0001144204-11-056940.txt : 20111007 0001144204-11-056940.hdr.sgml : 20111007 20111007122800 ACCESSION NUMBER: 0001144204-11-056940 CONFORMED SUBMISSION TYPE: 13F-HR PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110930 FILED AS OF DATE: 20111007 DATE AS OF CHANGE: 20111007 EFFECTIVENESS DATE: 20111007 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Accel IX Associates L.L.C. CENTRAL INDEX KEY: 0001376777 IRS NUMBER: 201752896 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 13F-HR SEC ACT: 1934 Act SEC FILE NUMBER: 028-14197 FILM NUMBER: 111131416 BUSINESS ADDRESS: STREET 1: 428 UNIVERSITY AVENUE CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: 650-614-4800 MAIL ADDRESS: STREET 1: 428 UNIVERSITY AVENUE CITY: PALO ALTO STATE: CA ZIP: 94301 13F-HR 1 v236401_13f.txt FORM 13F UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 Form 13F COVER PAGE Report for the Calendar Year or Quarter Ended: September 30, 2011 Check here if Amendment |_|; Amendment Number: __________ This Amendment (Check only one.): |_| is a restatement. |_| adds new holdings entries. Institutional Investment Manager Filing this Report: Name: Accel IX Associates L.L.C. Address: 428 University Avenue, Palo Alto, CA 94301 Form 13F File Number: 28-14197 The institutional investment manager filing this report and the person by whom it is signed hereby represent that the person signing the report is authorized to submit it, that all information contained herein is true, correct and complete, and that it is understood that all required items, statements, schedules, lists, and tables, are considered integral parts of this form. Person Signing this Report on Behalf of Reporting Manager: Reporting Manager: Name: Tracy Sedlock Title: Attorney-in-Fact Phone: 650.614.4800 Signature, Place, and Date of Signing: /s/Tracy Sedlock Palo Alto, CA October 5, 2011 ---------------- ------------- --------------- [Signature] [City, State] [Date] Report Type (Check only one.): |X| 13F HOLDINGS REPORT. (Check here if all holdings of this reporting manager are reported in this report.) |_| 13F NOTICE. (Check here if no holdings reported are in this report, and all holdings are reported by other reporting manager(s).) |_| 13F COMBINATION REPORT. (Check here if a portion of the holdings for this reporting manager are reported in this report and a portion are reported by other reporting manager(s).) Form 13F Summary Page Report Summary: Number of Other Included Managers: None Form 13F Information Table Entry Total: 1 Form 13F Information Table Value Total: $16,583 (thousands) List of Other Included Managers: None FORM 13F INFORMATION TABLE
-------------------------------------------------------------------------------------------------------------------------------- Column 1 Column 2 Column 3 Column 4 Column 5 Column 6 Column 7 Column 8 -------------------------------------------------------------------------------------------------------------------------------- Name of Issuer Title of CUSIP Value Shrs or SH/PRN Put/Call Investment Other Voting Authority class (x$1000) prn amt discretion managers -------------------------------------------------------------------------------------------------------------------------------- Sole Shared None -------------------------------------------------------------------------------------------------------------------------------- Google Inc. Class A 38259P508 $16,583 32,198 SH Sole 32,198 0 0 Common --------------------------------------------------------------------------------------------------------------------------------