0001181431-13-016746.txt : 20130313
0001181431-13-016746.hdr.sgml : 20130313
20130313181521
ACCESSION NUMBER: 0001181431-13-016746
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130312
FILED AS OF DATE: 20130313
DATE AS OF CHANGE: 20130313
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GOETZ JAMES J
CENTRAL INDEX KEY: 0001219231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35367
FILM NUMBER: 13688543
MAIL ADDRESS:
STREET 1: C/O SEQUOIA CAPITAL
STREET 2: 3000 SAND HILL RD, BLDG 4, STE 180
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Jive Software, Inc.
CENTRAL INDEX KEY: 0001462633
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374]
IRS NUMBER: 421515522
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 325 LYTTON STREET
CITY: PALO ALTO
STATE: CA
ZIP: 94301
BUSINESS PHONE: 503-295-3700
MAIL ADDRESS:
STREET 1: 325 LYTTON STREET
CITY: PALO ALTO
STATE: CA
ZIP: 94301
4
1
rrd374068.xml
FORM 4
X0306
4
2013-03-12
0
0001462633
Jive Software, Inc.
JIVE
0001219231
GOETZ JAMES J
C/O SEQUOIA CAPITAL
3000 SAND HILL ROAD, 4-250
MENLO PARK
CA
94025
1
0
1
0
Common Stock
2013-03-12
4
J
0
3213081
D
12852325
I
By Sequoia III
Common Stock
2013-03-12
4
J
0
27634
D
110534
I
By Sequoia Partners
Common Stock
2013-03-12
4
J
0
149332
D
597327
I
By Sequoia Principals
Common Stock
2013-03-12
4
J
0
82451
A
82451
D
Common Stock
2013-03-12
4
J
0
1335
A
83786
D
Common Stock
2013-03-12
4
J
0
890
A
890
I
By the Goetz Children's Trust 4/24/1998
Represents a pro rata in-kind distribution of Common Stock of the Issuer to partners or members and includes subsequent distributions by general partners or managing members to their respective partners or members.
Shares held directly by Sequoia Capital Growth Fund III, L.P., ("Sequoia III"). The Reporting Person is a Managing Member of SCGF III Management, LLC, the general partner of Sequoia III, and may be deemed to share voting and dispositive power with respect to the shares held by Sequoia III. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purpose.
Shares held directly by Sequoia Capital Growth Partners III, L.P., ("Sequoia Partners"). The Reporting Person is a Managing Member of SCGF III Management, LLC, the general partner of Sequoia Partners, and may be deemed to share voting and dispositive power with respect to the shares held by Sequoia Partners. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purpose.
Shares held directly by Sequoia Capital Growth III Principals Fund LLC, ("Sequoia Principals"). The Reporting Person is a Managing Member of SCGF III Management, LLC, the managing member of Sequoia Principals, and may be deemed to share voting and dispositive power with respect to the shares held by Sequoia Principals. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purpose.
Represents the receipt of shares of Common Stock of the Issuer by virtue of the pro rata in-kind distributions described in footnotes (2), (3) and (4) above as follows: (i) 82,452 shares from Sequoia III to the Reporting Person; (ii) 1,335 shares from Sequoia Principals to the Reporting Person; and (iii) 890 shares from Sequoia Principals to the Goetz Children's Trust 4/24/1998.
Shares held by The Goetz Children's Trust 4/24/1998. The reporting person may be deemed to beneficially own the shares held by The Goetz Children's Trust 4/24/1998. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities on this report shall not be deemed an admission that the Reporting Person is the beneficial owner of the reported securities for purposes of Section 16 or for any other purpose.
/s/ Melinda Dunn, by power of attorney for James J. Goetz
2013-03-13