0001181431-13-057441.txt : 20131106 0001181431-13-057441.hdr.sgml : 20131106 20131106211510 ACCESSION NUMBER: 0001181431-13-057441 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20131106 FILED AS OF DATE: 20131106 DATE AS OF CHANGE: 20131106 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MAVENIR SYSTEMS INC CENTRAL INDEX KEY: 0001361470 STANDARD INDUSTRIAL CLASSIFICATION: COMPUTER COMMUNICATIONS EQUIPMENT [3576] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1700 INTERNATIONAL PARKWAY, SUITE 200 CITY: RICHARSON STATE: TX ZIP: 75081 BUSINESS PHONE: 469-916-4393 MAIL ADDRESS: STREET 1: 1700 INTERNATIONAL PARKWAY, SUITE 200 CITY: RICHARSON STATE: TX ZIP: 75081 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TAYLOR CRAIG C CENTRAL INDEX KEY: 0000939105 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36171 FILM NUMBER: 131198152 MAIL ADDRESS: STREET 1: 400 HAMILTON AVE. STREET 2: 4TH FLOOR CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KELLY DOUGLAS E CENTRAL INDEX KEY: 0001227887 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36171 FILM NUMBER: 131198151 MAIL ADDRESS: STREET 1: 400 HAMILTON AVENUE STREET 2: 4TH FLOOR CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shoch John CENTRAL INDEX KEY: 0001316618 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36171 FILM NUMBER: 131198150 MAIL ADDRESS: STREET 1: 400 HAMILTON AVENUE STREET 2: 4TH FLOOR CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rubin Daniel CENTRAL INDEX KEY: 0001316624 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36171 FILM NUMBER: 131198148 MAIL ADDRESS: STREET 1: 480 COWPER ST. STREET 2: 2ND FL. CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Di Bona Tony CENTRAL INDEX KEY: 0001316825 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36171 FILM NUMBER: 131198149 MAIL ADDRESS: STREET 1: 400 HAMILTON AVENUE STREET 2: 4TH FLOOR CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hunkapiller Michael CENTRAL INDEX KEY: 0001317102 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36171 FILM NUMBER: 131198147 MAIL ADDRESS: STREET 1: 400 HAMILTON AVENUE STREET 2: 4TH FLOOR CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Alloy Ventures 2005, LLC CENTRAL INDEX KEY: 0001355724 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36171 FILM NUMBER: 131198146 BUSINESS ADDRESS: STREET 1: 400 HAMILTON AVENUE, 4TH FLOOR CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: (650) 687-5000 MAIL ADDRESS: STREET 1: 400 HAMILTON AVENUE, 4TH FLOOR CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ALLOY VENTURES 2005 LP CENTRAL INDEX KEY: 0001333202 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36171 FILM NUMBER: 131198153 BUSINESS ADDRESS: STREET 1: 400 HAMILTON AVENUE STREET 2: 4TH FLOOR CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: 6506875000 MAIL ADDRESS: STREET 1: 400 HAMILTON AVENUE STREET 2: 4TH FLOOR CITY: PALO ALTO STATE: CA ZIP: 94301 3 1 rrd394122.xml FORM 3 X0206 3 2013-11-06 0 0001361470 MAVENIR SYSTEMS INC MVNR 0001355724 Alloy Ventures 2005, LLC 400 HAMILTON AVENUE, 4TH FLOOR PALO ALTO CA 94301 0 0 1 0 0001333202 ALLOY VENTURES 2005 LP 400 HAMILTON AVENUE, 4TH FLOOR PALO ALTO CA 94301 0 0 1 0 0000939105 TAYLOR CRAIG C 400 HAMILTON AVENUE, 4TH FLOOR PALO ALTO CA 94301 0 0 1 0 0001227887 KELLY DOUGLAS E 400 HAMILTON AVENUE, 4TH FLOOR PALO ALTO CA 94301 0 0 1 0 0001316618 Shoch John 400 HAMILTON AVENUE, 4TH FLOOR PALO ALTO CA 94301 0 0 1 0 0001316825 Di Bona Tony 400 HAMILTON AVENUE, 4TH FLOOR PALO ALTO CA 94301 0 0 1 0 0001316624 Rubin Daniel 400 HAMILTON AVENUE, 4TH FLOOR PALO ALTO CA 94301 0 0 1 0 0001317102 Hunkapiller Michael 400 HAMILTON AVENUE, 4TH FLOOR PALO ALTO CA 94301 0 0 1 0 Series A Convertible Preferred Stock Common Stock 284927 I By Alloy Ventures 2005, L.P. Series B Convertible Preferred Stock Common Stock 1756324 I By Alloy Ventures 2005, L.P. Series C Convertible Preferred Stock Common Stock 471314 I By Alloy Ventures 2005, L.P. Series D Convertible Preferred Stock Common Stock 267403 I By Alloy Ventures 2005, L.P. Series E Convertible Preferred Stock Common Stock 270637 I By Alloy Ventures 2005, L.P. All shares are held of record by Alloy Ventures 2005, L.P. ("Alloy Ventures 2005"). Craig C. Taylor, Douglas E. Kelly, John F. Shoch, Tony Di Bona, Daniel Rubin, Michael W. Hunkapiller and Ammar H. Hanafi are the managing members of Alloy Ventures 2005, LLC, the general partner of Alloy Ventures 2005, and may be deemed to share voting and dispositive power over the shares held by Alloy Ventures 2005. Each of the Reporting Persons disclaims beneficial ownership of these shares of the Issuer's common stock except to the extent of any pecuniary interest therein, and the filing of this report is not an admission that any Reporting Person is the beneficial owner of these shares for purposes of Section 16 or for any other purpose. The Series A Convertible Preferred Stock is convertible at any time, will automatically convert into Common Stock on a seven-for-one basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and has no expiration date. The Series B Convertible Preferred Stock is convertible at any time, will automatically convert into Common Stock on a seven-for-one basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and has no expiration date. The Series C Convertible Preferred Stock is convertible at any time, will automatically convert into Common Stock on a seven-for-one basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and has no expiration date. The Series D Convertible Preferred Stock is convertible at any time, will automatically convert into Common Stock on a seven-for-one basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and has no expiration date. The Series E Convertible Preferred Stock is convertible at any time, will automatically convert into Common Stock on a seven-for-one basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and has no expiration date. Exhibit 24.1 - Confirming Statement /s/ Sam Garrett for Alloy Ventures 2005, LLC 2013-11-06 /s/ Sam Garrett for Alloy Ventures 2005, LLC, the General Partner of Alloy Ventures 2005, L.P. 2013-11-06 /s/ Sam Garrett for Craig C. Taylor 2013-11-06 /s/ Sam Garrett for Douglas E. Kelly 2013-11-06 /s/ Sam Garrett for John F. Shoch 2013-11-06 /s/ Sam Garrett for Tony Di Bona 2013-11-06 /s/ Sam Garrett for Daniel Rubin 2013-11-06 /s/ Sam Garrett for Michael W. Hunkapiller 2013-11-06 EX-24.1 2 rrd354573_402174.htm CONFIRMING STATEMENT rrd354573_402174.html 
                              CONFIRMING STATEMENT

