis VC Partners X, LLC, its General Partner | 11/14/2011 | |
**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 shown on Line 1 of Table 1 represent shares acquired and held of record by Norwest Venture Partners X, LP ("NVP X"). By virtue of their positions as managing directors of Genesis VC Partners X, LLC ("Genesis X"), the general partner of NVP X, George J. Still, Jr. and Promod Haque may be deemed to beneficially own such securities. By virtue of his position as chief financial officer of Genesis X, Kurt L. Betcher may be deemed to beneficially own such securities. Mr. Still, Mr. Haque and Mr. Betcher disclaim beneficial ownership of all such shares, except to the extent of their pecuniary interest therein. |