0001181431-12-004861.txt : 20120131 0001181431-12-004861.hdr.sgml : 20120131 20120131212244 ACCESSION NUMBER: 0001181431-12-004861 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: BAY PARTNERS X LP CENTRAL INDEX KEY: 0001130813 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35394 FILM NUMBER: 12560853 BUSINESS ADDRESS: STREET 1: 10600 NORTH DEANZA BLVD STREET 2: STE 100 CITY: CUPERTINO STATE: CA ZIP: 95014 BUSINESS PHONE: 4087252444 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PHILLIPS STUART G CENTRAL INDEX KEY: 0001225479 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35394 FILM NUMBER: 12560852 MAIL ADDRESS: STREET 1: 2735 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bay Management Co X, LLC CENTRAL INDEX KEY: 0001540244 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35394 FILM NUMBER: 12560854 BUSINESS ADDRESS: STREET 1: 490 S CALIFORNIA AVENUE STREET 2: SUITE 200 CITY: PALO ALTO STATE: CA ZIP: 94306 BUSINESS PHONE: 650-854-1500 MAIL ADDRESS: STREET 1: 490 S CALIFORNIA AVENUE STREET 2: SUITE 200 CITY: PALO ALTO STATE: CA ZIP: 94306 4 1 rrd332073.xml FORM 4 X0304 4 2012-01-30 0 0001528396 Guidewire Software, Inc. GWRE 0001130813 BAY PARTNERS X LP 490 S. CALIFORNIA, SUITE 200 PALO ALTO CA 94306 0 0 1 0 0001540244 Bay Management Co X, LLC BAY PARTNERS 490 S CALIFORNIA AVENUE, SUITE 200 PALO ALTO CA 94306 0 0 1 0 0001225479 PHILLIPS STUART G C/O BAY PARTNERS 490 S CALIFORNIA AVENUE, SUITE 200 PALO ALTO CA 94306 0 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 D 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 D Series B Convertible Preferred Stock 2012-01-30 4 C 0 2733173 D Common Stock 2733173 0 D Series C Convertible Preferred Stock 2012-01-30 4 C 0 852429 D Common Stock 852429 0 D 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, and Mr. Phillips, each disclaim 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/ Stuart Phillips, Managing Member to Reporting Person 2012-01-30