0001209191-13-045461.txt : 20130924 0001209191-13-045461.hdr.sgml : 20130924 20130924164659 ACCESSION NUMBER: 0001209191-13-045461 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: OAK INVESTMENT PARTNERS XII L P CENTRAL INDEX KEY: 0001365607 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36061 FILM NUMBER: 131112651 BUSINESS ADDRESS: STREET 1: 901 MAIN AVENUE, SUITE 600 CITY: NORWALK STATE: CT ZIP: 06851 BUSINESS PHONE: 203-226-8346 MAIL ADDRESS: STREET 1: 901 MAIN AVENUE, 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 0001365607 OAK INVESTMENT PARTNERS XII L P 901 MAIN AVENUE, SUITE 600 NORWALK CT 06851 0 0 1 0 Common Stock 2013-09-23 4 C 0 2441009 0.00 A 2441009 D Series B Preferred Stock 2013-09-23 4 C 0 2441009 0.00 D Common Stock 2441009 0 D 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. Represents securities directly owned by the Reporting Person. Oak Associates XII, LLC, as the general partner of the Reporting Person, may be deemed to beneficially own these securities. Each of Oak Investment Partners XII, LP and Oak Associates XII, LLC disclaims beneficial ownership (as defined in Rule 16a-1(a)(2)) of the securities reported herein (except to the extent of its pecuniary interest therein), and this report shall not be deemed an admission that the Reporting Person or Oak Associates XII, LLC is the beneficial owner of any such securities for purposes of Section 16 or for any other purpose. /s/ Donald R. Reynolds, Attorney-in-Fact 2013-09-24