0001181431-14-024186.txt : 20140624 0001181431-14-024186.hdr.sgml : 20140624 20140617124704 ACCESSION NUMBER: 0001181431-14-024186 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140617 FILED AS OF DATE: 20140617 DATE AS OF CHANGE: 20140617 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MOBILEIRON, INC. CENTRAL INDEX KEY: 0001470099 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 260866846 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 415 EAST MIDDLEFIELD ROAD CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 BUSINESS PHONE: 650-919-8100 MAIL ADDRESS: STREET 1: 415 EAST MIDDLEFIELD ROAD CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 FORMER COMPANY: FORMER CONFORMED NAME: MOBILE IRON, INC. DATE OF NAME CHANGE: 20110603 FORMER COMPANY: FORMER CONFORMED NAME: Mobile Iron, Inc. DATE OF NAME CHANGE: 20090811 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GARG GAURAV CENTRAL INDEX KEY: 0001200929 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36471 FILM NUMBER: 14924747 MAIL ADDRESS: STREET 1: C/O RUCKUS WIRELESS, INC. STREET 2: 350 WEST JAVA DRIVE CITY: SUNNYVALE STATE: CA ZIP: 94089 4 1 rrd410160.xml FORM 4 X0306 4 2014-06-17 0 0001470099 MOBILEIRON, INC. MOBL 0001200929 GARG GAURAV C/O MOBILEIRON, INC. 415 EAST MIDDLEFIELD ROAD, STE. 100 MOUNTAIN VIEW CA 94043 1 0 0 0 Common Stock 2014-06-17 4 C 0 304158 A 304158 I By Trust Common Stock 2014-06-17 4 C 0 11697 A 11697 I By Trust Common Stock 2014-06-17 4 C 0 11697 A 11697 I By Trust Common Stock 2014-06-17 4 C 0 15840 A 15840 I By Partnership Common Stock 2014-06-17 4 C 0 20090 A 20909 I By Limited Liability Company Series A Preferred Stock 2014-06-17 4 C 0 207142 0 D Common Stock 207142 0 I By Trust Series B Preferred Stock 2014-06-17 4 C 0 79199 0 D Common Stock 79199 0 I By Trust Series D Preferred Stock 2014-06-17 4 C 0 17817 0 D Common Stock 17817 0 I By Trust Series D Preferred Stock 2014-06-17 4 C 0 11697 0 D Common Stock 11697 0 I By Trust Series D Preferred Stock 2014-06-17 4 C 0 11697 0 D Common Stock 11697 0 I By Trust Series B Preferred Stock 2014-06-17 4 C 0 15840 0 D Common Stock 15840 0 I By Partnership Series E Preferred Stock 2014-06-17 4 C 0 20090 0 D Common Stock 20090 0 I By Limited Liability Company The Series A Preferred Stock automatically converted into Common Stock on a one for one basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and had no expiration date. The Series B Preferred Stock automatically converted into Common Stock on a one for one basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and had no expiration date. The Series D Preferred Stock automatically converted into Common Stock on a one for one basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and had no expiration date. Shares are held directly by Gaurav Garg and Komal Shah Trust U/T/A Dated April 27, 2000, of which Reporting Person is a Co-Trustee. Shares are held directly by The 2010 Garg/Shah GRAT Number Eleven U/T/A 06/04/10, of which Reporting Person is a Co-Trustee. Shares are held directly by The 2010 Garg/Shah GRAT Number Twelve U/T/A 06/04/10, of which Reporting Person is a Co-Trustee. Shares are held directly by Hilltop Family Partners, LP, of which Reporting Person and his spouse are General Partners. The Series E Preferred Stock automatically converted into Common Stock on a one for one basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and had no expiration date. Shares are held directly by Alameda Alpha LLC, of which Reporting Person is a managing member. /s/ Gaurav Garg 2014-06-17