1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security |
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Series A Preferred Stock
|
Â
(2)
|
Â
(2)
|
Common Stock
|
27,000
|
$
(2)
|
D
|
Â
|
Employee Stock Option (right to buy)
|
Â
(3)
|
12/05/2017 |
Common Stock
|
23,437
|
$
0.34
|
D
|
Â
|
Employee Stock Option (right to buy)
|
Â
(4)
|
12/30/2018 |
Common Stock
|
45,312
|
$
0.53
|
D
|
Â
|
Employee Stock Option (right to buy)
|
Â
(5)
|
11/07/2020 |
Common Stock
|
215,000
|
$
6.51
|
D
|
Â
|
* |
If the form is filed by more than one reporting person, see Instruction 5(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) |
Includes 60,000 shares represented by restricted stock units which vest in three equal annual installments beginning on
November 7, 2012. |
(2) |
The Series A Convertible Preferred Stock shall automatically convert into Common Stock on a 1:1 basis immediately prior to
the closing of the Issuer's initial public offering of common stock and has no expiration date. |
(3) |
An option representing a right to purchase a total of 75,000 shares was exercised in part prior to the date on which the
Reporting Person became subject to Section 16. One-fourth of the shares subject to the option vested on October 24, 2008 and
one forty-eighth of the shares shall vest monthly thereafter. |
(4) |
An option representing a right to purchase a total of 75,000 shares was exercised in part prior to the date on which the
Reporting Person became subject to Section 16. One-fourth of the shares subject to the option vested on December 5, 2009 and
one forty-eighth of the shares shall vest monthly thereafter. |
(5) |
One-fourth of the shares subject to the option vest on November 7, 2011 and one forty-eighth of the shares shall vest monthly
thereafter. |