0001209191-12-028784.txt : 20120517
0001209191-12-028784.hdr.sgml : 20120517
20120517130516
ACCESSION NUMBER: 0001209191-12-028784
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120515
FILED AS OF DATE: 20120517
DATE AS OF CHANGE: 20120517
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DIGITAL MEDIA & COMMUNICATINS III E CV
CENTRAL INDEX KEY: 0001260020
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35232
FILM NUMBER: 12851120
MAIL ADDRESS:
STREET 1: 75 STATE STREET
STREET 2: C/O ADVENT INTERNAITONAL CORP
CITY: BOSTON
STATE: MA
ZIP: 01209
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: WAGEWORKS, INC.
CENTRAL INDEX KEY: 0001158863
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 943351864
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1100 PARK PLACE
STREET 2: 4TH FLOOR
CITY: SAN MATEO
STATE: CA
ZIP: 94403
BUSINESS PHONE: 650-557-5200
MAIL ADDRESS:
STREET 1: 1100 PARK PLACE
STREET 2: 4TH FLOOR
CITY: SAN MATEO
STATE: CA
ZIP: 94403
FORMER COMPANY:
FORMER CONFORMED NAME: WAGEWORKS INC
DATE OF NAME CHANGE: 20010907
4
1
doc4.xml
FORM 4 SUBMISSION
X0305
4
2012-05-15
1
0001158863
WAGEWORKS, INC.
WAGE
0001260020
DIGITAL MEDIA & COMMUNICATINS III E CV
C/O ADVENT INTERNATIONAL CORPORATION
75 STATE STREET, 29TH FLOOR
BOSTON
MA
02109
0
0
0
1
Member of group no longer >10%
Common Stock
2012-05-15
4
C
0
69
A
2353
D
Common Stock
2012-05-15
4
C
0
23
A
2376
D
Common Stock
2012-05-15
4
C
0
70839
A
73215
D
Common Stock
2012-05-15
4
C
0
6016
A
79231
D
Common Stock
2012-05-15
4
C
0
14685
A
93916
D
Series A-1 Preferred Stock
2012-05-15
4
C
0
47
0.00
D
Common Stock
69
0
D
Series A-2 Preferred Stock
2012-05-15
4
C
0
27
0.00
D
Common Stock
23
0
D
Series C Preferred Stock
2012-05-15
4
C
0
141678
0.00
D
Common Stock
70839
0
D
Series D Preferred Stock
2012-05-15
4
C
0
12033
0.00
D
Common Stock
6016
0
D
Series E Preferred Stock
2012-05-15
4
C
0
29370
0.00
D
Common Stock
14685
0
D
Series E-1 Warrant (Right to Buy)
2.29
2012-05-15
4
C
0
48448
0.00
D
2010-07-30
2014-06-30
Series E-1 Preferred Stock
48448
0
D
Common Stock Warrant (Right to Buy)
4.58
2012-05-15
4
C
0
24224
0.00
A
2010-07-30
2014-06-30
Common Stock
24224
24224
D
Each share of the Issuer's Series A-1 preferred stock automatically converted into 1.47059 shares of common stock immediately prior to the closing of the Issuer's initial public offering and had no expiration date.
Each share of the Issuer's Series A-2 preferred stock automatically converted into 0.85208 shares of common stock immediately prior to the closing of the Issuer's initial public offering and had no expiration date.
Each share of the Issuer's Series C preferred stock, Series D preferred stock and Series E preferred stock automatically converted into 0.50 shares of common stock immediately prior to the closing of the Issuer's initial public offering and had no expiration date.
The Series E-1 warrants to purchase shares of Series E preferred stock automatically converted into warrants to purchase 0.50 shares of common stock, at an exercise price of $4.58 per share, immediately prior to the closing of the Issuer's initial public offering.
/s/ Jarlyth H. Gibson, Compliance Officer
2012-05-17