FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL 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 |
|
1. Name and Address of Reporting Person*
(Street)
|
2. Date of Event Requiring Statement
(Month/Day/Year) 08/02/2007 |
3. Issuer Name and Ticker or Trading Symbol
VIRTUSA CORP [ VRTU ] |
|||||||||||||
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
5. If Amendment, Date of Original Filed
(Month/Day/Year) |
||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Beneficially Owned | |||
---|---|---|---|
1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 15,974(1)(2) | D | |
Common Stock | 53,038(1)(3) | D | |
Common Stock | 48,396(1)(4) | D | |
Common Stock | 23,407(1)(5) | D | |
Common Stock | 5,774(1)(6) | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
---|---|---|---|---|---|---|---|
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: 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 B Redeemable Convertible Preferred Stock | 08/02/2007 | (7) | Common Stock(8) | 421,206(1)(3) | (9) | D | |
Series B Redeemable Convertible Preferred Stock | 08/02/2007 | (7) | Common Stock(8) | 384,344(1)(4) | (9) | D | |
Series B Redeemable Convertible Preferred Stock | 08/02/2007 | (7) | Common Stock(8) | 185,896(1)(5) | (9) | D | |
Series B Redeemable Convertible Preferred Stock | 08/02/2007 | (7) | Common Stock(8) | 45,854(1)(6) | (9) | D | |
Series C Redeemable Convertible Preferred Stock | 08/02/2007 | (7) | Common Stock(8) | 464,169(1)(3) | (10) | D | |
Series C Redeemable Convertible Preferred Stock | 08/02/2007 | (7) | Common Stock(8) | 423,547(1)(4) | (10) | D | |
Series C Redeemable Convertible Preferred Stock | 08/02/2007 | (7) | Common Stock(8) | 204,857(1)(5) | (10) | D | |
Series C Redeemable Convertible Preferred Stock | 08/02/2007 | (7) | Common Stock(8) | 50,530(1)(6) | (10) | D | |
Series D Redeemable Convertible Preferred Stock | 08/02/2007 | (7) | Common Stock(8) | 224,623(1)(3) | (11) | D | |
Series D Redeemable Convertible Preferred Stock | 08/02/2007 | (7) | Common Stock(8) | 204,965(1)(4) | (11) | D | |
Series D Redeemable Convertible Preferred Stock | 08/02/2007 | (7) | Common Stock(8) | 99,135(1)(5) | (11) | D | |
Series D Redeemable Convertible Preferred Stock | 08/02/2007 | (7) | Common Stock(8) | 24,453(1)(6) | (11) | D |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
| ||||||||||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
| ||||||||||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
| ||||||||||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
| ||||||||||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
| ||||||||||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
| ||||||||||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
|
Explanation of Responses: |
1. JAV Management Associates III, L.L.C. is the general partner of JAFCO America Technology Fund III, L.P., JAFCO America Technology Cayman Fund III, L.P., JAFCO USIT Fund III, L.P. and JAFCO America Technology Affiliates Fund III, L.P. (the "Globespan Funds") and may be deemed to have a beneficial interest in the shares held by the Globespan Funds. The voting and investment power with respect to these shares is vested in Andrew P. Goldfarb and Barry J. Schiffman, the managing members of JAV Management Associates III, L.L.C. JAV Management Associates III, L.L.C., Andrew P. Goldfarb and Barry J. Schiffman each disclaim beneficial ownership of such shares, except to the extent of their pecuniary interest in such shares which is subject to indeterminable future events. |
2. These shares are held solely by JAV Management Associates III, L.L.C. |
3. These shares are held solely by JAFCO America Technology Fund III, L.P. |
4. These shares are held solely by JAFCO America Technology Cayman Fund III, L.P. |
5. These shares are held solely by JAFCO USIT Fund III, L.P. |
6. These shares are held solely by JAFCO America Technology Affiliates Fund III, L.P. |
7. These shares do not have an expiration date. |
8. The number of underlying shares of Common Stock reported in Column 3 reflects a 1-for-3.13 stock split of the Issuer's Common Stock on 07/18/2007. |
9. Upon the Closing of the Issuer's initial public offering, each share of Series B Redeemable Convertible Preferred Stock will automatically convert into 0.363 shares of Common Stock. |
10. Upon the Closing of the Issuer's initial public offering, each share of Series C Redeemable Convertible Preferred Stock will automatically convert into 0.319 shares of Common Stock. |
11. Upon the Closing of the Issuer's initial public offering, each share of Series D Redeemable Convertible Preferred Stock will automatically convert into 0.319 shares of Common Stock. |
Remarks: |
The reporting persons are members of a 13(d) group owning more than 10% of the Issuer's outstanding Common Stock. Exhibit 24 - Power of Attorney |
/s/ Thomas R. Holler, attorney-in-fact | 08/02/2007 | |
Thomas R. Holler, attorney-in-fact | 08/02/2007 | |
Thomas R. Holler, attorney-in-fact | 08/02/2007 | |
Thomas R. Holler, attorney-in-fact | 08/02/2007 | |
Thomas R. Holler, attorney-in-fact | 08/02/2007 | |
Thomas R. Holler, attorney-in-fact | 08/02/2007 | |
Thomas R. Holler, attorney-in-fact | 08/02/2007 | |
** 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 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). | ||
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. |