0001181431-11-036895.txt : 20110616
0001181431-11-036895.hdr.sgml : 20110616
20110616140216
ACCESSION NUMBER: 0001181431-11-036895
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110614
FILED AS OF DATE: 20110616
DATE AS OF CHANGE: 20110616
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SANDELL SCOTT D
CENTRAL INDEX KEY: 0001237289
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35188
FILM NUMBER: 11914780
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FUSION-IO, INC.
CENTRAL INDEX KEY: 0001383729
STANDARD INDUSTRIAL CLASSIFICATION: COMPUTER STORAGE DEVICES [3572]
IRS NUMBER: 204232255
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 6350 SOUTH 3000 EAST, 6TH FLOOR
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84121
BUSINESS PHONE: 801-424-5500
MAIL ADDRESS:
STREET 1: 6350 SOUTH 3000 EAST, 6TH FLOOR
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84121
FORMER COMPANY:
FORMER CONFORMED NAME: FUSION MULTISYSTEMS INC
DATE OF NAME CHANGE: 20061214
4
1
rrd315457.xml
X0303
4
2011-06-14
0
0001383729
FUSION-IO, INC.
FIO
0001237289
SANDELL SCOTT D
1954 GREENSPRING DRIVE
SUITE 600
TIMONIUM
MD
21093
1
0
1
0
Common Stock
2011-06-14
4
C
0
25480186
A
25829872
I
See Note 2
Common Stock
92333
I
See Note 3
Series A Preferred Stock
2011-06-14
4
C
0
13509780
D
Common Stock
13509780
0
I
See Note 2
Series B Preferred Stock
2011-06-14
4
C
0
9127294
D
Common Stock
9127294
0
I
See Note 2
Series C Preferred Stock
2011-06-14
4
C
0
2843112
D
Common Stock
2843112
0
I
See Note 2
Each share of Series A Preferred Stock, Series B Preferred Stock and Series C Preferred Stock automatically converted into the Issuer's Common Stock upon the closing of the Issuer's initial public offering on June 14, 2011 and had no expiration date.
The Reporting Person is a manager of NEA 12 GP, LLC, which is the sole general partner of NEA Partners 12, Limited Partnership ("NEA Partners 12"). NEA Partners 12 is the sole general partner of New Enterprise Associates 12, Limited Partnership ("NEA 12"), the direct beneficial owner of the shares. The Reporting Person disclaims beneficial ownership within the meaning of Section 16 of the Securities Exchange Act of 1934, as amended (the "1934 Act"), or otherwise of the shares held by NEA 12, except to the extent of his pecuniary interest therein.
The Reporting Person is a director of NEA 13 GP, LTD, which is the sole general partner of NEA Partners 13, L.P. ("NEA Partners 13"). NEA Partners 13 is the sole general partner of New Enterprise Associates 13, L.P. ("NEA 13"), the direct beneficial owner of the shares. The Reporting Person disclaims beneficial ownership within the meaning of Section 16 of the 1934 Act or otherwise of the shares held by NEA 13, except to the extent of his pecuniary interest therein.
/s/ Louis Citron, attorney-in-fact
2011-06-15