0001181431-12-004871.txt : 20120131
0001181431-12-004871.hdr.sgml : 20120131
20120131213426
ACCESSION NUMBER: 0001181431-12-004871
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120130
FILED AS OF DATE: 20120131
DATE AS OF CHANGE: 20120131
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DEMPSEY NEAL
CENTRAL INDEX KEY: 0001015934
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35394
FILM NUMBER: 12560878
MAIL ADDRESS:
STREET 1: 10600 N DE ANZA BLVD
STREET 2: SUITE 100
CITY: CUPERTINO
STATE: CA
ZIP: 95054
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Guidewire Software, Inc.
CENTRAL INDEX KEY: 0001528396
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 364468504
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2211 BRIDGEPOINTE PARKWAY
CITY: SAN MATEO
STATE: CA
ZIP: 94404
BUSINESS PHONE: 650-357-9100
MAIL ADDRESS:
STREET 1: 2211 BRIDGEPOINTE PARKWAY
CITY: SAN MATEO
STATE: CA
ZIP: 94404
4
1
rrd332071.xml
FORM 4
X0304
4
2012-01-30
0
0001528396
Guidewire Software, Inc.
GWRE
0001015934
DEMPSEY NEAL
490 S. CALIFORNIA, SUITE 200
PALO ALTO
CA
94306
1
0
1
0
Common Stock
2012-01-30
4
C
0
511956
A
526639
I
Directly owned by Bay Partners X Entrepreneurs Fund, L.P.
Common Stock
2012-01-30
4
C
0
9244665
A
9509648
I
Directly owned by Bay Partners X, L.P.
Series A Convertible Preferred Stock
2012-01-30
4
C
0
313281
D
Common Stock
313281
0
I
Directly owned by Bay Partners X Entrepreneurs Fund, L.P.
Series B Convertible Preferred Stock
2012-01-30
4
C
0
151443
D
Common Stock
151443
0
I
Directly owned by Bay Partners X Entrepreneurs Fund, L.P.
Series C Convertible Preferred Stock
2012-01-30
4
C
0
47232
D
Common Stock
47232
0
I
Directly owned by Bay Partners X Entrepreneurs Fund, L.P.
Series A Convertible Preferred Stock
2012-01-30
4
C
0
5659063
D
Common Stock
5659063
0
I
Directly owned by Bay Partners X, L.P.
Series B Convertible Preferred Stock
2012-01-30
4
C
0
2733173
D
Common Stock
2733173
0
I
Directly owned by Bay Partners X, L.P.
Series C Convertible Preferred Stock
2012-01-30
4
C
0
852429
D
Common Stock
852429
0
I
Directly owned by Bay Partners X, L.P.
The Series A, Series B, and Series C Convertible Preferred Stock is convertible into Common Stock on a one-for-one basis at any time at the holder's election and automatically upon the closing of the Issuer's initial public offering, and have no expiration date.
The securities are held directly by Bay Partners X Entrepreneurs Fund, L.P. Bay Management Company X, LLC is the General Partner of Bay Partners X Entrepreneurs Fund, L.P. Neal Dempsey and Mr. Stuart G Phillips are managing members of Bay Management Company X, LLC and share voting and dispositive power over the shares held of record by Bay Partners X Entrepreneurs Fund, L.P. Mr. Dempsey, a director of the Issuer, disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest therein.
The securities are held directly by Bay Partners X, L. P. Bay Management Company X, LLC is the General Partner of Bay Partners X, L.P. Neal Dempsey and Mr. Stuart G Phillips are managing members of Bay Management Company X, LLC and share voting and dispositive power over the shares held of record by Bay Partners X, L.P. Mr. Dempsey, a director of the Issuer, disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest therein.
Not applicable.
The expiration date is not relevant to the conversion of these securities.
/s/ Bob Donohue, attorney in fact to Reporting Person
2012-01-30