0001209191-14-074711.txt : 20141211
0001209191-14-074711.hdr.sgml : 20141211
20141211203137
ACCESSION NUMBER: 0001209191-14-074711
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141211
FILED AS OF DATE: 20141211
DATE AS OF CHANGE: 20141211
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Wang Fred
CENTRAL INDEX KEY: 0001290451
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36766
FILM NUMBER: 141281991
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tai Augustus O
CENTRAL INDEX KEY: 0001290446
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36766
FILM NUMBER: 141281992
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Nakache Patricia
CENTRAL INDEX KEY: 0001597755
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36766
FILM NUMBER: 141281994
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Trinity XI Entrepreneurs' Fund, L.P.
CENTRAL INDEX KEY: 0001562114
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36766
FILM NUMBER: 141281996
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 854-9500
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Trinity XI Side-By-Side Fund, L.P.
CENTRAL INDEX KEY: 0001562113
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36766
FILM NUMBER: 141281997
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 854-9500
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Trinity Ventures XI, L.P.
CENTRAL INDEX KEY: 0001559592
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36766
FILM NUMBER: 141281998
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 854-9500
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Trinity TVL XI, LLC
CENTRAL INDEX KEY: 0001559593
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36766
FILM NUMBER: 141281999
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 854-9500
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TVL Management CORP
CENTRAL INDEX KEY: 0001290448
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36766
FILM NUMBER: 141281990
BUSINESS ADDRESS:
STREET 1: C/O TRINITY VENTURES
STREET 2: 3000 SAND HILL ROAD, BLDG. 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-854-9500
MAIL ADDRESS:
STREET 1: C/O TRINITY VENTURES
STREET 2: 3000 SAND HILL ROAD, BLDG. 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: NEW RELIC INC
CENTRAL INDEX KEY: 0001448056
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 262017431
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 188 SPEAR STREET, STE. 1200
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
BUSINESS PHONE: 650-777-7600
MAIL ADDRESS:
STREET 1: 188 SPEAR STREET, STE. 1200
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Fenton Noel J
CENTRAL INDEX KEY: 0001290449
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36766
FILM NUMBER: 141281995
MAIL ADDRESS:
STREET 1: C/O TRINITY VENTURES
STREET 2: 3000 SAND HILL ROAD, BLDG. 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ORR LAWRENCE K
CENTRAL INDEX KEY: 0001231094
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36766
FILM NUMBER: 141281993
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2014-12-11
0
0001448056
NEW RELIC INC
NEWR
0001559593
Trinity TVL XI, LLC
C/O TRINITY VENTURES
2480 SAND HILL RD., STE. 200
MENLO PARK
CA
94025
0
0
1
0
0001559592
Trinity Ventures XI, L.P.
C/O TRINITY VENTURES
2480 SAND HILL RD., STE. 200
MENLO PARK
CA
94025
0
0
1
0
0001562113
Trinity XI Side-By-Side Fund, L.P.
C/O TRINITY VENTURES
2480 SAND HILL RD., STE. 200
MENLO PARK
CA
94025
0
0
1
0
0001562114
Trinity XI Entrepreneurs' Fund, L.P.
C/O TRINITY VENTURES
2480 SAND HILL RD., STE. 200
MENLO PARK
CA
94025
0
0
1
0
0001290449
Fenton Noel J
C/O TRINITY VENTURES
2480 SAND HILL RD., STE. 200
MENLO PARK
CA
94025
0
0
1
0
0001597755
Nakache Patricia
C/O TRINITY VENTURES
2480 SAND HILL RD., STE. 200
MENLO PARK
CA
94025
0
0
1
0
0001231094
ORR LAWRENCE K
C/O TRINITY VENTURES
2480 SAND HILL RD., STE. 200
MENLO PARK
CA
94025
0
0
1
0
0001290446
Tai Augustus O
C/O TRINITY VENTURES
2480 SAND HILL RD., STE. 200
MENLO PARK
CA
94025
0
0
1
0
0001290451
Wang Fred
C/O TRINITY VENTURES
2480 SAND HILL RD., STE. 200
MENLO PARK
CA
94025
0
0
1
0
0001290448
TVL Management CORP
C/O TRINITY VENTURES
2480 SAND HILL RD., STE. 200
MENLO PARK
CA
94025
0
0
1
0
Common Stock
806
I
By Trinity IX Entrepreneurs' Fund, L.P.
Common Stock
587
I
By Trinity IX Side-By-Side Fund, L.P.
