0001193125-19-040228.txt : 20190214 0001193125-19-040228.hdr.sgml : 20190214 20190214140803 ACCESSION NUMBER: 0001193125-19-040228 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20190214 DATE AS OF CHANGE: 20190214 GROUP MEMBERS: DENNIS B. PHELPS GROUP MEMBERS: ERIC LIAW GROUP MEMBERS: INSTITUTIONAL VENTURE MANAGEMENT XIII, LLC GROUP MEMBERS: INSTITUTIONAL VENTURE MANAGEMENT XV, LLC GROUP MEMBERS: INSTITUTIONAL VENTURE PARTNERS XV, L.P. GROUP MEMBERS: IVP XV EXECUTIVE FUND, L.P. GROUP MEMBERS: J. SANFORD MILLER GROUP MEMBERS: JULES A. MALTZ GROUP MEMBERS: NORMAN A. FOGELSONG GROUP MEMBERS: SOMESH DASH GROUP MEMBERS: STEPHEN J. HARRICK GROUP MEMBERS: TODD C. CHAFFEE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: DOMO, INC. CENTRAL INDEX KEY: 0001505952 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 273687433 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-90558 FILM NUMBER: 19604440 BUSINESS ADDRESS: STREET 1: 772 EAST UTAH VALLEY DRIVE CITY: AMERICAN FORK STATE: UT ZIP: 84003 BUSINESS PHONE: 801-899-1000 MAIL ADDRESS: STREET 1: 772 EAST UTAH VALLEY DRIVE CITY: AMERICAN FORK STATE: UT ZIP: 84003 FORMER COMPANY: FORMER CONFORMED NAME: LIGHTSTORM, INC. DATE OF NAME CHANGE: 20110425 FORMER COMPANY: FORMER CONFORMED NAME: SHACHO, INC. DATE OF NAME CHANGE: 20101117 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Institutional Venture Partners XIII, L.P. CENTRAL INDEX KEY: 0001493922 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: (650) 854-0132 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 SC 13G 1 d671855dsc13g.htm SC 13G SC 13G

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

SCHEDULE 13G

(Rule 13d-102)

INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1 (b),

(c) AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO 13d-2

(Amendment No.     )

 

 

Domo, Inc.

(Name of Issuer)

Class B Common Stock

(Title of Class of Securities)

257554 10 5

(CUSIP Number)

December 31, 2018

(Date of Event Which Requires Filing of This Statement)

 

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

☐ Rule 13d-1(b)

☐ Rule 13d-1(c)

☒ Rule 13d-1(d)

 

*

The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.

The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 

 

 


CUSIP NO. 257554 10 5    13 G    Page 2 of 18 Pages

 

  1       

  NAMES OF REPORTING PERSONS.

 

  Institutional Venture Partners XIII, L.P.

  2      

  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

  (a)  ☐        (b)  ☒ (1)

 

  3      

  SEC USE ONLY

 

  4      

  CITIZENSHIP OR PLACE OF ORGANIZATION

 

  Delaware

NUMBER OF

SHARES

  BENEFICIALLY  

OWNED BY

EACH

REPORTING

PERSON

WITH

    5     

  SOLE VOTING POWER

 

  0 shares

  6     

  SHARED VOTING POWER

 

  1,609,540 shares (2)

  7     

  SOLE DISPOSITIVE POWER

 

  0 shares

  8     

  SHARED DISPOSITIVE POWER

 

  1,609,540 shares (2)

  9      

  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

  1,609,540 shares (2)

10      

  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

  ☐

11      

  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

  7.0% (3)(4)

12      

    TYPE OF REPORTING PERSON*

 

  PN

 

(1)

This Schedule 13G is filed by Institutional Venture Partners XIII, L.P. (“IVP XIII”), Institutional Venture Management XIII, LLC (“IVM XIII”), Institutional Venture Partners XV, L.P. (“IVP XV”), Institutional Venture Partners XV Executive Fund, L.P. (“IVP XV EF”), Institutional Venture Management XV, LLC (“IVM XV”), Todd C. Chaffee (“Chaffee”), Norman A. Fogelsong (“Fogelsong”), Stephen J. Harrick (“Harrick”), J. Sanford Miller (“Miller”), Dennis B. Phelps (“Phelps”), Jules A. Maltz (“Maltz”), Somesh Dash (“Dash”) and Eric Liaw (“Liaw,” together with IVP XIII, IVM XIII, IVP XV, IVP XV EF, IVM XV, Chaffee, Fogelsong, Harrick, Miller, Maltz, Phelps and Dash, collectively, the “Reporting Persons”). The Reporting Persons expressly disclaim status as a “group” for purposes of this Schedule 13G.

(2)

Includes (i) 1,367,597 shares held by IVP XIII, (ii) 240,663 shares held by IVP XV, and (iii) 1,280 shares held by IVP XV EF. IVM XIII serves as the sole general partner of IVP XIII and has sole voting and investment control over the shares owned by IVP XIII and may be deemed to own beneficially the shares held by IVP XIII. IVM XIII owns no securities of the Issuer directly. IVM XV serves as the sole general partner of IVP XV and IVP XV EF and has sole voting and investment control over the shares owned by IVP XV and IVP XV EF and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. IVM XV owns no securities of the Issuer directly. Chaffee, Fogelsong, Harrick, Miller and Phelps are Managing Directors of IVM XIII and share voting and dispositive power over the shares held by IVP XIII, and may be deemed to own beneficially the shares held by IVP XIII. Chaffee, Fogelsong, Harrick, Miller, Phelps, Maltz, Dash and Liaw are Managing Directors of IVM XV and share voting and dispositive power over the shares held by IVP XV and IVP XV EF, and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. The Managing Directors own no securities of the Issuer directly.

(3)

The percentage is based on 23,074,264 shares of Class B Common Stock reported to be outstanding as of December 12, 2018 in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 as filed with the Securities and Exchange Commission on December 13, 2018.

(4)

The 1,609,540 shares of Class B Common Stock beneficially owned by the Reporting Person represent 6.1% of the Issuer’s outstanding Common Stock based on a total of 26,337,923 shares of Common Stock outstanding as of December 12, 2018, as reported in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 filed, with the SEC on December 13, 2018, and represent approximately 1.0% of the combined voting power of the Issuer’s Common Stock.


