0001181431-11-062030.txt : 20111228 0001181431-11-062030.hdr.sgml : 20111228 20111228134737 ACCESSION NUMBER: 0001181431-11-062030 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111227 FILED AS OF DATE: 20111228 DATE AS OF CHANGE: 20111228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PERRY MARK W CENTRAL INDEX KEY: 0001062466 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35188 FILM NUMBER: 111283534 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 rrd329155.xml X0304 4 2011-12-27 0 0001383729 FUSION-IO, INC. FIO 0001062466 PERRY MARK W 1954 GREENSPRING DRIVE SUITE 600 TIMONIUM MD 21093 0 0 1 0 Common Stock 2011-12-27 4 J 0 1000000 0 D 23538379 I See Note 2 Common Stock 2011-12-27 4 J 0 10000 0 A 10000 I See Note 4 New Enterprise Associates 12, Limited Partnership ("NEA 12") made a pro rata distribution for no consideration of an aggregate of 1,000,000 shares of common stock of the Issuer to its general partner and its limited partners on December 27, 2011. The Reporting Person is a manager of NEA 12 GP, LLC, ("NEA 12 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 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 (the "1934 Act"), as amended, or otherwise of the shares held by NEA 12, except to the extent of his pecuniary interest therein. NEA Partners 12 received 10,000 shares of the Issuer in the distribution by NEA 12. The Reporting Person is a manager of NEA 12 LLC, which is the sole general partner of NEA Partners 12. The Reporting Person disclaims beneficial ownership within the meaning of Section 16 of the 1934 Act or otherwise of the shares held by NEA Partners 12, except to the extent of his pecuniary interest therein. /s/ Louis Citron, attorney-in-fact 2011-12-28