-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, SABLtT+uyEXukowDftE58D3+nMZdFwHj9SPdPRTNwOcgBQSgo0e7hkbfy42J+UUM waQsFg6ZQ/db8iUNnGtsOA== 0001179110-06-010033.txt : 20060504 0001179110-06-010033.hdr.sgml : 20060504 20060504190451 ACCESSION NUMBER: 0001179110-06-010033 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060503 FILED AS OF DATE: 20060504 DATE AS OF CHANGE: 20060504 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SEABRIGHT INSURANCE HOLDINGS INC CENTRAL INDEX KEY: 0001267201 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 000000000 BUSINESS ADDRESS: STREET 1: 2101 4TH AVENUE STREET 2: SUITE 1600 CITY: SEATTLE STATE: WA ZIP: 98121 BUSINESS PHONE: 2067708300 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SUMMIT PARTNERS V LP CENTRAL INDEX KEY: 0001258823 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51124 FILM NUMBER: 06809989 BUSINESS ADDRESS: STREET 1: SUMMIT PARTNERS STREET 2: 222 BERKELEY ST 18TH FLOOR CITY: BOSTON STATE: MA ZIP: 02116 BUSINESS PHONE: 6178241000 MAIL ADDRESS: STREET 1: SUMMIT PARTNERS STREET 2: 222 BERKELEY ST 18TH FLOOR CITY: BOSTON STATE: MA ZIP: 02116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SUMMIT PARTNERS LLC CENTRAL INDEX KEY: 0001258824 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51124 FILM NUMBER: 06809990 BUSINESS ADDRESS: STREET 1: SUMMIT PARTNERS STREET 2: 222 BERKELEY ST 18TH FLOOR CITY: BOSTON STATE: MA ZIP: 02116 BUSINESS PHONE: 6178241000 MAIL ADDRESS: STREET 1: SUMMIT PARTNERS STREET 2: 222 BERKELEY ST 18TH FLOOR CITY: BOSTON STATE: MA ZIP: 02116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SUMMIT PARTNERS VI GP LP CENTRAL INDEX KEY: 0001258826 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51124 FILM NUMBER: 06809991 BUSINESS ADDRESS: STREET 1: SUMMIT PARTNERS STREET 2: 222 BERKELEY ST 18TH FLOOR CITY: BOSTON STATE: MA ZIP: 02116 BUSINESS PHONE: 6178241000 MAIL ADDRESS: STREET 1: SUMMIT PARTNERS STREET 2: 222 BERKELEY ST 18TH FLOOR CITY: BOSTON STATE: MA ZIP: 02116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SUMMIT PARTNERS VI GP LLC CENTRAL INDEX KEY: 0001258825 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51124 FILM NUMBER: 06809992 BUSINESS ADDRESS: STREET 1: SUMMIT PARTNERS STREET 2: 222 BERKELEY ST 18TH FLOOR CITY: BOSTON STATE: MA ZIP: 02116 BUSINESS PHONE: 6178241000 MAIL ADDRESS: STREET 1: SUMMIT PARTNERS STREET 2: 222 BERKELEY ST 18TH FLOOR CITY: BOSTON STATE: MA ZIP: 02116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SUMMIT PARTNERS L P CENTRAL INDEX KEY: 0000830588 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51124 FILM NUMBER: 06809993 BUSINESS ADDRESS: STREET 1: C/O SUMMIT PARTNERS STREET 2: 600 ATLANTIC AVE CITY: BOSTON STATE: MA ZIP: 02210 BUSINESS PHONE: 6178241000 MAIL ADDRESS: STREET 1: C/O SUMMIT PARTNERS STREET 2: 222 BERKELEY STREET 18TH CITY: BOSTON STATE: MA ZIP: 02116 4 1 edgar.xml FORM 4 - X0202 4 2006-05-03 1 0001267201 SEABRIGHT INSURANCE HOLDINGS INC SEAB 0000830588 SUMMIT PARTNERS L P 222 BERKELEY STREET 18TH FLOOR BOSTON MA 02116 0 0 1 0 0001258825 SUMMIT PARTNERS VI GP LLC 222 