CUSIP NO. 257554 10 5    13 G    Page 3 of 18 Pages

 

  1       

  NAMES OF REPORTING PERSONS

 

  Institutional Venture Management XIII, LLC

  2      

  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

  (a)  ☐        (b)  ☒ (1)

 

  3      

  SEC USE ONLY

 

  4      

  CITIZENSHIP OR PLACE OF ORGANIZATION

 

  Delaware

NUMBER OF

SHARES

  BENEFICIALLY  

OWNED BY

EACH

REPORTING

PERSON

WITH

    5     

  SOLE VOTING POWER

 

  0 shares

  6     

  SHARED VOTING POWER

 

  1,609,540 shares (2)

  7     

  SOLE DISPOSITIVE POWER

 

  0 shares

  8     

  SHARED DISPOSITIVE POWER

 

  1,609,540 shares (2)

  9      

  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

  1,609,540 shares (2)

10      

  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

  ☐

11      

  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

  7.0% (3)(4)

12      

  TYPE OF REPORTING PERSON*

 

  OO

 

(1)

This Schedule 13G is filed by the Reporting Persons. The Reporting Persons expressly disclaim status as a “group” for purposes of this Schedule 13G.

(2)

Includes (i) 1,367,597 shares held by IVP XIII, (ii) 240,663 shares held by IVP XV, and (iii) 1,280 shares held by IVP XV EF. IVM XIII serves as the sole general partner of IVP XIII and has sole voting and investment control over the shares owned by IVP XIII and may be deemed to own beneficially the shares held by IVP XIII. IVM XIII owns no securities of the Issuer directly. IVM XV serves as the sole general partner of IVP XV and IVP XV EF and has sole voting and investment control over the shares owned by IVP XV and IVP XV EF and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. IVM XV owns no securities of the Issuer directly. Chaffee, Fogelsong, Harrick, Miller and Phelps are Managing Directors of IVM XIII and share voting and dispositive power over the shares held by IVP XIII, and may be deemed to own beneficially the shares held by IVP XIII. Chaffee, Fogelsong, Harrick, Miller, Phelps, Maltz, Dash and Liaw are Managing Directors of IVM XV and share voting and dispositive power over the shares held by IVP XV and IVP XV EF, and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. The Managing Directors own no securities of the Issuer directly.

(3)

The percentage is based on 23,074,264 shares of Class B Common Stock reported to be outstanding as of December 12, 2018 in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 as filed with the Securities and Exchange Commission on December 13, 2018.

(4)

The 1,609,540 shares of Class B Common Stock beneficially owned by the Reporting Person represent 6.1% of the Issuer’s outstanding Common Stock based on a total of 26,337,923 shares of Common Stock outstanding as of December 12, 2018, as reported in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 filed, with the SEC on December 13, 2018, and represent approximately 1.0% of the combined voting power of the Issuer’s Common Stock.


CUSIP NO. 257554 10 5    13 G    Page 4 of 18 Pages

 

  1       

  NAMES OF REPORTING PERSONS.

 

  Institutional Venture Partners XV, L.P.

  2      

  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

  (a)  ☐        (b)  ☒ (1)

 

  3      

  SEC USE ONLY

 

  4      

  CITIZENSHIP OR PLACE OF ORGANIZATION

 

  Delaware

NUMBER OF

SHARES

  BENEFICIALLY  

OWNED BY

EACH

REPORTING

PERSON

WITH

    5     

  SOLE VOTING POWER

 

  0 shares

  6     

  SHARED VOTING POWER

 

  1,609,540 shares (2)

  7     

  SOLE DISPOSITIVE POWER

 

  0 shares

  8     

  SHARED DISPOSITIVE POWER

 

  1,609,540 shares (2)

  9      

  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

  1,609,540 shares (2)

10      

  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

  ☐

11      

  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

  7.0% (3)(4)

12      

  TYPE OF REPORTING PERSON*

 

  PN

 

(1)

This Schedule 13G is filed by the Reporting Persons. The Reporting Persons expressly disclaim status as a “group” for purposes of this Schedule 13G.

(2)

Includes (i) 1,367,597 shares held by IVP XIII, (ii) 240,663 shares held by IVP XV, and (iii) 1,280 shares held by IVP XV EF. IVM XIII serves as the sole general partner of IVP XIII and has sole voting and investment control over the shares owned by IVP XIII and may be deemed to own beneficially the shares held by IVP XIII. IVM XIII owns no securities of the Issuer directly. IVM XV serves as the sole general partner of IVP XV and IVP XV EF and has sole voting and investment control over the shares owned by IVP XV and IVP XV EF and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. IVM XV owns no securities of the Issuer directly. Chaffee, Fogelsong, Harrick, Miller and Phelps are Managing Directors of IVM XIII and share voting and dispositive power over the shares held by IVP XIII, and may be deemed to own beneficially the shares held by IVP XIII. Chaffee, Fogelsong, Harrick, Miller, Phelps, Maltz, Dash and Liaw are Managing Directors of IVM XV and share voting and dispositive power over the shares held by IVP XV and IVP XV EF, and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. The Managing Directors own no securities of the Issuer directly.

(3)

The percentage is based on 23,074,264 shares of Class B Common Stock reported to be outstanding as of December 12, 2018 in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 as filed with the Securities and Exchange Commission on December 13, 2018.

(4)

The 1,609,540 shares of Class B Common Stock beneficially owned by the Reporting Person represent 6.1% of the Issuer’s outstanding Common Stock based on a total of 26,337,923 shares of Common Stock outstanding as of December 12, 2018, as reported in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 filed, with the SEC on December 13, 2018, and represent approximately 1.0% of the combined voting power of the Issuer’s Common Stock.


CUSIP NO. 257554 10 5    13 G    Page 5 of 18 Pages

 

  1       

  NAMES OF REPORTING PERSONS.

 

  IVP XV Executive Fund, L.P.

