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