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