  2      

  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

  (a)  ☐        (b)  ☒ (1)

 

  3      

  SEC USE ONLY

 

  4      

  CITIZENSHIP OR PLACE OF ORGANIZATION

 

  Delaware

NUMBER OF

SHARES

  BENEFICIALLY  

OWNED BY

EACH

REPORTING

PERSON

WITH

    5     

  SOLE VOTING POWER

 

  0 shares

  6     

  SHARED VOTING POWER

 

  1,609,540 shares (2)

  7     

  SOLE DISPOSITIVE POWER

 

  0 shares

  8     

  SHARED DISPOSITIVE POWER

 

  1,609,540 shares (2)

  9      

  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

  1,609,540 shares (2)

10      

  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

  ☐

11      

  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

  7.0% (3)(4)

12      

  TYPE OF REPORTING PERSON*

 

  PN

 

(1)

This Schedule 13G is filed by the Reporting Persons. The Reporting Persons expressly disclaim status as a “group” for purposes of this Schedule 13G.

(2)

Includes (i) 1,367,597 shares held by IVP XIII, (ii) 240,663 shares held by IVP XV, and (iii) 1,280 shares held by IVP XV EF. IVM XIII serves as the sole general partner of IVP XIII and has sole voting and investment control over the shares owned by IVP XIII and may be deemed to own beneficially the shares held by IVP XIII. IVM XIII owns no securities of the Issuer directly. IVM XV serves as the sole general partner of IVP XV and IVP XV EF and has sole voting and investment control over the shares owned by IVP XV and IVP XV EF and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. IVM XV owns no securities of the Issuer directly. Chaffee, Fogelsong, Harrick, Miller and Phelps are Managing Directors of IVM XIII and share voting and dispositive power over the shares held by IVP XIII, and may be deemed to own beneficially the shares held by IVP XIII. Chaffee, Fogelsong, Harrick, Miller, Phelps, Maltz, Dash and Liaw are Managing Directors of IVM XV and share voting and dispositive power over the shares held by IVP XV and IVP XV EF, and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. The Managing Directors own no securities of the Issuer directly.

(3)

The percentage is based on 23,074,264 shares of Class B Common Stock reported to be outstanding as of December 12, 2018 in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 as filed with the Securities and Exchange Commission on December 13, 2018.

(4)

The 1,609,540 shares of Class B Common Stock beneficially owned by the Reporting Person represent 6.1% of the Issuer’s outstanding Common Stock based on a total of 26,337,923 shares of Common Stock outstanding as of December 12, 2018, as reported in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 filed, with the SEC on December 13, 2018, and represent approximately 1.0% of the combined voting power of the Issuer’s Common Stock.


CUSIP NO. 257554 10 5    13 G    Page 6 of 18 Pages

 

  1       

  NAMES OF REPORTING PERSONS

 

  Institutional Venture Management XV, LLC

  2      

  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

  (a)  ☐        (b)  ☒ (1)

 

  3      

  SEC USE ONLY

 

  4      

  CITIZENSHIP OR PLACE OF ORGANIZATION

 

  Delaware

NUMBER OF

SHARES

  BENEFICIALLY  

OWNED BY

EACH

REPORTING

PERSON

WITH

    5     

  SOLE VOTING POWER

 

  0 shares

  6     

  SHARED VOTING POWER

 

  1,609,540 shares (2)

  7     

  SOLE DISPOSITIVE POWER

 

  0 shares

  8     

  SHARED DISPOSITIVE POWER

 

  1,609,540 shares (2)

  9      

  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

  1,609,540 shares (2)

10      

  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

  ☐

11      

  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

  7.0% (3)(4)

12      

  TYPE OF REPORTING PERSON*

 

  OO

 

(1)

This Schedule 13G is filed by the Reporting Persons. The Reporting Persons expressly disclaim status as a “group” for purposes of this Schedule 13G.

(2)

Includes (i) 1,367,597 shares held by IVP XIII, (ii) 240,663 shares held by IVP XV, and (iii) 1,280 shares held by IVP XV EF. IVM XIII serves as the sole general partner of IVP XIII and has sole voting and investment control over the shares owned by IVP XIII and may be deemed to own beneficially the shares held by IVP XIII. IVM XIII owns no securities of the Issuer directly. IVM XV serves as the sole general partner of IVP XV and IVP XV EF and has sole voting and investment control over the shares owned by IVP XV and IVP XV EF and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. IVM XV owns no securities of the Issuer directly. Chaffee, Fogelsong, Harrick, Miller and Phelps are Managing Directors of IVM XIII and share voting and dispositive power over the shares held by IVP XIII, and may be deemed to own beneficially the shares held by IVP XIII. Chaffee, Fogelsong, Harrick, Miller, Phelps, Maltz, Dash and Liaw are Managing Directors of IVM XV and share voting and dispositive power over the shares held by IVP XV and IVP XV EF, and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. The Managing Directors own no securities of the Issuer directly.

(3)

The percentage is based on 23,074,264 shares of Class B Common Stock reported to be outstanding as of December 12, 2018 in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 as filed with the Securities and Exchange Commission on December 13, 2018.

(4)

The 1,609,540 shares of Class B Common Stock beneficially owned by the Reporting Person represent 6.1% of the Issuer’s outstanding Common Stock based on a total of 26,337,923 shares of Common Stock outstanding as of December 12, 2018, as reported in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 filed, with the SEC on December 13, 2018, and represent approximately 1.0% of the combined voting power of the Issuer’s Common Stock.


CUSIP NO. 257554 10 5    13 G    Page 7 of 18 Pages

 

  1       

  NAMES OF REPORTING PERSONS

 

  Todd C. Chaffee

  2      

  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

  (a)  ☐        (b)  ☒ (1)

 

  3      

  SEC USE ONLY

 

  4      

  CITIZENSHIP OR PLACE OF ORGANIZATION

 

  United States of America

NUMBER OF

SHARES

  BENEFICIALLY  

OWNED BY

EACH

REPORTING

PERSON

WITH

    5     

  SOLE VOTING POWER

 

  0 shares

  6     

  SHARED VOTING POWER

 

  1,609,540 shares (2)

  7     

  SOLE DISPOSITIVE POWER

 

  0 shares

  8     

  SHARED DISPOSITIVE POWER

 

  1,609,540 shares (2)

  9      

  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

  1,609,540 shares (2)

10      

  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

  ☐

11      

  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

  7.0% (3)(4)

12      

  TYPE OF REPORTING PERSON*

 

  IN

 

(1)

This Schedule 13G is filed by the Reporting Persons. The Reporting Persons expressly disclaim status as a “group” for purposes of this Schedule 13G.

