0001209191-14-076397.txt : 20141217
0001209191-14-076397.hdr.sgml : 20141217
20141217174826
ACCESSION NUMBER: 0001209191-14-076397
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141217
FILED AS OF DATE: 20141217
DATE AS OF CHANGE: 20141217
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CONNECTURE INC
CENTRAL INDEX KEY: 0001211759
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 18500 W. CORPORATE DRIVE
STREET 2: SUITE 250
CITY: BROOKFIELD
STATE: WI
ZIP: 53045
BUSINESS PHONE: 262-432-8282
MAIL ADDRESS:
STREET 1: 18500 W. CORPORATE DRIVE
STREET 2: SUITE 250
CITY: BROOKFIELD
STATE: WI
ZIP: 53045
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CHRYSALIS VENTURES II LP
CENTRAL INDEX KEY: 0001157041
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36778
FILM NUMBER: 141293565
BUSINESS ADDRESS:
STREET 1: 101 SOUTH FIFTH STREET
STREET 2: SUITE 1650
CITY: LOUISVILLE
STATE: KY
ZIP: 40202
BUSINESS PHONE: 502-583-7644
MAIL ADDRESS:
STREET 1: C/O CHRYSALIS VENTURES
STREET 2: 101 SOUTH FIFTH STREET, SUITE 1650
CITY: LOUISVILLE
STATE: KY
ZIP: 40202
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Chrysalis Partners II, LLC
CENTRAL INDEX KEY: 0001627753
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36778
FILM NUMBER: 141293566
BUSINESS ADDRESS:
STREET 1: 101 SOUTH FIFTH STREET
STREET 2: SUITE 1650
CITY: LOUSIVILLE
STATE: KY
ZIP: 40202
BUSINESS PHONE: 502.583.7644
MAIL ADDRESS:
STREET 1: 101 SOUTH FIFTH STREET
STREET 2: SUITE 1650
CITY: LOUSIVILLE
STATE: KY
ZIP: 40202
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2014-12-17
0
0001211759
CONNECTURE INC
CNXR
0001627753
Chrysalis Partners II, LLC
101 S. 5TH ST, SUITE 1650
LOUISVILLE
KY
40202
0
0
1
0
0001157041
CHRYSALIS VENTURES II LP
101 S. 5TH STREET, SUITE 1650
LOUISVILLE
KY
40202
0
0
1
0
Common Stock
2014-12-17
4
C
0
4295438
A
4295438
I
By Chrysalis Ventures II, L.P.
Common Stock
2014-12-17
4
S
0
288276
8.00
D
4007162
I
By Chrysalis Ventures II, L.P.
Series A Convertible Preferred Stock
2014-12-17
4
C
0
10886316
0.00
D
Common Stock
3628772
0
I
By Chrysalis Ventures II, L.P.
Series B Convertible Preferred Stock
2014-12-17
4
C
0
2000000
0.00
D
Common Stock
666666
0
I
By Chrysalis Ventures II, L.P.
The Series A Convertible Preferred Stock and Series B Convertible Preferred Stock converted into common stock on a three-for-one basis and had no expiration date.
Shares held directly by Chrysalis Ventures II, L.P. ("CV"). Chrysalis Partners II, LLC, the general partner of CV, may be deemed to have voting and dispositive power over the shares held by CV, and disclaims beneficial ownership of the shares held by CV, except to the extent of any pecuniary interest therein.
/s/ Scott Heinert for Chrysalis Partners, II, LLC
2014-12-17
/s/ Scott Heinert for Chrysalis Venture II, L.P.
2014-12-17