0001181431-13-059334.txt : 20131115 0001181431-13-059334.hdr.sgml : 20131115 20131115201505 ACCESSION NUMBER: 0001181431-13-059334 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131113 FILED AS OF DATE: 20131115 DATE AS OF CHANGE: 20131115 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MAVENIR SYSTEMS INC CENTRAL INDEX KEY: 0001361470 STANDARD INDUSTRIAL CLASSIFICATION: COMPUTER COMMUNICATIONS EQUIPMENT [3576] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1700 INTERNATIONAL PARKWAY, SUITE 200 CITY: RICHARSON STATE: TX ZIP: 75081 BUSINESS PHONE: 469-916-4393 MAIL ADDRESS: STREET 1: 1700 INTERNATIONAL PARKWAY, SUITE 200 CITY: RICHARSON STATE: TX ZIP: 75081 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hunkapiller Michael CENTRAL INDEX KEY: 0001317102 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36171 FILM NUMBER: 131225231 MAIL ADDRESS: STREET 1: 400 HAMILTON AVENUE STREET 2: 4TH FLOOR CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rubin Daniel CENTRAL INDEX KEY: 0001316624 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36171 FILM NUMBER: 131225232 MAIL ADDRESS: STREET 1: 480 COWPER ST. STREET 2: 2ND FL. CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Di Bona Tony CENTRAL INDEX KEY: 0001316825 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36171 FILM NUMBER: 131225233 MAIL ADDRESS: STREET 1: 400 HAMILTON AVENUE STREET 2: 4TH FLOOR CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shoch John CENTRAL INDEX KEY: 0001316618 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36171 FILM NUMBER: 131225234 MAIL ADDRESS: STREET 1: 400 HAMILTON AVENUE STREET 2: 4TH FLOOR CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KELLY DOUGLAS E CENTRAL INDEX KEY: 0001227887 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36171 FILM NUMBER: 131225235 MAIL ADDRESS: STREET 1: 400 HAMILTON AVENUE STREET 2: 4TH FLOOR CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TAYLOR CRAIG C CENTRAL INDEX KEY: 0000939105 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36171 FILM NUMBER: 131225236 MAIL ADDRESS: STREET 1: 400 HAMILTON AVE. STREET 2: 4TH FLOOR CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Alloy Ventures 2005, LLC CENTRAL INDEX KEY: 0001355724 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36171 FILM NUMBER: 131225238 BUSINESS ADDRESS: STREET 1: 400 HAMILTON AVENUE, 4TH FLOOR CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: (650) 687-5000 MAIL ADDRESS: STREET 1: 400 HAMILTON AVENUE, 4TH FLOOR CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ALLOY VENTURES 2005 LP CENTRAL INDEX KEY: 0001333202 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36171 FILM NUMBER: 131225237 BUSINESS ADDRESS: STREET 1: 400 HAMILTON AVENUE STREET 2: 4TH FLOOR CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: 6506875000 MAIL ADDRESS: STREET 1: 400 HAMILTON AVENUE STREET 2: 4TH FLOOR CITY: PALO ALTO STATE: CA ZIP: 94301 4 1 rrd395453.xml FORM 4 X0306 4 2013-11-13 0 0001361470 MAVENIR SYSTEMS INC MVNR 0001355724 Alloy Ventures 2005, LLC 400 HAMILTON AVENUE, 4TH FLOOR PALO ALTO CA 94301 0 0 1 0 0001333202 ALLOY VENTURES 2005 LP 400 HAMILTON AVENUE, 4TH FLOOR PALO ALTO CA 94301 0 0 1 0 0000939105 TAYLOR CRAIG C 400 HAMILTON AVENUE, 4TH FLOOR PALO ALTO CA 94301 0 0 1 0 0001227887 KELLY DOUGLAS E 400 HAMILTON AVENUE, 4TH FLOOR PALO ALTO CA 94301 0 0 1 0 0001316618 Shoch John 400 HAMILTON AVENUE, 4TH FLOOR PALO ALTO CA 94301 0 0 1 0 0001316825 Di Bona Tony 400 HAMILTON AVENUE, 4TH FLOOR PALO ALTO CA 94301 0 0 1 0 0001316624 Rubin Daniel 400 HAMILTON AVENUE, 4TH FLOOR PALO ALTO CA 94301 0 0 1 0 0001317102 Hunkapiller Michael 400 HAMILTON AVENUE, 4TH FLOOR PALO ALTO CA 94301 0 0 1 0 Common Stock 2013-11-13 4 C 0 284927 A 284927 I By Alloy Ventures 2005, L.P. Common Stock 2013-11-13 4 C 0 1756324 A 2041251 I By Alloy Ventures 2005, L.P. Common Stock 2013-11-13 4 C 0 471314 A 2512565 I By Alloy Ventures 2005, L.P. Common Stock 2013-11-13 4 C 0 267403 A 2779968 I By Alloy Ventures 2005, L.P. Common Stock 2013-11-13 4 C 0 270637 A 3050605 I By Alloy Ventures 2005, L.P. Series A Convertible Preferred Stock 2013-11-13 4 C 0 1994491 D Common Stock 284927 0 I By Alloy Ventures 2005, L.P. Series B Convertible Preferred Stock 2013-11-13 4 C 0 12294274 D Common Stock 1756324 0 I By Alloy Ventures 2005, L.P. Series C Convertible Preferred Stock 2013-11-13 4 C 0 3299199 D Common Stock 471314 0 I By Alloy Ventures 2005, L.P. Series D Convertible Preferred Stock 2013-11-13 4 C 0 1871824 D Common Stock 267403 0 I By Alloy Ventures 2005, L.P. Series E Convertible Preferred Stock 2013-11-13 4 C 0 1894465 D Common Stock 270637 0 I By Alloy Ventures 2005, L.P. All shares are held of record by Alloy Ventures 2005, L.P. ("Alloy Ventures 2005"). [Names] are the managing members of Alloy Ventures 2005, LLC, the general partner of Alloy Ventures 2005, and may be deemed to share voting and dispositive power over the shares held by Alloy Ventures 2005. The Reporting Persons disclaim beneficial ownership of these shares of the Issuer's common stock except to the extent of any pecuniary interest therein, and the filing of this report is not an admission that any Reporting Person is the beneficial owner of these shares for purposes of Section 16 or for any other purpose. The Series A Convertible Preferred Stock automatically converted into Common Stock on a seven-for-one basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and had no expiration date. The Series B Convertible Preferred Stock automatically converted into Common Stock on a seven-for-one basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and had no expiration date. The Series C Convertible Preferred Stock automatically converted into Common Stock on a seven-for-one basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and had no expiration date. The Series D Convertible Preferred Stock automatically converted into Common Stock on a seven-for-one basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and had no expiration date. The Series E Convertible Preferred Stock automatically converted into Common Stock on a seven-for-one basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and had no expiration date. /s/ Sam Garrett, for Alloy Ventures 2005, LLC 2013-11-01 /s/ Sam Garrett, for Alloy Ventures 2005, LLC, the General Partner of Alloy Ventures 2005, L.P. 2013-11-01 /s/ Sam Garrett, for Craig C. Taylor 2013-11-01 /s/ Sam Garrett Douglas E. Kelly 2013-11-01 /s/ Sam Garrett John F. Shoch 2013-11-01 /s/ Sam Garrett, for Tony Di Bona 2013-11-01 /s/ Sam Garrett, for Daniel Rubin 2013-11-01 /s/ Sam Garrett, for Michael W. Hunkapiller 2013-11-01