(2)

Includes (i) 1,367,597 shares held by IVP XIII, (ii) 240,663 shares held by IVP XV, and (iii) 1,280 shares held by IVP XV EF. IVM XIII serves as the sole general partner of IVP XIII and has sole voting and investment control over the shares owned by IVP XIII and may be deemed to own beneficially the shares held by IVP XIII. IVM XIII owns no securities of the Issuer directly. IVM XV serves as the sole general partner of IVP XV and IVP XV EF and has sole voting and investment control over the shares owned by IVP XV and IVP XV EF and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. IVM XV owns no securities of the Issuer directly. Chaffee, Fogelsong, Harrick, Miller and Phelps are Managing Directors of IVM XIII and share voting and dispositive power over the shares held by IVP XIII, and may be deemed to own beneficially the shares held by IVP XIII. Chaffee, Fogelsong, Harrick, Miller, Phelps, Maltz, Dash and Liaw are Managing Directors of IVM XV and share voting and dispositive power over the shares held by IVP XV and IVP XV EF, and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. The Managing Directors own no securities of the Issuer directly.

(3)

The percentage is based on 23,074,264 shares of Class B Common Stock reported to be outstanding as of December 12, 2018 in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 as filed with the Securities and Exchange Commission on December 13, 2018.

(4)

The 1,609,540 shares of Class B Common Stock beneficially owned by the Reporting Person represent 6.1% of the Issuer’s outstanding Common Stock based on a total of 26,337,923 shares of Common Stock outstanding as of December 12, 2018, as reported in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 filed, with the SEC on December 13, 2018, and represent approximately 1.0% of the combined voting power of the Issuer’s Common Stock.


CUSIP NO. 257554 10 5    13 G    Page 8 of 18 Pages

 

  1       

  NAMES OF REPORTING PERSONS

 

  Norman A. Fogelsong

  2      

  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

  (a)  ☐        (b)  ☒ (1)

 

  3      

  SEC USE ONLY

 

  4      

  CITIZENSHIP OR PLACE OF ORGANIZATION

 

  United States of America

NUMBER OF

SHARES

  BENEFICIALLY  

OWNED BY

EACH

REPORTING

PERSON

WITH

    5     

  SOLE VOTING POWER

 

  0 shares

  6     

  SHARED VOTING POWER

 

  1,609,540 shares (2)

  7     

  SOLE DISPOSITIVE POWER

 

  0 shares

  8     

  SHARED DISPOSITIVE POWER

 

  1,609,540 shares (2)

  9      

  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

  1,609,540 shares (2)

10      

  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

  ☐

11      

  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

  7.0% (3)(4)

12      

  TYPE OF REPORTING PERSON*

 

  IN

 

(1)

This Schedule 13G is filed by the Reporting Persons. The Reporting Persons expressly disclaim status as a “group” for purposes of this Schedule 13G.

(2)

Includes (i) 1,367,597 shares held by IVP XIII, (ii) 240,663 shares held by IVP XV, and (iii) 1,280 shares held by IVP XV EF. IVM XIII serves as the sole general partner of IVP XIII and has sole voting and investment control over the shares owned by IVP XIII and may be deemed to own beneficially the shares held by IVP XIII. IVM XIII owns no securities of the Issuer directly. IVM XV serves as the sole general partner of IVP XV and IVP XV EF and has sole voting and investment control over the shares owned by IVP XV and IVP XV EF and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. IVM XV owns no securities of the Issuer directly. Chaffee, Fogelsong, Harrick, Miller and Phelps are Managing Directors of IVM XIII and share voting and dispositive power over the shares held by IVP XIII, and may be deemed to own beneficially the shares held by IVP XIII. Chaffee, Fogelsong, Harrick, Miller, Phelps, Maltz, Dash and Liaw are Managing Directors of IVM XV and share voting and dispositive power over the shares held by IVP XV and IVP XV EF, and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. The Managing Directors own no securities of the Issuer directly.

(3)

The percentage is based on 23,074,264 shares of Class B Common Stock reported to be outstanding as of December 12, 2018 in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 as filed with the Securities and Exchange Commission on December 13, 2018.

(4)

The 1,609,540 shares of Class B Common Stock beneficially owned by the Reporting Person represent 6.1% of the Issuer’s outstanding Common Stock based on a total of 26,337,923 shares of Common Stock outstanding as of December 12, 2018, as reported in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 filed, with the SEC on December 13, 2018, and represent approximately 1.0% of the combined voting power of the Issuer’s Common Stock.


CUSIP NO. 257554 10 5    13 G    Page 9 of 18 Pages

 

  1       

  NAMES OF REPORTING PERSONS

 

  Stephen J. Harrick

  2      

  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

  (a)  ☐        (b)  ☒ (1)

 

  3      

  SEC USE ONLY

 

  4      

  CITIZENSHIP OR PLACE OF ORGANIZATION

 

  United States of America

NUMBER OF

SHARES

  BENEFICIALLY  

OWNED BY

EACH

REPORTING

PERSON

WITH

    5     

  SOLE VOTING POWER

 

  0 shares

  6     

  SHARED VOTING POWER

 

  1,609,540 shares (2)

  7     

  SOLE DISPOSITIVE POWER

 

  0 shares

  8     

  SHARED DISPOSITIVE POWER

 

  1,609,540 shares (2)

  9      

  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

  1,609,540 shares (2)

10      

  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

  ☐

11      

  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

  7.0% (3)(4)

12      

  TYPE OF REPORTING PERSON*

 

  IN

 

(1)

This Schedule 13G is filed by the Reporting Persons. The Reporting Persons expressly disclaim status as a “group” for purposes of this Schedule 13G.

