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