0001209191-17-045231.txt : 20170714 0001209191-17-045231.hdr.sgml : 20170714 20170714172706 ACCESSION NUMBER: 0001209191-17-045231 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170712 FILED AS OF DATE: 20170714 DATE AS OF CHANGE: 20170714 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Coupa Software Inc CENTRAL INDEX KEY: 0001385867 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 204429448 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 1855 S. GRANT STREET CITY: SAN MATEO STATE: CA ZIP: 94402 BUSINESS PHONE: 6509313200 MAIL ADDRESS: STREET 1: 1855 S. GRANT STREET CITY: SAN MATEO STATE: CA ZIP: 94402 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MDV IX LP CENTRAL INDEX KEY: 0001410787 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37901 FILM NUMBER: 17966175 BUSINESS ADDRESS: STREET 1: 777 MARINERS ISLAND BOULEVARD STREET 2: SUITE 550 CITY: SAN MATEO STATE: CA ZIP: 94404 BUSINESS PHONE: 650-234-4840 MAIL ADDRESS: STREET 1: 777 MARINERS ISLAND BOULEVARD STREET 2: SUITE 550 CITY: SAN MATEO STATE: CA ZIP: 94404 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ericson William W. CENTRAL INDEX KEY: 0001503381 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37901 FILM NUMBER: 17966176 MAIL ADDRESS: STREET 1: 777 MARINERS ISLAND BOULEVARD STREET 2: SUITE 550 CITY: SAN MATEO STATE: CA ZIP: 94404 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FEIBER JONATHAN D CENTRAL INDEX KEY: 0001027621 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37901 FILM NUMBER: 17966177 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD BLDG 1 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ninth MDV Partners, L.L.C. CENTRAL INDEX KEY: 0001573991 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37901 FILM NUMBER: 17966178 BUSINESS ADDRESS: STREET 1: 777 MARINERS ISLAND BOULEVARD STREET 2: SUITE 550 CITY: SAN MATEO STATE: CA ZIP: 94404 BUSINESS PHONE: 650-234-4840 MAIL ADDRESS: STREET 1: 777 MARINERS ISLAND BOULEVARD STREET 2: SUITE 550 CITY: SAN MATEO STATE: CA ZIP: 94404 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-07-12 1 0001385867 Coupa Software Inc COUP 0001410787 MDV IX LP 777 MARINERS ISLAND BLVD. SUITE 550 SAN MATEO CA 94404 0 0 1 0 0001573991 Ninth MDV Partners, L.L.C. 777 MARINERS ISLAND BLVD. SUITE 550 SAN MATEO CA 94404 0 0 1 0 0001027621 FEIBER JONATHAN D 777 MARINERS ISLAND BLVD. SUITE 550 SAN MATEO CA 94404 0 0 1 0 0001503381 Ericson William W. 777 MARINERS ISLAND BLVD. SUITE 550 SAN MATEO CA 94404 0 0 1 0 Common Stock 2017-07-12 4 S 0 1662000 31.25 D 3986700 I MDV IX, L.P., as nominee for MDV IX, L.P., and MDV ENF IX, L.P. Ninth MDV Partners, L.L.C. is the general partner of MDV IX, L.P., as nominee for MDV IX, L.P. and MDV ENF IX, L.P. (collectively, "MDV IX"). William Ericson ("Ericson") and Jonathan Feiber ("Feiber") are Managing Members of Ninth MDV Partners, L.L.C. Ericson and Feiber may be deemed to share voting and dispositive power over the shares held by MDV IX and disclaim beneficial ownership of the shares held by MDV IX except to the extent of their pecuniary interest therein. /s/ Brett Teele 2017-07-14