0001209191-13-045460.txt : 20130924 0001209191-13-045460.hdr.sgml : 20130924 20130924164510 ACCESSION NUMBER: 0001209191-13-045460 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130923 FILED AS OF DATE: 20130924 DATE AS OF CHANGE: 20130924 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Benefitfocus,Inc. CENTRAL INDEX KEY: 0001576169 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 462346314 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 BENEFITFOCUS WAY CITY: CHARLESTON STATE: SC ZIP: 29492 BUSINESS PHONE: 843-849-7476 MAIL ADDRESS: STREET 1: 100 BENEFITFOCUS WAY CITY: CHARLESTON STATE: SC ZIP: 29492 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LAMONT ANN H CENTRAL INDEX KEY: 0001199270 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36061 FILM NUMBER: 131112638 MAIL ADDRESS: STREET 1: 901 MAIN AVENUE STREET 2: SUITE 600 CITY: NORWALK STATE: CT ZIP: 06851 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2013-09-23 0 0001576169 Benefitfocus,Inc. BNFT 0001199270 LAMONT ANN H C/O OAK INVESTMENT PARTNERS 901 MAIN AVENUE, SUITE 600 NORWALK CT 06851 1 0 1 0 Common Stock 2013-09-23 4 C 0 2441009 0.00 A 2441009 I See Footnotes Series B Preferred Stock 2013-09-23 4 C 0 2441009 0.00 D Common Stock 2441009 0 I See Footnoes The shares of Series B Preferred Stock automatically converted into shares of the Issuer's Common Stock on a one-for-one basis upon the closing of the Issuer's initial public offering. The shares are directly held by Oak Investment Partners XII, Limited Partnership. Ms. Lamont is a Managing Member of Oak Associates XII, LLC, the General Partner of Oak Investment Partners XII, Limited Partnership. Ms. Lamont has the shared power to vote and dispose of the shares held by Oak Investment Partners XII, Limited Partnership. Ms. Lamont disclaims beneficial ownership of these shares (except to the extent of her pecuniary interest therein), and the inclusion of these shares in this report shall not be deemed an admission by the Reporting Person of beneficial ownership of all of the reported shares for the purposes of Section 16 or for any other purpose. /s/ Donald R. Reynolds, Attorney-in-Fact 2013-09-24