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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 06/11/2014 |
3. Issuer Name and Ticker or Trading Symbol
MOBILEIRON, INC. [ MOBL ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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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 | 7,142 | I(1) | By Trust |
Common Stock | 7,142 | I(2) | By Trust |
Common Stock | 7,142 | I(3) | By Trust |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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 | ||||
Stock Option (Right to Buy) | (4) | 12/12/2023 | Common Stock | 762,157 | $4.55 | D | |
Stock Option (Right to Buy) | (5) | (6) | Common Stock | 8,557 | $5.77 | D |
Explanation of Responses: |
1. Shares are held directly by The Jordan Ford 2006 Irrevocable Trust, of which the Reporting Person is a Trustee. |
2. Shares are held directly by The Sawyer Ford 2006 Irrevocable Trust, of which the Reporting Person is a Trustee. |
3. Shares are held directly by The Taylor Ford 2006 Irrevocable Trust, of which the Reporting Person is a Trustee. |
4. Option vests as to 25% of the shares subject to the grant on 12/13/14 and in equal monthly installments thereafter over 36 months. |
5. 2.5% of the shares vest at the end of each three-month period during the first year following the vesting commencement date, 5.0% of the shares vest at the end of each three-month period during the second year following the vesting commencement date, 7.5% of the shares vest at the end of each three-month period during the third year following the vesting commencement date, and 10.0% of the shares vest at the end of each three-month period during the fourth year following the vesting commencement date. |
6. Vesting will commence on, and is subject to, closing of a "Qualified IPO" as defined in the Company's Amended and Restated Certificate of Incorporation (the "vesting commencement date") that occurs on or before February 27, 2016. The option will terminate upon the earliest of (i) the 10th anniversary of the date of grant (i.e., February 27, 2024), (ii) closing of a Change of Control of the Company as defined in the 2008 Stock Plan that occurs prior to closing of a Qualified IPO, or (iii) February 27, 2016, if a Qualified IPO does not occur on or before that date. |
/s/ Todd Ford | 06/11/2014 | |
** 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). | ||
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. |