(2)

Includes (i) 1,367,597 shares held by IVP XIII, (ii) 240,663 shares held by IVP XV, and (iii) 1,280 shares held by IVP XV EF. IVM XIII serves as the sole general partner of IVP XIII and has sole voting and investment control over the shares owned by IVP XIII and may be deemed to own beneficially the shares held by IVP XIII. IVM XIII owns no securities of the Issuer directly. IVM XV serves as the sole general partner of IVP XV and IVP XV EF and has sole voting and investment control over the shares owned by IVP XV and IVP XV EF and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. IVM XV owns no securities of the Issuer directly. Chaffee, Fogelsong, Harrick, Miller and Phelps are Managing Directors of IVM XIII and share voting and dispositive power over the shares held by IVP XIII, and may be deemed to own beneficially the shares held by IVP XIII. Chaffee, Fogelsong, Harrick, Miller, Phelps, Maltz, Dash and Liaw are Managing Directors of IVM XV and share voting and dispositive power over the shares held by IVP XV and IVP XV EF, and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. The Managing Directors own no securities of the Issuer directly.

(3)

The percentage is based on 23,074,264 shares of Class B Common Stock reported to be outstanding as of December 12, 2018 in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 as filed with the Securities and Exchange Commission on December 13, 2018.

(4)

The 1,609,540 shares of Class B Common Stock beneficially owned by the Reporting Person represent 6.1% of the Issuer’s outstanding Common Stock based on a total of 26,337,923 shares of Common Stock outstanding as of December 12, 2018, as reported in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 filed, with the SEC on December 13, 2018, and represent approximately 1.0% of the combined voting power of the Issuer’s Common Stock.


CUSIP NO. 257554 10 5    13 G    Page 10 of 18 Pages

 

  1       

  NAMES OF REPORTING PERSONS

 

  J. Sanford Miller

  2      

  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

  (a)  ☐        (b)  ☒ (1)

 

  3      

  SEC USE ONLY

 

  4      

  CITIZENSHIP OR PLACE OF ORGANIZATION

 

  United States of America

NUMBER OF

SHARES

  BENEFICIALLY  

OWNED BY

EACH

REPORTING

PERSON

WITH

    5     

  SOLE VOTING POWER

 

  0 shares

  6     

  SHARED VOTING POWER

 

  1,609,540 shares (2)

  7     

  SOLE DISPOSITIVE POWER

 

  0 shares

  8     

  SHARED DISPOSITIVE POWER

 

  1,609,540 shares (2)

  9      

  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

  1,609,540 shares (2)

10      

  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

  ☐

11      

  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

  7.0% (3)(4)

12      

  TYPE OF REPORTING PERSON*

 

  IN

 

(1)

This Schedule 13G is filed by the Reporting Persons. The Reporting Persons expressly disclaim status as a “group” for purposes of this Schedule 13G.

(2)

Includes (i) 1,367,597 shares held by IVP XIII, (ii) 240,663 shares held by IVP XV, and (iii) 1,280 shares held by IVP XV EF. IVM XIII serves as the sole general partner of IVP XIII and has sole voting and investment control over the shares owned by IVP XIII and may be deemed to own beneficially the shares held by IVP XIII. IVM XIII owns no securities of the Issuer directly. IVM XV serves as the sole general partner of IVP XV and IVP XV EF and has sole voting and investment control over the shares owned by IVP XV and IVP XV EF and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. IVM XV owns no securities of the Issuer directly. Chaffee, Fogelsong, Harrick, Miller and Phelps are Managing Directors of IVM XIII and share voting and dispositive power over the shares held by IVP XIII, and may be deemed to own beneficially the shares held by IVP XIII. Chaffee, Fogelsong, Harrick, Miller, Phelps, Maltz, Dash and Liaw are Managing Directors of IVM XV and share voting and dispositive power over the shares held by IVP XV and IVP XV EF, and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. The Managing Directors own no securities of the Issuer directly.

(3)

The percentage is based on 23,074,264 shares of Class B Common Stock reported to be outstanding as of December 12, 2018 in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 as filed with the Securities and Exchange Commission on December 13, 2018.

(4)

The 1,609,540 shares of Class B Common Stock beneficially owned by the Reporting Person represent 6.1% of the Issuer’s outstanding Common Stock based on a total of 26,337,923 shares of Common Stock outstanding as of December 12, 2018, as reported in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 filed, with the SEC on December 13, 2018, and represent approximately 1.0% of the combined voting power of the Issuer’s Common Stock.


CUSIP NO. 257554 10 5    13 G    Page 11 of 18 Pages

 

  1       

  NAMES OF REPORTING PERSONS

 

  Dennis B. Phelps

  2      

  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

  (a)  ☐        (b)  ☒ (1)

 

  3      

  SEC USE ONLY

 

  4      

  CITIZENSHIP OR PLACE OF ORGANIZATION

 

  United States of America

NUMBER OF

SHARES

  BENEFICIALLY  

OWNED BY

EACH

REPORTING

PERSON

WITH

    5     

  SOLE VOTING POWER

 

  0 shares

  6     

  SHARED VOTING POWER

 

  1,609,540 shares (2)

  7     

  SOLE DISPOSITIVE POWER

 

  0 shares

  8     

  SHARED DISPOSITIVE POWER

 

  1,609,540 shares (2)

  9      

  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

  1,609,540 shares (2)

10      

  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

  ☐

11      

  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

  7.0% (3)(4)

12      

  TYPE OF REPORTING PERSON*

 

  IN

 

(1)

This Schedule 13G is filed by the Reporting Persons. The Reporting Persons expressly disclaim status as a “group” for purposes of this Schedule 13G.

(2)

Includes (i) 1,367,597 shares held by IVP XIII, (ii) 240,663 shares held by IVP XV, and (iii) 1,280 shares held by IVP XV EF. IVM XIII serves as the sole general partner of IVP XIII and has sole voting and investment control over the shares owned by IVP XIII and may be deemed to own beneficially the shares held by IVP XIII. IVM XIII owns no securities of the Issuer directly. IVM XV serves as the sole general partner of IVP XV and IVP XV EF and has sole voting and investment control over the shares owned by IVP XV and IVP XV EF and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. IVM XV owns no securities of the Issuer directly. Chaffee, Fogelsong, Harrick, Miller and Phelps are Managing Directors of IVM XIII and share voting and dispositive power over the shares held by IVP XIII, and may be deemed to own beneficially the shares held by IVP XIII. Chaffee, Fogelsong, Harrick, Miller, Phelps, Maltz, Dash and Liaw are Managing Directors of IVM XV and share voting and dispositive power over the shares held by IVP XV and IVP XV EF, and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. The Managing Directors own no securities of the Issuer directly.

