SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Greylock XII GP LLC

(Last) (First) (Middle)
880 WINTER STREET
SUITE 300

(Street)
WALTHAM MA 02451

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/02/2007
3. Issuer Name and Ticker or Trading Symbol
Constant Contact, Inc. [ CTCT ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
COMMON STOCK 3,023 I By Greylock XII Limited Partnership(1)
COMMON STOCK 335 I By Greylock XII-A Limited Partnership(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Series C Redeemable Convertible Preferred Stock (2) (2) Common Stock 1,437,377 (2) I By Greylock XII Limited Partnership(1)
Redeemable Convertible Preferred Stock (2) (2) common Stock 159,709 (2) I By Greylock XII-A Limited Partnership(1)
Explanation of Responses:
1. The General Partner of Greylock XII Limited Partnership and Greylock XII-A Limited Partnership is Greylock XII GP LLC. The members of Greylock XII GP LLC are Aneel Bhusri, Thomas Bogan, Asheem Chandna, Charles Chi, Roger Evens, William Helman, William Kaiser, James Slavet, Donald Sullivan and David Sze. Each of these individuals exercises shared voting and investment power over the shares held of record by Greylock XII Limited Partnership and Greylock XII-A Limited Partnership and disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.
2. Each share of redeemable convertible preferred stock represented herein is immediately convertible, and will automatically convert upon the closing of the issuer's initial public offering, into 1.3 shares of Common Stock, and has no expiration date.
Remarks:
/S/ Donald A. Sullivan, Adminstrative Partner 10/02/2007
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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