0001209191-15-023072.txt : 20150305 0001209191-15-023072.hdr.sgml : 20150305 20150305174523 ACCESSION NUMBER: 0001209191-15-023072 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150305 FILED AS OF DATE: 20150305 DATE AS OF CHANGE: 20150305 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MaxPoint Interactive, Inc. CENTRAL INDEX KEY: 0001611231 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ADVERTISING [7310] IRS NUMBER: 205530657 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3020 CARRINGTON MILL BLVD. STREET 2: SUITE 300 CITY: MORRISVILLE STATE: NC ZIP: 27560 BUSINESS PHONE: 800-916-9960 MAIL ADDRESS: STREET 1: 3020 CARRINGTON MILL BLVD. STREET 2: SUITE 300 CITY: MORRISVILLE STATE: NC ZIP: 27560 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Scholnick Dan CENTRAL INDEX KEY: 0001606272 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36864 FILM NUMBER: 15678581 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD, SUITE 4-160 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Labatt Nina C. CENTRAL INDEX KEY: 0001605660 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36864 FILM NUMBER: 15678582 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: Mehandru Karan CENTRAL INDEX KEY: 0001606271 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36864 FILM NUMBER: 15678583 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD, SUITE 4-160 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Trinity X Side-By-Side Fund, L.P. CENTRAL INDEX KEY: 0001459208 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36864 FILM NUMBER: 15678585 BUSINESS ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 4, SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 6508549500 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 X Entrepreneurs' Fund, L.P. CENTRAL INDEX KEY: 0001461716 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36864 FILM NUMBER: 15678586 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 X, LLC CENTRAL INDEX KEY: 0001461710 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36864 FILM NUMBER: 15678588 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: 001-36864 FILM NUMBER: 15678584 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TRINITY VENTURES X LP CENTRAL INDEX KEY: 0001456065 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36864 FILM NUMBER: 15678587 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 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2015-03-05 0 0001611231 MaxPoint Interactive, Inc. MXPT 0001461710 Trinity TVL X, LLC 2480 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 0001456065 TRINITY VENTURES X LP 2480 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 0001461716 Trinity X Entrepreneurs' Fund, L.P. 2480 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 0001459208 Trinity X Side-By-Side Fund, L.P. 2480 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 0001290448 TVL Management CORP 2480 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 0001606271 Mehandru Karan 2480 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 0001606272 Scholnick Dan 2480 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 0001605660 Labatt Nina C. 2480 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 Series B Convertible Preferred Stock Common Stock 3489221 I By Trinity Ventures X, L.P. Series B Convertible Preferred Stock Common Stock 20908 I By Trinity X Side-By-Side Fund, L.P. Series B Convertible Preferred Stock Common Stock 33666 I By Trinity X Entrepreneurs' Fund, L.P. Series C Convertible Preferred Stock Common Stock 1597460 I By Trinity Ventures X, L.P. Series C Convertible Preferred Stock Common Stock 8596 I By Trinity X Side-By-Side Fund, L.P. Series C Convertible Preferred Stock Common Stock 15895 I By Trinity X Entrepreneurs' Fund, L.P. Series D Convertible Preferred Stock Common Stock 969170 I By Trinity Ventures X, L.P. Series D Convertible Preferred Stock Common Stock 5214 I By Trinity X Side-By-Side Fund, L.P. Series D Convertible Preferred Stock Common Stock 9445 I By Trinity X Entrepreneurs' Fund, L.P. The Series B Convertible Preferred Stock shall automatically convert into Common Stock on a 1-for-1 basis immediately prior to the completion of the Issuer's initial public offering and has no expiration date. Trinity TVL X, LLC ("Trinity TVL X") serves as the sole general partner of Trinity Ventures X, L.P. ("Trinity X"), Trinity X Side-By-Side Fund, L.P. ("Trinity X SBS") and Trinity X Entrepreneurs' Fund, L.P. ("Trinity X EF"). As such, Trinity TVL X possesses sole voting and investment control over the shares owned by Trinity X, Trinity X SBS and Trinity X EF, and may be deemed to have indirect beneficial ownership of the securities held by Trinity X, Trinity X SBS and Trinity X EF. Trinity TVL X and TVL Management Corporation own no shares of the Issuer directly. Messrs. Orr, Fenton, Tai, Wang, Chopra, Mehandru and Scholnick and Mrs. Nakache and Ms. Labatt serve as Management Member of Trinity TVL X and owners of TVL Management Corporation and share voting and dispositive power over the shares held by Trinity X EF, Trinity X SBS and Trinity X. Each Reporting Person disclaims beneficial ownership of the shares held by Trinity X EF, Trinity X SBS and Trinity X except to the extent of his, her or its proportionate pecuniary interest therein. Mr. Tai is a director of the Issuer and, accordingly, files separate Section 16 reports. The Series C Convertible Preferred Stock shall automatically convert into Common Stock on a 1-for-1 basis immediately prior to the completion of the Issuer's initial public offering and has no expiration date. The Series D Convertible Preferred Stock shall automatically convert into Common Stock on a 1-for-1 basis immediately prior to the completion of the Issuer's initial public offering and has no expiration date. Filing 2 of 2 /s/ Nina C. Labatt, Management Member of Trinity TVL X, LLC 2015-03-05 /s/ Nina C. Labatt, Management Member of Trinity TVL X, LLC, which serves as the sole General Partner to Trinity Ventures X, L.P. 2015-03-03 /s/ Nina C. Labatt, Management Member of Trinity TVL X, LLC, which serves as the sole General Partner to Trinity X Entrepreneurs' Fund, L.P. 2015-03-03 /s/ Nina C. Labatt, Management Member of Trinity TVL X, LLC, which serves as the sole General Partner to Trinity X Side-By-Side Fund, L.P. 2015-03-03 /s/ Nina C. Labatt, owner of TVL Management Corporation 2015-03-03 /s/ Karan Mehandru 2015-03-03 /s/ Daniel Scholnick 2015-03-03 /s/ Nina Labatt 2015-03-03