0001181431-12-007434.txt : 20120209 0001181431-12-007434.hdr.sgml : 20120209 20120209175843 ACCESSION NUMBER: 0001181431-12-007434 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120207 FILED AS OF DATE: 20120209 DATE AS OF CHANGE: 20120209 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: 12588695 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 rrd333269.xml X0304 4 2012-02-07 0 0001383729 FUSION-IO, INC. FIO 0001062466 PERRY MARK W 1954 GREENSPRING DRIVE SUITE 600 TIMONIUM MD 21093 0 0 1 0 Common Stock 2012-02-07 4 J 0 1000000 0 D 21538379 I See Note 2 Common Stock 2012-02-07 4 J 0 10000 0 A 10000 I See Note 4 Common Stock 2012-02-07 4 J 0 10000 0 D 0 I See Note 4 Common Stock 2012-02-07 4 J 0 299 0 A 903 I See Note 7 Common Stock 2012-02-07 4 J 0 90 0 A 271 I See Note 9 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 February 7, 2012. 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 common stock 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, as amended, or otherwise of the shares held by NEA Partners 12, except to the extent of his pecuniary interest therein. NEA Partners 12 made a pro rata distribution for no consideration of an aggregate of 10,000 shares of common stock of the Issuer to its limited partners on February 7, 2012. The Perry Residential Trust u/a 3/27/99 as amended, Mark W. Perry and Mauree Jane Perry, Trustees, (the "Perry Residential Trust") received 299 shares of the common stock of the Issuer in the distribution by NEA Partners 12. The securities are held directly by the Perry Residential Trust. The Reporting Person disclaims beneficial ownership within the meaning of Section 16 of the 1934 Act, as amended, of the securities held by the Perry Residential Trust, except to the extent of his pecuniary interest therein. The Perry Investment Partnership received 90 shares of the common stock of the Issuer in the distribution by NEA Partners 12. The securities are held directly by the Perry Investment Partnership. The Reporting Person disclaims beneficial ownership within the meaning of Section 16 of the 1934 Act, as amended, of the securities held by the Perry Investment Partnership, except to the extent of his pecuniary interest therein. /s/ Louis Citron, attorney-in-fact 2012-02-09