SEC Form 3
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
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1. Name and Address of Reporting Person*
Timor Ofer

(Last) (First) (Middle)
C/O DELTA VENTURES, KIBBUTZ GLIL YAM
P. O. BOX 163

(Street)
HERZELIYA 46905 L3

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/20/2014
3. Issuer Name and Ticker or Trading Symbol
Borderfree, Inc. [ BRDR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
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 266,459 I By Delta Fund I, L.P.(1)
Common Stock 16,143 I By Poalim Delta Fund, L.P.(1)
Common Stock 14,449 I By Delta Fund I (Israel), L.P.(1)
Common Stock 32,288 I By Gmulot Delta Fund, L.P.(1)
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 A Convertible Preferred Stock (2) (2) Common Stock 492,370 (2) I By Delta Fund I, L.P.(1)
Series B Convertible Preferred Stock (3) (3) Common Stock 562,036 (3) I By Delta Fund I, L.P.(1)
Series C Convertible Preferred Stock (3) (3) Common Stock 1,052,046 (3) I By Delta Fund I, L.P.(1)
Series E Convertible Preferred Stock (3) (3) Common Stock 179,612 (3) I By Delta Fund I, L.P.(1)
Series A Convertible Preferred Stock (2) (2) Common Stock 29,831 (2) I By Poalim Delta Fund, L.P.(1)
Series B Convertible Preferred Stock (3) (3) Common Stock 34,052 (3) I By Poalim Delta Fund, L.P.(1)
Series C Convertible Preferred Stock (3) (3) Common Stock 63,742 (3) I By Poalim Delta Fund, L.P.(1)
Series E Convertible Preferred Stock (3) (3) Common Stock 10,882 (3) I By Poalim Delta Fund, L.P.(1)
Series A Convertible Preferred Stock (2) (2) Common Stock 26,699 (2) I By Delta Fund I (Israel), L.P.(1)
Series B Convertible Preferred Stock (3) (3) Common Stock 30,477 (3) I By Delta Fund I (Israel), L.P.(1)
Series C Convertible Preferred Stock (3) (3) Common Stock 57,047 (3) I By Delta Fund I (Israel), L.P.(1)
Series E Convertible Preferred Stock (3) (3) Common Stock 9,740 (3) I By Delta Fund I (Israel), L.P.(1)
Series A Convertible Preferred Stock (2) (2) Common Stock 59,664 (2) I By Gmulot Delta Fund, L.P.(1)
Series B Convertible Preferred Stock (3) (3) Common Stock 68,105 (3) I By Gmulot Delta Fund, L.P.(1)
Series C Convertible Preferred Stock (3) (3) Common Stock 127,481 (3) I By Gmulot Delta Fund, L.P.(1)
Series E Convertible Preferred Stock (3) (3) Common Stock 21,764 (3) I By Gmulot Delta Fund, L.P.(1)
Stock Option (Right to Buy) (4) 03/20/2024 Common Stock 17,944 $16 D
Explanation of Responses:
1. The shares are held directly by Delta Fund I, L.P., Poalim Delta Fund, L.P., Delta Fund I (Israel), L.P. and Gmulot Delta Fund, L.P., and indirectly by (i) Delta Ventures, Ltd., the general partner of each of Poalim Delta Fund, L.P., Delta Fund I (Israel), L.P, and Gmulot Delta Fund, L.P., and (ii) Delta Ventures (Cayman) Ltd., the general partner of Delta Fund I, L.P. (the aforementioned entities, collectively, "Delta Ventures"). Mr. Timor is a Managing Partner of Delta Ventures, and may be deemed to be an indirect beneficial owner of the reported securities. Mr. Timor disclaims beneficial ownership of such securities, except to the extent of his pecuniary interest therein. This report shall not be deemed to be an admission that the Reporting Person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
2. The Series A Convertible Preferred Stock is convertible at any time at the option of the holder, and will automatically convert into shares of Common Stock on a 1-for-2.046 basis upon the closing of the Issuer's initial public offering. The securities have no expiration date.
3. The Series B, C, and E Convertible Preferred Stock are each convertible at any time at the option of the holder, and will automatically convert into shares of Common Stock on a 1-for-0.599 basis upon the closing of the Issuer's initial public offering. The securities have no expiration date.
4. This stock option vests and becomes exercisable in thirty-six equal monthly installments, which began on February 7, 2014, subject to the Reporting Person's continued service.
Remarks:
Exhibit 24.1: Limited Power of Attorney
/s/ Ofer Timor 03/18/2014
** 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).
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