0001209191-12-014715.txt : 20120301 0001209191-12-014715.hdr.sgml : 20120301 20120301193657 ACCESSION NUMBER: 0001209191-12-014715 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120229 FILED AS OF DATE: 20120301 DATE AS OF CHANGE: 20120301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KINGSLEY DOUGLAS A CENTRAL INDEX KEY: 0001197537 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35435 FILM NUMBER: 12659735 MAIL ADDRESS: STREET 1: C/O ADVENT INTERNATIONAL CORP STREET 2: 75 STATE ST 29TH FLOOR CITY: BOSTON STATE: MA ZIP: 02104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAMORE RICHARD A CENTRAL INDEX KEY: 0001206641 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35435 FILM NUMBER: 12659736 MAIL ADDRESS: STREET 1: C/O NORTHBRIDGE VENTURE PARTNERS STREET 2: 950 WINTER ST STE 4600 CITY: WALTHAM STATE: MA ZIP: 02451 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANDERSON EDWARD T CENTRAL INDEX KEY: 0001218581 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35435 FILM NUMBER: 12659737 MAIL ADDRESS: STREET 1: 950 WINTER ST SUITE 4600 CITY: WATHAM STATE: MA ZIP: 02451 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Proto Labs Inc CENTRAL INDEX KEY: 0001443669 STANDARD INDUSTRIAL CLASSIFICATION: FABRICATED STRUCTURAL METAL PRODUCTS [3440] IRS NUMBER: 000000000 BUSINESS ADDRESS: STREET 1: 5540 Pioneer Creek CITY: Maple Plain STATE: MN ZIP: 55359 BUSINESS PHONE: 763-479-7474 MAIL ADDRESS: STREET 1: 5540 Pioneer Creek CITY: Maple Plain STATE: MN ZIP: 55359 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NORTH BRIDGE GROWTH EQUITY I LP CENTRAL INDEX KEY: 0001390657 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35435 FILM NUMBER: 12659733 BUSINESS ADDRESS: STREET 1: 950 WINTER STREET STREET 2: SUITE 4600 CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: 7812900004 MAIL ADDRESS: STREET 1: 950 WINTER STREET STREET 2: SUITE 4600 CITY: WALTHAM STATE: MA ZIP: 02451 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NBGE Manager, LLC CENTRAL INDEX KEY: 0001542779 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35435 FILM NUMBER: 12659738 BUSINESS ADDRESS: STREET 1: 950 WINTER STREET STREET 2: SUITE 4600 CITY: WALTHAM STATE: MA ZIP: 02454 BUSINESS PHONE: 781-290-0004 MAIL ADDRESS: STREET 1: 950 WINTER STREET STREET 2: SUITE 4600 CITY: WALTHAM STATE: MA ZIP: 02454 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NBGE GP, LLC CENTRAL INDEX KEY: 0001542781 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35435 FILM NUMBER: 12659734 BUSINESS ADDRESS: STREET 1: 950 WINTER STREET STREET 2: SUITE 4600 CITY: WALTHAM STATE: MA ZIP: 02454 BUSINESS PHONE: 781-290-0004 MAIL ADDRESS: STREET 1: 950 WINTER STREET STREET 2: SUITE 4600 CITY: WALTHAM STATE: MA ZIP: 02454 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: North Bridge Growth Management, L.P. CENTRAL INDEX KEY: 0001542785 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35435 FILM NUMBER: 12659732 BUSINESS ADDRESS: STREET 1: 950 WINTER STREET STREET 2: SUITE 4600 CITY: WALTHAM STATE: MA ZIP: 02454 BUSINESS PHONE: 781-290-0004 MAIL ADDRESS: STREET 1: 950 WINTER STREET STREET 2: SUITE 4600 CITY: WALTHAM STATE: MA ZIP: 02454 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2012-02-29 0 0001443669 Proto Labs Inc PRLB 0001542779 NBGE Manager, LLC C/O NORTH BRIDGE GROWTH EQUITY 950 WINTER STREET, SUITE 4600 WALTHAM MA 02454 1 0 1 0 0001218581 ANDERSON EDWARD T C/O NORTH BRIDGE GROWTH EQUITY 950 WINTER STREET, SUITE 4600 WALTHAM MA 02454 0 0 1 0 0001206641 DAMORE RICHARD A C/O NORTH BRIDGE GROWTH EQUITY 950 WINTER STREET, SUITE 4600 WALTHAM MA 02454 0 0 1 0 0001197537 KINGSLEY DOUGLAS A C/O NORTH BRIDGE GROWTH EQUITY 950 WINTER STREET, SUITE 4600 WALTHAM MA 02454 1 0 0 0 0001542781 NBGE GP, LLC C/O NORTH BRIDGE GROWTH EQUITY 950 WINTER STREET, SUITE 4600 WALTHAM MA 02454 0 0 1 0 0001390657 NORTH BRIDGE GROWTH EQUITY I LP C/O NORTH BRIDGE GROWTH EQUITY 950 WINTER STREET, SUITE 4600 WALTHAM MA 02454 0 0 1 0 0001542785 North Bridge Growth Management, L.P. C/O NORTH BRIDGE GROWTH EQUITY 950 WINTER STREET, SUITE 4600 WALTHAM MA 02454 0 0 1 0 Common Stock 2012-02-29 4 C 0 5991790 A 5991790 I By North Bridge Growth Equity I, L.P. Common Stock 2012-02-29 4 P 0 430000 16.00 A 6421790 I By North Bridge Growth Equity I, L.P. Series A Preferred Stock 2012-02-29 4 C 0 427985 0.00 D Common Stock 5991790 0 I By North Bridge Growth Equity I, L.P. Upon the closing of the Issuer's initial public offering, each of the 427,985 shares of Series A Preferred Stock automatically converted into shares of the Issuer's Common Stock on a 14-for-1 basis. Represents shares held directly by North Bridge Growth Equity I, L.P. NBGE Manager, LLC ("NBGE") is the managing manager of NBGE GP, LLC, which is the sole general partner of North Bridge Growth Management, L.P., which is the sole general partner of North Bridge Growth Equity I, L.P. NBGE has sole vesting and dispositive power over such shares. Douglas Kingsley, a director of the Issuer, is a founding managing director of NBGE GP, LLC. Shared voting and investment power over such shares is vested in the managers of NBGE, Edward Anderson and Richard D'Amore. Mr. Kingsley, Mr. Anderson and Mr. D'Amore each disclaim any beneficial ownership of such shares, except to the extent of any pecuniary interest therein. This report shall not be deemed an admission that any of the reporting persons is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. The security does not have an expiration date. /c/ Catherine M. Verschelden, Attorney-in-Fact for NBGE Manager, LLC 2012-03-01 /s/ Catherine M. Verschelden, Attorney-in-Fact for Edward Anderson 2012-03-01 /s/ Catherine M. Verschelden, Attorney-in-Fact for Richard D'Amore 2012-03-01 /s/ Catherine M. Verschelden, Attorney-in-Fact for Douglas Kingsley 2012-03-01 /s/ Catherine M. Verschelden, Attorney-in-Fact for NBGE GP, LLC 2012-03-01 /s/ Catherine M. Verschelden, Attorney-in-Fact for North Bridge Growth Equity I, L.P. 2012-03-01 /s/ Catherine M. Verschelden, Attorney-in-Fact for North Bridge Growth Management, L.P. 2012-03-01