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