0001181431-12-060762.txt : 20121128
0001181431-12-060762.hdr.sgml : 20121128
20121128121700
ACCESSION NUMBER: 0001181431-12-060762
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121126
FILED AS OF DATE: 20121128
DATE AS OF CHANGE: 20121128
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BASKETT FOREST
CENTRAL INDEX KEY: 0001277631
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35188
FILM NUMBER: 121228266
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: 2855 E. COTTONWOOD PARKWAY, SUITE 100
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84121
BUSINESS PHONE: 801-424-5500
MAIL ADDRESS:
STREET 1: 2855 E. COTTONWOOD PARKWAY, SUITE 100
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84121
FORMER COMPANY:
FORMER CONFORMED NAME: FUSION MULTISYSTEMS INC
DATE OF NAME CHANGE: 20061214
4
1
rrd361543.xml
X0306
4
2012-11-26
0
0001383729
FUSION-IO, INC.
FIO
0001277631
BASKETT FOREST
1954 GREENSPRING DRIVE
SUITE 600
TIMONIUM
MD
21093
1
0
0
0
Common Stock
2012-11-26
4
J
0
2000000
0
D
7038379
I
See Note 2
Common Stock
2012-11-26
4
J
0
20000
0
A
20000
I
See Note 4
Common Stock
2012-11-26
4
J
0
20000
0
D
0
I
See Note 4
Common Stock
2012-11-26
4
J
0
971
0
A
971
I
See Note 7
Common Stock
2012-11-27
4
S
0
971
24.15
D
0
I
See Note 7
New Enterprise Associates 12, Limited Partnership ("NEA 12") made a pro rata distribution for no consideration of an aggregate of 2,000,000 shares of common stock of the Issuer to its general partner and its limited partners on November 26, 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 20,000 shares of common stock of the Issuer in the distribution by NEA 12 on November 26, 2012.
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 20,000 shares of common stock of the Issuer to its limited partners on November 26, 2012.
The Baskett Family Trust u/a dtd 10/12/10 (the "Baskett Trust") received 971 shares of common stock of the Issuer in the distribution by NEA Partners 12.
The Reporting Person is the trustee of the Baskett Trust, which is the direct beneficial owner of the shares. 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 the Baskett Trust, except to the extent of his pecuniary interest therein.
/s/ Louis Citron, attorney-in-fact
2012-11-28