(3)

The percentage is based on 23,074,264 shares of Class B Common Stock reported to be outstanding as of December 12, 2018 in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 as filed with the Securities and Exchange Commission on December 13, 2018.

(4)

The 1,609,540 shares of Class B Common Stock beneficially owned by the Reporting Person represent 6.1% of the Issuer’s outstanding Common Stock based on a total of 26,337,923 shares of Common Stock outstanding as of December 12, 2018, as reported in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 filed, with the SEC on December 13, 2018, and represent approximately 1.0% of the combined voting power of the Issuer’s Common Stock.


CUSIP NO. 257554 10 5    13 G    Page 12 of 18 Pages

 

  1       

  NAMES OF REPORTING PERSONS

 

  Jules A. Maltz

  2      

  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

  (a)  ☐        (b)  ☒ (1)

 

  3      

  SEC USE ONLY

 

  4      

  CITIZENSHIP OR PLACE OF ORGANIZATION

 

  United States of America

NUMBER OF

SHARES

  BENEFICIALLY  

OWNED BY

EACH

REPORTING

PERSON

WITH

    5     

  SOLE VOTING POWER

 

  0 shares

  6     

  SHARED VOTING POWER

 

  241,943 shares (2)

  7     

  SOLE DISPOSITIVE POWER

 

  0 shares

  8     

  SHARED DISPOSITIVE POWER

 

  241,943 shares (2)

  9      

  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

  241,943 shares (2)

10      

  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

  ☐

11      

  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

  1.0% (3)(4)

12      

  TYPE OF REPORTING PERSON*

 

  IN

 

(1)

This Schedule 13G is filed by the Reporting Persons. The Reporting Persons expressly disclaim status as a “group” for purposes of this Schedule 13G.

(2)

Includes (i) 240,663 shares held by IVP XV, and (ii) 1,280 shares held by IVP XV EF. IVM XV serves as the sole general partner of IVP XV and IVP XV EF and has sole voting and investment control over the shares owned by IVP XV and IVP XV EF and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. IVM XV owns no securities of the Issuer directly. Chaffee, Fogelsong, Harrick, Miller, Phelps, Maltz, Dash and Liaw are Managing Directors of IVM XV and share voting and dispositive power over the shares held by IVP XV and IVP XV EF, and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. The Managing Directors own no securities of the Issuer directly.

(3)

The percentage is based on 23,074,264 shares of Class B Common Stock reported to be outstanding as of December 12, 2018 in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 as filed with the Securities and Exchange Commission on December 13, 2018.

(4)

The 241,943 shares of Class B Common Stock beneficially owned by the Reporting Person represent 1.0% of the Issuer’s outstanding Common Stock based on a total of 26,337,923 shares of Common Stock outstanding as of December 12, 2018, as reported in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 filed, with the SEC on December 13, 2018, and represent approximately 0.2% of the combined voting power of the Issuer’s Common Stock.


CUSIP NO. 257554 10 5    13 G    Page 13 of 18 Pages

 

  1       

  NAMES OF REPORTING PERSONS

 

  Somesh Dash

  2      

  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

  (a)  ☐        (b)  ☒ (1)

 

  3      

  SEC USE ONLY

 

  4      

  CITIZENSHIP OR PLACE OF ORGANIZATION

 

  United States of America

NUMBER OF

SHARES

  BENEFICIALLY  

OWNED BY

EACH

REPORTING

PERSON

WITH

    5     

  SOLE VOTING POWER

 

  0 shares

  6     

  SHARED VOTING POWER

 

  241,943 shares (2)

  7     

  SOLE DISPOSITIVE POWER

 

  0 shares

  8     

  SHARED DISPOSITIVE POWER

 

  241,943 shares (2)

  9      

  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

  241,943 shares (2)

10      

  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

  ☐

11      

  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

  1.0% (3)(4)

12      

  TYPE OF REPORTING PERSON*

 

  IN

 

(1)

This Schedule 13G is filed by the Reporting Persons. The Reporting Persons expressly disclaim status as a “group” for purposes of this Schedule 13G.

(2)

Includes (i) 240,663 shares held by IVP XV, and (ii) 1,280 shares held by IVP XV EF. IVM XV serves as the sole general partner of IVP XV and IVP XV EF and has sole voting and investment control over the shares owned by IVP XV and IVP XV EF and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. IVM XV owns no securities of the Issuer directly. Chaffee, Fogelsong, Harrick, Miller, Phelps, Maltz, Dash and Liaw are Managing Directors of IVM XV and share voting and dispositive power over the shares held by IVP XV and IVP XV EF, and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. The Managing Directors own no securities of the Issuer directly.

(3)

The percentage is based on 23,074,264 shares of Class B Common Stock reported to be outstanding as of December 12, 2018 in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 as filed with the Securities and Exchange Commission on December 13, 2018.

(4)

The 241,943 shares of Class B Common Stock beneficially owned by the Reporting Person represent 1.0% of the Issuer’s outstanding Common Stock based on a total of 26,337,923 shares of Common Stock outstanding as of December 12, 2018, as reported in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 filed, with the SEC on December 13, 2018, and represent approximately 0.2% of the combined voting power of the Issuer’s Common Stock.


CUSIP NO. 257554 10 5    13 G    Page 14 of 18 Pages

 

  1       

  NAMES OF REPORTING PERSONS

 

  Eric Liaw

  2      

  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

  (a)  ☐        (b)  ☒ (1)

 

  3      

  SEC USE ONLY

 

  4      

  CITIZENSHIP OR PLACE OF ORGANIZATION

 

  United States of America

NUMBER OF

SHARES

  BENEFICIALLY  

OWNED BY

EACH

REPORTING

PERSON

WITH

    5     

  SOLE VOTING POWER

 

  0 shares

  6     

  SHARED VOTING POWER

 

  241,943 shares (2)

  7     

  SOLE DISPOSITIVE POWER

 

  0 shares

  8     

  SHARED DISPOSITIVE POWER

 

  241,943 shares (2)

  9      

  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

  241,943 shares (2)

10      

  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

  ☐

11      

  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

  1.0% (3)(4)

12      

  TYPE OF REPORTING PERSON*

 

  IN

 

(1)

This Schedule 13G is filed by the Reporting Persons. The Reporting Persons expressly disclaim status as a “group” for purposes of this Schedule 13G.

