0001181431-11-041688.txt : 20110719 0001181431-11-041688.hdr.sgml : 20110719 20110719191206 ACCESSION NUMBER: 0001181431-11-041688 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110719 FILED AS OF DATE: 20110719 DATE AS OF CHANGE: 20110719 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ODDI DAVID CENTRAL INDEX KEY: 0001256947 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35240 FILM NUMBER: 11976231 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SKULLCANDY, INC. CENTRAL INDEX KEY: 0001423542 STANDARD INDUSTRIAL CLASSIFICATION: HOUSEHOLD AUDIO & VIDEO EQUIPMENT [3651] IRS NUMBER: 562362196 BUSINESS ADDRESS: STREET 1: 1441 West Ute Blvd STREET 2: SUITE 250 CITY: park City STATE: ut ZIP: 84098 BUSINESS PHONE: 435-940-1545 MAIL ADDRESS: STREET 1: 1441 West Ute Blvd STREET 2: SUITE 250 CITY: park City STATE: ut ZIP: 84098 FORMER COMPANY: FORMER CONFORMED NAME: Skullcandy Inc DATE OF NAME CHANGE: 20080110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FERREIRA JOSE JR CENTRAL INDEX KEY: 0001051399 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35240 FILM NUMBER: 11976232 MAIL ADDRESS: STREET 1: C/O NU SKIN ENTERPRISES INC STREET 2: 75 WEST CENTER ST CITY: PROVO STATE: UT ZIP: 84601 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOODE PARTNERS CONSUMER FUND I L P CENTRAL INDEX KEY: 0001392310 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35240 FILM NUMBER: 11976233 BUSINESS ADDRESS: STREET 1: 667 MADISON AVE 21ST FL CITY: NEW YORK STATE: NY ZIP: 10021 BUSINESS PHONE: 646-722-9450 MAIL ADDRESS: STREET 1: 667 MADISON AVE 21ST FL CITY: NEW YORK STATE: NY ZIP: 10021 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOODE SKULLCANDY HOLDINGS, LLC CENTRAL INDEX KEY: 0001523190 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35240 FILM NUMBER: 11976234 BUSINESS ADDRESS: STREET 1: C/O GOODE PARTNERS, LLC STREET 2: 767 THIRD AVENUE, 22ND FL. CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: (646) 722-9450 MAIL ADDRESS: STREET 1: C/O GOODE PARTNERS, LLC STREET 2: 767 THIRD AVENUE, 22ND FL. CITY: NEW YORK STATE: NY ZIP: 10017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOODE INVESTORS I LLC CENTRAL INDEX KEY: 0001526181 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35240 FILM NUMBER: 11976235 BUSINESS ADDRESS: STREET 1: C/O GOODE PARTNERS, LLC STREET 2: 767 THIRD AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 646 722 9450 MAIL ADDRESS: STREET 1: C/O GOODE PARTNERS, LLC STREET 2: 767 THIRD AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 3 1 rrd315011.xml GOODE F3 X0203 3 2011-07-19 0 0001423542 SKULLCANDY, INC. SKUL 0001523190 GOODE SKULLCANDY HOLDINGS, LLC C/O GOODE PARTNERS, LLC 767 THIRD AVENUE NEW YORK NY 10017 0 0 1 0 0001392310 GOODE PARTNERS CONSUMER FUND I L P C/O GOODE PARTNERS, LLC 767 THIRD AVENUE NEW YORK NY 10017 0 0 1 0 0001051399 FERREIRA JOSE JR C/O GOODE PARTNERS, LLC 767 THIRD AVENUE NEW YORK NY 10017 0 0 1 0 0001256947 ODDI DAVID C/O GOODE PARTNERS, LLC 767 THIRD AVENUE NEW YORK NY 10017 0 0 1 0 0001526181 GOODE INVESTORS I LLC C/O GOODE PARTNERS, LLC 767 THIRD AVENUE NEW YORK NY 10017 0 0 1 0 Series C Preferred Stock Common Stock 18985 D Convertible Secured Promissory Note Common Stock 3218432 D The Series C Preferred Stock has no expiration date and is exercisable and convertible into the Issuer's common stock on a 1 for 1.199 basis upon the closing of the Issuer's initial public offering. The reported number of shares gives effect to such share conversion. Represents shares held directly by Goode Skullcandy Holdings LLC. The Convertible Secured Promissory Note (the "Note"), issued in favor of Goode Skullcandy Holdings LLC, has a maturity date of 11/28/2013. The Note will convert into the Issuer's common stock at the closing of the Issuer's initial public offering pursuant to the provisions of the Note. The number of shares subject to conversion of the Note is based upon a conversion price of $7.72 per share, subject to adjustment as provided pursuant to the provisions of the Note. Goode Investors I LLC ("GP I"), is the general partner of Goode Partners Consumer Fund I, L.P. ("GPCF I"). GPCF I is the managing member of Goode Skullcandy Holdings LLC ("Holdings LLC"), which directly holds the securities reported herein. Jose Ferreira, Jr. and David Oddi are managing directors and members of GP I. Messrs. Ferreira and Oddi and GP I and GPCF I (collectively, the "Goode Entities") may be deemed to indirectly beneficially own the shares held by Holdings LLC because of their affiliation with the Goode Entities but disclaim beneficial ownership of the reported securities except to the extent of their pecuniary interests therein. Jose Ferreira, Jr., Authorized Signatory on behalf of Goode Skullcandy Holdings, LLC 2011-07-19 Jose Ferreira, Jr., Authorized Signatory on behalf of Goode Partners Consumer Fund I, L.P. 2011-07-19 Jose Ferreira, Jr., an individual 2011-07-19 David Oddi, an individual 2011-07-19 Jose Ferreira, Jr., Authorized Signatory on behalf of Goode Investors I LLC 2011-07-19