0001179110-15-011060.txt : 20150709 0001179110-15-011060.hdr.sgml : 20150709 20150709135820 ACCESSION NUMBER: 0001179110-15-011060 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150707 FILED AS OF DATE: 20150709 DATE AS OF CHANGE: 20150709 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Teladoc, Inc. CENTRAL INDEX KEY: 0001477449 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-OFFICES & CLINICS OF DOCTORS OF MEDICINE [8011] IRS NUMBER: 043705970 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4100 SPRING VALLEY STREET 2: SUITE 600 CITY: DALLAS STATE: TX ZIP: 75244 BUSINESS PHONE: 2143025208 MAIL ADDRESS: STREET 1: 4100 SPRING VALLEY STREET 2: SUITE 600 CITY: DALLAS STATE: TX ZIP: 75244 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KPCB Digital Growth Founders Fund, LLC CENTRAL INDEX KEY: 0001537347 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37477 FILM NUMBER: 15981188 BUSINESS ADDRESS: STREET 1: 2750 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650.233.2750 MAIL ADDRESS: STREET 1: 2750 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KPCB Digital Growth Fund, LLC CENTRAL INDEX KEY: 0001505782 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37477 FILM NUMBER: 15981189 BUSINESS ADDRESS: STREET 1: 2750 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-233-2750 MAIL ADDRESS: STREET 1: 2750 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KPCB DGF Associates, LLC CENTRAL INDEX KEY: 0001537345 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37477 FILM NUMBER: 15981190 BUSINESS ADDRESS: STREET 1: 2750 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650.233.2750 MAIL ADDRESS: STREET 1: 2750 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 edgar.xml FORM 4 - X0306 4 2015-07-07 1 0001477449 Teladoc, Inc. TDOC 0001537345 KPCB DGF Associates, LLC C/O KLEINER PERKINS CAUFIELD & BYERS, 2750 SAND HILL ROAD MENLO PARK CA 94025 0 0 1 0 0001505782 KPCB Digital Growth Fund, LLC C/O KLEINER PERKINS CAUFIELD & BYERS, 2750 SAND HILL ROAD MENLO PARK CA 94025 0 0 1 0 0001537347 KPCB Digital Growth Founders Fund, LLC C/O KLEINER PERKINS CAUFIELD & BYERS, 2750 SAND HILL ROAD MENLO PARK CA 94025 0 0 1 0 Common Stock 2015-07-07 4 C 0 2872326 A 2872326 I See Footnotes Common Stock 2015-07-07 4 C 0 174911 A 174911 I See Footnotes Common Stock 2015-07-07 4 C 0 273212 A 273212 I See Footnotes Common Stock 2015-07-07 4 C 0 16637 A 16637 I See Footnotes Series D Preferred Stock 2015-07-07 4 C 0 6565850 0 D Common Stock 2872326 0 I See Footnotes Series D Preferred Stock 2015-07-07 4 C 0 399828 0 D Common Stock 174911 0 I See Footnotes Series F Preferred Stock 2015-07-07 4 C 0 624535 0 D Common Stock 273212 0 I See Footnotes Series F Preferred Stock 2015-07-07 4 C 0 38030 0 D Common Stock 16637 0 I See Footnotes All shares are held for convenience in the name of "KPCB Holdings, Inc. as nominee," for the accounts of such individuals and entities who each exercise their own voting and dispositive power over such shares. The managing member of KPCB Digital Growth Fund, LLC and KPCB DGF Founders Fund, LLC is KPCB DGF Associates, LLC. John Doerr, Ted Schlein, Brook Byers, Bing Gordon and Mary Meeker (collectively, the "Managing Members") are the managing members of KPCB DGF Associates, LLC, and, as such, may be deemed to have shared voting and dispositive power with respect to the issuer's securities held of record by KPCB Digital Growth Fund, LLC and KPCB DGF Founders Fund, LLC. [continued in next footnote] [continued from previous footnote] Each of entities and the Managing Members disclaims beneficial ownership of the securities reported herein, except to the extent of their respective pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of the shares for purposes of Section 16 or for any other purpose. The reported securities are held directly by KPCB Digital Growth Fund, LLC. The reported securities are held directly by KPCB DGF Founders Fund LLC. Each share of Series D Preferred Stock automatically converted into common stock of the issuer on a 0.4375-for-one basis immediately prior to the closing of issuer's initial public offering and had no expiration date. Each share of Series F Preferred Stock automatically converted into common stock of the issuer on a 0.4375-for-one basis immediately prior to the closing of issuer's initial public offering and had no expiration date. KPCB DGF Associates, LLC, By: /s/ Paul Vronsky, General Counsel 2015-07-09 KPCB Digital Growth Fund, LLC By: KPCB DGF Associates, LLC, Its Managing Member, By: /s/ Paul Vronsky, General Counsel 2015-07-09 KPCB DGF Founders Fund, LLC, By: KPCB DGF Associates, LLC, Its Managing Member, By: /s/ Paul Vronsky, General Counsel 2015-07-09