(2)

Includes (i) 240,663 shares held by IVP XV, and (ii) 1,280 shares held by IVP XV EF. IVM XV serves as the sole general partner of IVP XV and IVP XV EF and has sole voting and investment control over the shares owned by IVP XV and IVP XV EF and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. IVM XV owns no securities of the Issuer directly. Chaffee, Fogelsong, Harrick, Miller, Phelps, Maltz, Dash and Liaw are Managing Directors of IVM XV and share voting and dispositive power over the shares held by IVP XV and IVP XV EF, and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. The Managing Directors own no securities of the Issuer directly.

(3)

The percentage is based on 23,074,264 shares of Class B Common Stock reported to be outstanding as of December 12, 2018 in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 as filed with the Securities and Exchange Commission on December 13, 2018.

(4)

The 241,943 shares of Class B Common Stock beneficially owned by the Reporting Person represent 1.0% of the Issuer’s outstanding Common Stock based on a total of 26,337,923 shares of Common Stock outstanding as of December 12, 2018, as reported in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 filed, with the SEC on December 13, 2018, and represent approximately 0.2% of the combined voting power of the Issuer’s Common Stock.


Introductory Note: This statement on Schedule 13G is filed by the Reporting Persons with the Commission in respect of shares of Class B Common Stock (“Common Stock”), of Domo, Inc., a Delaware corporation (the “Issuer”).

 

Item 1

 

(a)    Name of Issuer:    Domo, Inc.
(b)    Address of Issuer’s   
     Principal Executive Offices:    772 East Utah Valley Drive
      American Fork, Utah 84003

 

Item 2

 

(a)

Name of Reporting Persons Filing:

 

  1.

Institutional Venture Partners XIII, L.P. (“IVP XIII”)

 

  2.

Institutional Venture Management XIII, LLC (“IVM XIII”)

 

  3.

Institutional Venture Partners XV, L.P. (“IVP XV”)

 

  4.

IVP XV Executive Fund, L.P. (“IVP XV EF”)

 

  5.

Institutional Venture Management XV, LLC (“IVM XV”)

 

  6.

Todd C. Chaffee (“Chaffee”)

 

  7.

Norman A. Fogelsong (“Fogelsong”)

 

  8.

Stephen J. Harrick (“Harrick”)

 

  9.

J. Sanford Miller (“Miller”)

 

  10.

Dennis B. Phelps (“Phelps”)

 

  11.

Jules A. Maltz (“Maltz”)

 

  12.

Somesh Dash (“Dash”)

 

  13.

Eric Liaw (“Liaw”)

 

(b)    Address of Principal Business Office:    c/o Institutional Venture Partners
      3000 Sand Hill Road, Building 2, Suite 250
      Menlo Park, California 94025

 

(c)

Citizenship:

 

IVP XIII   

Delaware

IVM XIII   

Delaware

IVP XV   

Delaware

IVP XV EF   

Delaware

IVM XV   

Delaware

Chaffee   

United States of America

Fogelsong   

United States of America

Harrick   

United States of America

Miller   

United States of America

Phelps   

United States of America

Maltz   

United States of America

Dash   

United States of America

Liaw   

United States of America

 

(d)

Title of Class of Securities:        Class B Common Stock

 

15


(e)    CUSIP Number:    257554 10 5

 

Item 3

Not applicable.

 

Item 4

Ownership.

The following information with respect to the ownership of the Common Stock by the Reporting Persons filing this statement on Schedule 13G is provided as of December 31, 2018:

 

Reporting Persons

   Shares Held
Directly (1)
     Shared Voting
Power (1)
     Shared
Dispositive
Power (1)
     Beneficial
Ownership (1)
     Percentage of
Class (1, 4)
 

IVP XV

     240,663        1,609,540        1,609,540        1,609,540        7.0 %(5) 

IVP XV EF

     1,280        1,609,540        1,609,540        1,609,540        7.0 %(5) 

IVM XV (2)

     0        1,609,540        1,609,540        1,609,540        7.0 %(5) 

IVP XIII

     1,367,597        1,609,540        1,609,540        1,609,540        7.0 %(5) 

IVM XIII (2)(3)

     0        1,609,540        1,609,540        1,609,540        7.0 %(5) 

Chaffee (2)(3)

     0        1,609,540        1,609,540        1,609,540        7.0 %(5) 

Fogelsong (2)(3)

     0        1,609,540        1,609,540        1,609,540        7.0 %(5) 

Harrick (2)(3)

     0        1,609,540        1,609,540        1,609,540        7.0 %(5) 

Miller (2)(3)

     0        1,609,540        1,609,540        1,609,540        7.0 %(5) 

Phelps (2)(3)

     0        1,609,540        1,609,540        1,609,540        7.0 %(5) 

Maltz (2)

     0        241,943        241,943        241,943        1.0 %(6) 

Dash (2)

     0        241,943        241,943        241,943        1.0 %(6) 

Liaw (2)

     0        241,943        241,943        241,943        1.0 %(6) 

 

(1)

Represents the number of shares of Common Stock held by IVP XV, IVP XV EF and IVP XIII.

(2)

IVM XV serves as the sole general partner of IVP XV and IVP XV EF and has sole voting and investment control over the shares owned by IVP XV and IVP XV EF and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. IVM XV owns no securities of the Issuer directly. Chaffee, Fogelsong, Harrick, Miller, Phelps, Maltz, Dash and Liaw are Managing Directors of IVM XV and share voting and dispositive power over the shares held by IVP XV and IVP XV EF, and may be deemed to own beneficially the shares held by IVP XV and IVP XV EF. The Managing Directors own no securities of the Issuer directly.

