0001193805-12-000278.txt : 20120215 0001193805-12-000278.hdr.sgml : 20120215 20120215214804 ACCESSION NUMBER: 0001193805-12-000278 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120213 FILED AS OF DATE: 20120215 DATE AS OF CHANGE: 20120215 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BURRILL STEVEN CENTRAL INDEX KEY: 0001198177 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52120 FILM NUMBER: 12617556 MAIL ADDRESS: STREET 1: PO BOX 14528 CITY: RESEARCH TRIANGLE PARK STATE: NC ZIP: 27709-4528 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WETHERELL DAVID S CENTRAL INDEX KEY: 0000939138 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52120 FILM NUMBER: 12617558 MAIL ADDRESS: STREET 1: C/O CMGI, INC STREET 2: 1100 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: R&R ACQUISITION VI, INC CENTRAL INDEX KEY: 0001368514 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 562590042 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 1270 AVENUE OF THE AMERICAS STREET 2: 16TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10020 BUSINESS PHONE: 973-635-4047 MAIL ADDRESS: STREET 1: 1270 AVENUE OF THE AMERICAS STREET 2: 16TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10020 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Burrill Capital Fund IV, L.P. CENTRAL INDEX KEY: 0001526880 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52120 FILM NUMBER: 12617557 BUSINESS ADDRESS: STREET 1: ONE EMBARCADERO CENTER STREET 2: SUITE 2700 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 BUSINESS PHONE: 415-591-5400 MAIL ADDRESS: STREET 1: ONE EMBARCADERO CENTER STREET 2: SUITE 2700 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 3 1 e609330_ex.xml X0204 3 2012-02-13 0 0001368514 R&R ACQUISITION VI, INC NONE 0001526880 Burrill Capital Fund IV, L.P. ONE EMBARCADERO CENTER SUITE 2700 SAN FRANCISCO CA 94111 1 0 1 0 0001198177 BURRILL STEVEN ONE EMBARCADERO CENTER SUITE 2700 SAN FRANCISCO CA 94111 1 0 1 0 0000939138 WETHERELL DAVID S ONE EMBARCADERO CENTER SUITE 2700 SAN FRANCISCO CA 94111 1 0 1 0 No securities are beneficially owned 0 D *This form is being filed by Burrill Capital Fund IV, L.P ("Burrill"), its general partner, Burrill & Company (BCF IV GP), LLC ("Burrill GP"), and each of the individual managing members of Burrill GP. The individual managing members of Burrill GP are G. Steven Burrill and David S. Wetherell (the "Managers"). /s/ Burrill Capital Fund IV, L.P. 2012-02-15 /s/ Steven Burrill 2012-02-15 /s/ David S. Wetherell 2012-02-15