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