0000880177-12-000012.txt : 20120813 0000880177-12-000012.hdr.sgml : 20120813 20120813211141 ACCESSION NUMBER: 0000880177-12-000012 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120813 FILED AS OF DATE: 20120813 DATE AS OF CHANGE: 20120813 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pavey Robert CENTRAL INDEX KEY: 0001555036 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35623 FILM NUMBER: 121029205 MAIL ADDRESS: STREET 1: C/O PEREGRINE SEMICONDUCTOR CORP. STREET 2: 9380 CARROLL PARK DR. CITY: SAN DIEGO STATE: CA ZIP: 92121 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PEREGRINE SEMICONDUCTOR CORP CENTRAL INDEX KEY: 0000880177 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 860652659 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 9380 CARROLL PARK DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: 858-731-9400 MAIL ADDRESS: STREET 1: 9380 CARROLL PARK DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92121 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2012-08-13 0000880177 PEREGRINE SEMICONDUCTOR CORP PSMI 0001555036 Pavey Robert C/O PEREGRINE SEMICONDUCTOR CORPORATION 9380 CARROLL PARK DRIVE SAN DIEGO CA 92121 1 0 0 0 Common Stock 2012-08-13 4 C 0 1512031 A 1690380 I Morgenthaler Partners VI, L.P. Common Stock 2012-08-13 4 C 0 413529 A 2103909 I Morgenthaler Partners VI, L.P. Common Stock 2012-08-13 4 C 0 1263802 A 3367711 I Morgenthaler Partners VI, L.P. Common Stock 2012-08-13 4 C 0 183302 A 3551013 I Morgenthaler Partners VI, L.P. Common Stock 2012-08-13 4 P 0 200000 14.00 A 3751013 I Morgenthaler Partners VI, L.P. Series A1 Preferred Stock 2012-08-13 4 C 0 1512031 0 D Common Stock 1512031 0 I Morgenthaler Partners VI, L.P. Series B1 Preferred Stock 2012-08-13 4 C 0 413529 0 D Common Stock 413529 0 I Morgenthaler Partners VI, L.P. Series C1 Preferred Stock 2012-08-13 4 C 0 1263802 0 D Common Stock 1263802 0 I Morgenthaler Partners VI, L.P. Series D1 Preferred Stock 2012-08-13 4 C 0 183302 0 D Common Stock 183302 0 I Morgenthaler Partners VI, L.P. Each share of the issuer's Series A1 Preferred Stock, Series B1 Preferred Stock, Series C1 Preferred Stock, and Series D1 Preferred Stock converted into 1 share of the issuer's Common Stock and had no expiration date. Morgenthaler Management Partners VI, L.L.C., is the general partner of Morgenthaler Partners VI, L.P. Robert D. Pavey, a member of Morgenthaler Management Partners VI, L.L.C., disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. /s/ Jay Biskupski as Attorney-in-fact for Robert D. Pavey 2012-08-13