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