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*
Reedy Ronald E.

(Last) (First) (Middle)
C/O PEREGRINE SEMICONDUCTOR CORPORATION
9380 CARROLL PARK DRIVE

(Street)
SAN DIEGO CA 92121

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/07/2012
3. Issuer Name and Ticker or Trading Symbol
PEREGRINE SEMICONDUCTOR CORP [ PSMI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Technology Officer
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 10,217 D
Common Stock 11,580 I The Reedy Family Educational Irrevocable Trust
Common Stock 39,107 I Ron and Robin Reedy Living Trust
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
Employee Stock Option (Right to Buy) (1) 04/02/2014 Common Stock 2,724 0.73 D
Employee Stock Option (Right to Buy) (2) 04/02/2014 Common Stock 2,724 0.73 D
Employee Stock Option (Right to Buy) (3) 06/09/2014 Common Stock 10,206 0.73 D
Employee Stock Option (Right to Buy) (4) 06/09/2014 Common Stock 20,708 0.73 D
Employee Stock Option (Right to Buy) (5) 06/09/2014 Common Stock 35,422 0.73 D
Employee Stock Option (Right to Buy) (6) 05/19/2015 Common Stock 46,321 0.88 D
Employee Stock Option (Right to Buy) (7) 01/31/2018 Common Stock 23,160 1.76 D
Employee Stock Option (Right to Buy) (8) 05/28/2019 Common Stock 40,871 1.76 D
Employee Stock Option (Right to Buy) (9) 05/28/2019 Common Stock 40,871 1.76 D
Employee Stock Option (Right to Buy) (10) 05/28/2019 Common Stock 53,133 1.76 D
Employee Stock Option (Right to Buy) (11) 07/22/2020 Common Stock 54,495 7.12 D
Employee Stock Option (Right to Buy) (12) 10/25/2021 Common Stock 13,623 9.76 D
Employee Stock Option (Right to Buy) (13) 01/30/2013 Common Stock 17,983 0.73 D
Employee Stock Option (Right to Buy) (14) 11/21/2012 Common Stock 17,574 0.73 D
Employee Stock Option (Right to Buy) (15) 11/21/2012 Common Stock 64,850 0.73 D
Series A1 Preferred Stock (16) (16) Common Stock 982 (16) I Ron and Robin Reedy Living Trust
Series B1 Preferred Stock (16) (16) Common Stock 740 (16) I Ron and Robin Reedy Living Trust
Explanation of Responses:
1. Subject to continuous service, this option is immediately exercisable for all shares. Any shares acquired upon exercise are subject to a right of repurchase at the original exercise price per share. The right of repurchase lapses in seven successive equal monthly installments from April 2, 2004.
2. Subject to continuous service, this option is immediately exercisable for all shares. Any shares acquired upon exercise are subject to a right of repurchase at the original exercise price per share. The right of repurchase lapses in seven successive equal monthly installments from April 2, 2004.
3. Subject to continuous service, this option is immediately exercisable for all shares. Any shares acquired upon exercise are subject to a right of repurchase at the original exercise price per share. The right of repurchase lapses in 12 successive equal monthly installments from April 1, 2006.
4. Subject to continuous service, this option is immediately exercisable for all shares. Any shares acquired upon exercise are subject to a right of repurchase at the original exercise price per share. The right of repurchase lapses in 12 successive equal monthly installments from April 1, 2007.
5. Subject to continuous service, this option is immediately exercisable for all shares. Any shares acquired upon exercise are subject to a right of repurchase at the original exercise price per share. The right of repurchase lapses in 48 successive equal monthly installments from April 1, 2004.
6. Subject to continuous service, this option is immediately exercisable for all shares. Any shares acquired upon exercise are subject to a right of repurchase at the original exercise price per share. The right of repurchase lapses in 24 successive equal monthly installments from April 1, 2008.
7. Subject to continuous service, this option is immediately exercisable for all shares. Any shares acquired upon exercise are subject to a right of repurchase at the original exercise price per share. The right of repurchase lapses in successive equal daily installments over a 12-month period from April 1, 2010.
8. Subject to continuous service, this option is immediately exercisable for all shares. Any shares acquired upon exercise are subject to a right of repurchase at the original exercise price per share. The right of repurchase lapses in successive equal daily installments over a 12-month period from March 31, 2011.
9. Subject to continuous service, this option is immediately exercisable for all shares. Any shares acquired upon exercise are subject to a right of repurchase at the original exercise price per share. The right of repurchase lapses in successive equal daily installments over a 12-month period from March 31, 2012.
10. Subject to continuous service, this option is immediately exercisable for all shares. Any shares acquired upon exercise are subject to a right of repurchase at the original exercise price per share. The right of repurchase lapses in successive equal daily installments from May 28, 2009 to March 31, 2012.
11. Subject to continuous service, the option is exercisable in successive equal daily installments over a 12-month period from April 1, 2013.
12. Subject to continuous service, the option is exercisable in 12 successive equal monthly installments from April 1, 2014.
13. Subject to continuous service, this option is immediately exercisable for all shares. Any shares acquired upon exercise are subject to a right of repurchase at the original exercise price per share. The right of repurchase lapses with respect to 25% of the shares to this option on January 30, 2004 and in equal monthly installments over a 36-month period of the remaining shares subject to this option thereafter.
14. Subject to continuous service, this option is immediately exercisable for all shares. Any shares acquired upon exercise are subject to a right of repurchase at the original exercise price per share. The right of repurchase lapses in 12 successive equal monthly installments from September 4, 2002.
15. Subject to continuous service, this option is immediately exercisable for all shares. Any shares acquired upon exercise are subject to a right of repurchase at the original exercise price per share. The right of repurchase lapses with respect to 25% of the shares to this option on September 4, 2003 and in equal monthly installments over a 36-month period of the remaining shares subject to this option thereafter.
16. Each share of the Series A1 Preferred Stock and Series B1 Preferred Stock will automatically convert into one share of common stock upon the closing of the Issuer's initial public offering, and has no expiration date.
By: /s/ Jay Biskupski as Attorney-in-fact for Ronald E. Reedy 08/07/2012
** 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).
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