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