BERKELEY STREET 18TH FLOOR BOSTON MA 02116 0 0 1 0 0001258826 SUMMIT PARTNERS VI GP LP 222 BERKELEY STREET 18TH FLOOR BOSTON MA 02116 0 0 1 0 0001258824 SUMMIT PARTNERS LLC 222 BERKELEY STREET 18TH FLOOR BOSTON MA 02116 0 0 0 1 Former Indirect GP of 10% Ownr 0001258823 SUMMIT PARTNERS V LP 222 BERKELEY STREET 18TH FLOOR BOSTON MA 02116 0 0 0 1 Former Indirect GP of 10% Ownr Common Stock 2006-05-03 4 J 0 1000000 D 3095627 I Manager of GP of Direct Owners Common Stock 2006-05-03 4 J 0 182499 A 182499 D Common Stock 2006-05-03 4 J 0 182499 D 0 D Distribution to partners. Shares of Common Stock are held in the name of Summit Ventures V, L.P.; Summit V Companion Fund, L.P.; Summit V Advisors Fund, L.P.; Summit V Advisors Fund (QP), L.P.; Summit Ventures VI-A, L.P.; Summit Ventures VI-B, L.P.; Summit VI Advisors Fund, L.P.; Summit VI Entrepreneurs Fund, L.P.; and Summit Investors VI, L.P. Not applicable. Such shares acquired directly by Summit Partners, L.P. Such shares distributed by Summit Partners, L.P. Summit Partners, L.P. is the manager of Summit Partners VI (GP), LLC, which is the general partner of Summit Partners VI (GP), L.P., which is the general partner of each of Summit Ventures VI-A, L.P., Summit Ventures VI-B, L.P., Summit VI Advisors Fund, L.P., Summit VI Entrepreneurs Fund, L.P. and Summit Investors VI, L.P. Summit Partners, L.P. is the manager of Summit Partners, LLC, which is the general partner of Summit Partners V, L.P., which is the general partner of each of Summit Ventures V, L.P., Summit V Companion Fund, L.P., Summit V Advisors Fund, L.P., and Summit V Advisors Fund (QP), L.P. Summit Partners, L.P. has voting and dispositive authority over the shares held by each of these entities and, therefore, may beneficially own such shares. Each of Summit Partners, L.P., Summit Partners VI (GP), LLC, Summit Partners VI (GP), L.P., Summit Partners, LLC, Summit Partners V, L.P. and Summit Master Company, LLC, which is the general partner of Summit Partners, L.P., disclaims beneficial ownership of such shares, except to the extent of its pecuniary interest.Summit Partners, LLC and Summit Partners V, L.P. are no longer subject to Section 16. Summit Partners, L.P., by Summit Master Company, LLC, Its General Partner, by Robin W. Devereux, Power of Attorney for Walter G. Kortschak, Member 2006-05-04 Summit Partners VI (GP), LLC, by Summit Partners, L.P., its General Partner, by Summit Master Company, LLC, its General Partner, by Robin W. Devereux, Power of Attorney for Walter G. Kortschak, Member 2006-05-04 Summit Partners VI (GP), L.P., by Summit Partners VI (GP), LLC, its General Partner, by Summit Partners L.P., its General Partner, by Summit Master Company, LLC, its General Partner, by Robin W. Devereux, Power of Attorney for Walter G. Kortschak, Member 2006-05-04 Summit Partners, LLC, by Robin W. Devereux, Power of Attorney for Martin J. Mannion, Member 2006-05-04 Summit Partners V, L.P. by Summit Partners, LLC, Its General Partner, by Robin W. Devereux, Power of Attorney for Martin J. Mannion, Member 2006-05-04 -----END PRIVACY-ENHANCED MESSAGE-----