        This Statement confirms that the undersigned, in his, her or its
capacity as a director, officer and/or stockholder of Mavenir Systems, Inc., has
authorized and designated each of (i) Pardeep Kohli, President and Chief
Executive Officer, (ii) Terry Hungle, Chief Financial Officer, (iii) Sam
Garrett, General Counsel and Secretary, (iv) David Lunday, Vice President,
Corporate Controller and Chief Accounting Officer, (v) Carolyn Turner, Vice
President of Human Resources and (vi) Stephanie DelaCruz, Senior Director of SEC
Reporting (collectively, the "Authorized Filers"), to execute and file on the
undersigned's behalf all Forms 3, 4, and 5 (including any amendments thereto)
that the undersigned may be required to file with the U.S. Securities and
Exchange Commission as a result of the undersigned's ownership of or
transactions in securities of Mavenir Systems, Inc. The authority of the
Authorized Filers under this Statement shall continue until the undersigned is
no longer required to file Forms 3, 4, and 5 with regard to the undersigned's
ownership of or transactions in securities of Mavenir Systems, Inc., unless
earlier revoked in writing. The undersigned acknowledges that neither the
Company nor any of the Authorized Filers is assuming any of the undersigned's
responsibilities to comply with Section 16 of the Securities Exchange Act of
1934.

                                        Individual:

Date:  October 15, 2013                 ----------------------------------------
                                        Signature

                                        ----------------------------------------
                                        Print Name

                                        Entity:

                                        Alloy Ventures 2005, L.P.
                                        ----------------------------------------

                                        By: /s/ Tony Di Bona
                                            ------------------------------------

                                        Name: Tony Di Bona
                                              ----------------------------------

                                        Title: Managing Member of Alloy
                                               ---------------------------------
                                        Ventures 2005, LLC, the General
                                        ----------------------------------------
                                        Partner of Alloy Ventures 2005, L.P.
                                        ----------------------------------------