Common Stock
51744
I
By Trinity Ventures IX, L.P.
Series A Convertible Preferred Stock
0.00
Common Stock
257
I
By Trinity IX Entrepreneurs' Fund, L.P.
Series A Convertible Preferred Stock
0.00
Common Stock
192
I
By Trinity IX Side-By-Side Fund, L.P.
Series A Convertible Preferred Stock
0.00
Common Stock
16401
I
By Trinity Ventures IX, LP.
Series B Convertible Preferred Stock
0.00
Common Stock
70942
I
By Trinity IX Entrepreneurs' Fund, L.P.
Series B Convertible Preferred Stock
0.00
Common Stock
54139
I
By Trinity IX Side-By-Side Fund, LP.
Series B Convertible Preferred Stock
0.00
Common Stock
4542087
I
By Trinity Ventures IX, LP.
Series C Convertible Preferred Stock
0.00
Common Stock
7317
I
By Trinity IX Entrepreneurs' Fund, L.P.
Series C Convertible Preferred Stock
0.00
Common Stock
5452
I
By Trinity IX Side-By-Side Fund, l.P.
Series C Convertible Preferred Stock
0.00
Common Stock
465495
I
By Trinity Ventures IX, l.P.
Series D Convertible Preferred Stock
0.00
Common Stock
3238
I
By Trinity IX Entrepreneurs' Fund, L.P.
Series D Convertible Preferred Stock
0.00
Common Stock
2381
I
By Trinity IX Side-By-Side Fund, LP.
Series D Convertible Preferred Stock
0.00
Common Stock
203274
I
By Trinity Ventures IX, LP.
Series E Convertible Preferred Stock
0.00
Common Stock
2418
I
By Trinity IX Entrepreneurs' Fund, L.P.
Series E Convertible Preferred Stock
0.00
Common Stock
1762
I
By Trinity IX Side-By-Side Fund, LP.
Series E Convertible Preferred Stock
0.00
Common Stock
155231
I
By Trinity Ventures IX, L.P.
The shares are owned by Trinity IX Entrepreneurs' Fund, L.P. ("TEF IX") which is under common control with Trinity IX Side-By-Side Fund, L.P. ("Trinity SBS IX") and Trinity Ventures IX, L.P. ("Trinity IX"). Trinity TVL IX, LLC ("Trinity TVL IX") serves as the sole general partner of TEF IX, Trinity SBS IX and Trinity IX. As such, Trinity TVL IX possesses sole voting and investment control over the shares owned by TEF IX, Trinity SBS IX and Trinity IX, and may be deemed to have indirect beneficial ownership of the securities held by TEF IX, Trinity SBS IX and Trinity IX. Trinity TVL IX, however, owns no shares of the Issuer directly. Messrs. Fenton, Orr, Tai and Wang and Ms. Nakache serve as Management Members of Trinity TVL IX and serve as officers of Trinity TVL Management Corporation and share voting and dispositive power over the shares held by TEF IX, Trinity SBS IX and Trinity IX.
Each Reporting Person disclaims beneficial ownership of the shares held by TEF IX, Trinity SBS IX and Trinity IX except to the extent of his, her or its proportionate pecuniary interest therein.
The shares are owned by Trinity SBS IX.
The shares are owned by Trinity IX.
The Series A Convertible Preferred Stock, Series B Convertible Preferred Stock, Series C Convertible Preferred Stock, Series D Convertible Preferred Stock and Series E Convertible Preferred Stock automatically convert into shares of Issuer's Common Stock on a 1:1 basis immediately prior to the completion of Issuer's initial public offering.
Expiration Date is not relevant to the conversion of these securities.
See attached signature page.
2014-12-14
By: Trinity TVL IX, LLC, a Delaware limited liability company, its General Partner, By: /s/ Lawrenc K. Orr, its: Management Member
2014-12-11
By: Trinity TVL IX, LLC, a Delaware limited liability company, its General Partner, By: /s/ Lawrence K. Orr, its: Management Member
2014-12-11
By: Trinity TVL IX, LLC, a Delaware limited liability company, its General Partner, by: /s/ Lawrence K. Orr, its: Management Member
2014-12-11
/s/ Noel J. Fenton
2014-12-11
/s/ Patricia Nakache
2014-12-11
/s/ Lawrence K. Orr
2014-12-11
/s/ Augustus O. Tai
2014-12-11
/s/ Fred Wang
2014-12-11
By: Lawrence K. Orr, its President
2014-12-14