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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series A Preferred Stock | (1) | 11/12/2014 | C | 498,548 | (1) | (1) | Common Stock | 498,548 | $ 0 (1) | 0 | I | By Austin Ventures IX, L.P. (2) | |||
Series A Preferred Stock | (1) | 11/12/2014 | C | 747,822 | (1) | (1) | Common Stock | 747,822 | $ 0 (1) | 0 | I | By Austin Ventures X, L.P. (5) | |||
Series B Preferred Stock | (3) | 11/12/2014 | C | 255,524 | (3) | (3) | Common Stock | 255,524 | $ 0 (3) | 0 | I | By Austin Ventures IX, L.P. (2) | |||
Series B Preferred Stock | (3) | 11/12/2014 | C | 383,286 | (3) | (3) | Common Stock | 383,286 | $ 0 (3) | 0 | I | By Austin Ventures X, L.P. (5) | |||
Series C Preferred Stock | (4) | 11/12/2014 | C | 80,500 | (4) | (4) | Common Stock | 80,500 | $ 0 (4) | 0 | I | By Austin Ventures IX, L.P. (2) | |||
Series C Preferred Stock | (4) | 11/12/2014 | C | 120,750 | (4) | (4) | Common Stock | 120,750 | $ 0 (4) | 0 | I | by Austin Ventures X, L.P. (5) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
AV Partners IX LLC 300 W. SIXTH STREET, STE. 2300 AUSTIN, TX 78701 |
X | |||
Austin Ventures IX LP 300 W. SIXTH STREET, STE. 2300 AUSTIN, TX 78701 |
X | |||
AUSTIN VENTURES X LP 300 W. SIXTH STREET, STE. 2300 AUSTIN, TX 78701 |
X | |||
AV Partners IX LP 300 W. SIXTH STREET, STE. 2300 AUSTIN, TX 78701 |
X | |||
AV Partners X, L.L.C. 300 W. SIXTH STREET, STE. 2300 AUSTIN, TX 78701 |
X | |||
AV Partners X, L.P. 300 W. SIXTH STREET, STE. 2300 AUSTIN, TX 78701 |
X |
/s/ Robert Housley, Attorney-in-Fact | 11/14/2014 | |
**Signature of Reporting Person | Date | |
/s/ Robert Housley, Attorney-in-Fact | 11/14/2014 | |
**Signature of Reporting Person | Date | |
/s/ Robert Housley, Attorney-in-Fact | 11/14/2014 | |
**Signature of Reporting Person | Date | |
/s/ Robert Housley, Attorney-in-Fact | 11/14/2014 | |
**Signature of Reporting Person | Date | |
/s/ Robert Housley, Attorney-in-Fact | 11/14/2014 | |
**Signature of Reporting Person | Date | |
/s/ Robert Housley, Attorney-in-Fact | 11/14/2014 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The Series A Preferred Stock, which was convertible at any time and had no expiration date, converted into Upland Software, Inc. common stock on a one-for-one basis. |
(2) | Shares held directly by Austin Ventures IX, L.P. ("AV IX"). AV Partners IX, L.P. ("AVP IX LP"), the general partner of AV IX, and AV Partners IX, L.L.C. ("AVP IX LLC"), the general partner AVP IX LP, may each be deemed to have sole voting and dispositive powers over the shares held by AV IX. Joseph C. Aragona, Kenneth P. DeAngelis, Christopher A. Pacitti, Philip S. Siegel, and John D. Thornton are members of or are associated with AVP IX LLC and may be deemed to share voting and dispositive power over the shares held by AV IX. Such persons and entities disclaim beneficial ownership of shares held by AV IX, except to the extent of any pecuniary interest therein. |
(3) | The Series B Preferred Stock, which was convertible at any time and had no expiration date, converted into Upland Software, Inc. common stock on a one-for-one basis. |
(4) | The Series C Preferred Stock, which was convertible at any time and had no expiration date, converted into Upland Software, Inc. common stock on a one-for-one basis. |
(5) | Shares held directly by Austin Ventures X, L.P. ("AV X"). AV Partners X, L.P. ("AVP X LP"), the general partner of AV X, and AV Partners X, L.L.C. ("AVP X LLC"), the general partner AVP X LP, may each be deemed to have sole voting and dispositive powers over the shares held by AV X. Joseph C. Aragona, Kenneth P. DeAngelis, Christopher A. Pacitti, Philip S. Siegel, and John D. Thornton are members of or are associated with AVP X LLC and may be deemed to share voting and dispositive power over the shares held by AV X. Such persons and entities disclaim beneficial ownership of shares held by AV X, except to the extent of any pecuniary interest therein. |
Remarks: This report is one of three reports, each on a separate Form 4 but relating to the same transactions. |