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