FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
BLUE NILE INC [ NILE ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 05/25/2004 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 05/25/2004 | C | 2,726,743 | A | $0 | 2,726,743 | D(6) | |||
Common Stock | 05/25/2004 | C | 131,376 | A | $0 | 131,376 | I | By Trinity VI Side-By-Side Fund, L.P.(7) | ||
Common Stock | 05/25/2004 | S | 272,674 | D | $20.5 | 2,454,069 | D(6) | |||
Common Stock | 05/25/2004 | S | 13,138 | D | $20.5 | 118,238 | I | By Trinity VI Side-By-Side Fund, L.P.(7) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series A Preferred Stock | (1) | 05/25/2004 | C | 1,261,129 | 05/25/2004 | (1) | Common Stock | 1,310,188 | $0 | 0 | D(6) | ||||
Series B Preferred Stock | (2) | 05/25/2004 | C | 139,095 | 05/25/2004 | (2) | Common Stock | 155,990 | $0 | 0 | D(6) | ||||
Series C Preferred Stock | (3) | 05/25/2004 | C | 198,221 | 05/25/2004 | (3) | Common Stock | 253,705 | $0 | 0 | D(6) | ||||
Series D Preferred Stock | (4) | 05/25/2004 | C | 51,969 | 05/25/2004 | (4) | Common Stock | 66,716 | $0 | 0 | D(6) | ||||
Series E Preferred Stock | (5) | 05/25/2004 | C | 940,144 | 05/25/2004 | (5) | Common Stock | 940,144 | $0 | 0 | D(6) | ||||
Series A Preferred Stock | (1) | 05/25/2004 | C | 72,204 | 05/25/2004 | (1) | Common Stock | 75,012 | $0 | 0 | I | By Trinity VI Side-By-Side Fund, L.P.(7) | |||
Series B Preferred Stock | (2) | 05/25/2004 | C | 7,963 | 05/25/2004 | (2) | Common Stock | 8,930 | $0 | 0 | I | By Trinity VI Side-By-Side Fund, L.P.(7) | |||
Series C Preferred Stock | (3) | 05/25/2004 | C | 11,359 | 05/25/2004 | (3) | Common Stock | 14,538 | $0 | 0 | I | By Trinity VI Side-By-Side Fund, L.P.(7) | |||
Series D Preferred Stock | (4) | 05/25/2004 | C | 2,975 | 05/25/2004 | (4) | Common Stock | 3,820 | $0 | 0 | I | By Trinity VI Side-By-Side Fund, L.P.(7) | |||
Series E Preferred Stock | (5) | 05/25/2004 | C | 29,076 | 05/25/2004 | (5) | Common Stock | 29,076 | $0 | 0 | I | By Trinity VI Side-By-Side Fund, L.P.(7) |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. The Issuer's Preferred Stock automatically converted into Common Stock on a 1.038901074 to 1 basis upon the closing of the Issuer's initial public offering |
2. The Issuer's Preferred Stock automatically converted into Common Stock on a 1.121464501 to 1 basis upon the closing of the Issuer's initial public offering |
3. The Issuer's Preferred Stock automatically converted into Common Stock on a 1.279914161 to 1 basis upon the closing of the Issuer's initial public offering |
4. The Issuer's Preferred Stock automatically converted into Common Stock on a 1.283746848 to 1 basis upon the closing of the Issuer's initial public offering |
5. The Issuer's Preferred Stock automatically converted into Common Stock on a 1 to 1 basis upon the closing of the Issuer's initial public offering |
6. The shares owned by Trinity Ventures VI, L.P. are under common control with Trinity VI Side-By-Side Fund, L.P. Trinity TVL VI, LLC is the general partner of Trinity Ventures VI, L.P. and Trinity VI Side-By-Side Fund, L.P. Noel J. Fenton, Lawrence K. Orr, James G. Shennan, Jr., Todd H. Francis, Fred Wang, Augustus O. Tai and TVL Management Corporation are managing members of Trinity TVL VI, LLC. Each member of the group disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest therein. |
7. The shares owned by Trinity VI Side-By-Side Fund, L.P. are under common control with Trinity Ventures VI, L.P. Trinity TVL VI, LLC is the general partner of Trinity VI Side-By Side Fund, L.P. and Trinity Ventures VI, L.P. Noel J. Fenton, Lawrence K. Orr, James G. Shennan, Jr., Todd H. Francis, Fred Wang, Augustus O. Tai and TVL Management Corporation are managing members of Trinity TVL VI, LLC. Each member of the group disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest therein. |
/s/ John M. Geschke, Attorney-in-fact | 05/26/2004 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |