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