(3)

IVM XIII serves as the sole general partner of IVP XIII and has sole voting and investment control over the shares owned by IVP XIII and may be deemed to own beneficially the shares held by IVP XIII. IVM XIII owns no securities of the Issuer directly. Chaffee, Fogelsong, Harrick, Miller and Phelps are Managing Directors of IVM XIII and share voting and dispositive power over the shares held by IVP XIII, and may be deemed to own beneficially the shares held by IVP XIII. The Managing Directors own no securities of the Issuer directly.

(4)

The percentage is based on 23,074,264 shares of Class B Common Stock reported to be outstanding as of December 12, 2018 in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 as filed with the Securities and Exchange Commission on December 13, 2018.

(5)

The 1,609,540 shares of Class B Common Stock beneficially owned by the Reporting Person represent 6.1% of the Issuer’s outstanding Common Stock based on a total of 26,337,923 shares of Common Stock outstanding as of December 12, 2018, as reported in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 filed, with the SEC on December 13, 2018, and represent approximately 1.0% of the combined voting power of the Issuer’s Common Stock.

(6)

The 241,943 shares of Class B Common Stock beneficially owned by the Reporting Person represent 1.0% of the Issuer’s outstanding Common Stock based on a total of 26,337,923 shares of Common Stock outstanding as of December 12, 2018, as reported in the Issuer’s Form 10-Q for the quarterly period ended October 31, 2018 filed, with the SEC on December 13, 2018, and represent approximately 0.2% of the combined voting power of the Issuer’s Common Stock.

 

16


Item 5

Ownership of Five Percent or Less of a Class.

If this statement is being filed to report the fact that as of the date hereof, the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following:

 

Item 6

Ownership of More Than Five Percent on Behalf of Another Person.

Not applicable.

 

Item 7

Identification and Classification of the Subsidiary which Acquired the Security Being Reported on by the Parent Holding Company.

Not applicable.

 

Item 8

Identification and Classification of Members of the Group.

Not applicable.

 

Item 9

Notice of Dissolution of Group.

Not applicable.

 

Item 10

Certification.

Not applicable.

 

17


SIGNATURE

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in the attached statement on Schedule 13G is true, complete and correct.

Dated: February 14, 2019

INSTITUTIONAL VENTURE PARTNERS XIII, L.P.

By: Institutional Venture Management XIII, LLC

Its: General Partner

 

By:  

/s/ Tracy Hogan

  Tracy Hogan, Attorney-in-Fact
INSTITUTIONAL VENTURE MANAGEMENT XIII, LLC
By:  

/s/ Tracy Hogan

  Tracy Hogan, Attorney-in-Fact
INSTITUTIONAL VENTURE PARTNERS XV, L.P.
IVP XV EXECUTIVE FUND, L.P.
By: Institutional Venture Management XV, LLC
Its: General Partner
By:  

/s/ Tracy Hogan

  Tracy Hogan, Attorney-in-Fact
INSTITUTIONAL VENTURE MANAGEMENT XV, LLC
By:  

/s/ Tracy Hogan

  Tracy Hogan, Attorney-in-Fact
    /s/ Tracy Hogan
Tracy Hogan, Attorney-in-Fact for Todd C. Chaffee
    /s/ Tracy Hogan
Tracy Hogan, Attorney-in-Fact for Norman A. Fogelsong
    /s/ Tracy Hogan
Tracy Hogan, Attorney-in-Fact for Stephen J. Harrick
    /s/ Tracy Hogan
Tracy Hogan, Attorney-in-Fact for J. Sanford Miller
    /s/ Tracy Hogan
Tracy Hogan, Attorney-in-Fact for Dennis B. Phelps
    /s/ Tracy Hogan
Tracy Hogan, Attorney-in-Fact for Jules A. Maltz
    /s/ Tracy Hogan
Tracy Hogan, Attorney-in-Fact for Somesh Dash
    /s/ Tracy Hogan
Tracy Hogan, Attorney-in-Fact for Eric Liaw

Exhibit(s):

 

A:

Joint Filing Statement

 

 

18

EX-99.A 2 d671855dex99a.htm EX-99.A EX-99.A
CUSIP No. 257554 10 5    13G    Exhibit 99.1

EXHIBIT A

JOINT FILING STATEMENT

We, the undersigned, hereby express our agreement that the attached statement on Schedule 13G relating to the Class B Common Stock of Domo, Inc. is filed on behalf of each of us.

Dated: February 14, 2019

INSTITUTIONAL VENTURE PARTNERS XIII, L.P.

By: Institutional Venture Management XIII, LLC

Its: General Partner

 

By:  

/s/ Tracy Hogan

  Tracy Hogan, Attorney-in-Fact
INSTITUTIONAL VENTURE MANAGEMENT XIII, LLC
By:  

/s/ Tracy Hogan

  Tracy Hogan, Attorney-in-Fact
INSTITUTIONAL VENTURE PARTNERS XV, L.P.
IVP XV EXECUTIVE FUND, L.P.
By: Institutional Venture Management XV, LLC
Its: General Partner
By:  

/s/ Tracy Hogan

  Tracy Hogan, Attorney-in-Fact
INSTITUTIONAL VENTURE MANAGEMENT XV, LLC
By:  

/s/ Tracy Hogan

  Tracy Hogan, Attorney-in-Fact
    /s/ Tracy Hogan
Tracy Hogan, Attorney-in-Fact for Todd C. Chaffee
    /s/ Tracy Hogan
Tracy Hogan, Attorney-in-Fact for Norman A. Fogelsong
    /s/ Tracy Hogan
Tracy Hogan, Attorney-in-Fact for Stephen J. Harrick
    /s/ Tracy Hogan
Tracy Hogan, Attorney-in-Fact for J. Sanford Miller
    /s/ Tracy Hogan
Tracy Hogan, Attorney-in-Fact for Dennis B. Phelps
    /s/ Tracy Hogan
Tracy Hogan, Attorney-in-Fact for Jules A. Maltz
    /s/ Tracy Hogan
Tracy Hogan, Attorney-in-Fact for Somesh Dash
    /s/ Tracy Hogan
Tracy Hogan, Attorney-in-Fact for Eric Liaw