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
(4)
|
Â
(4)
|
Common Stock
|
119,339
(4)
|
$
0
|
I
(1)
|
By Clarus, LLC
(1)
|
Series A Preferred Stock
|
Â
(4)
|
Â
(4)
|
Common Stock
|
3,068,996
(4)
|
$
0
|
I
(2)
|
By Kleiner Perkins Caufield & Byers XII, LLC
(2)
|
Series A Preferred Stock
|
Â
(4)
|
Â
(4)
|
Common Stock
|
58,648
(4)
|
$
0
|
I
(3)
|
By KPCB XII Founders Fund, LLC
(3)
|
Series B Preferred Stock
|
Â
(5)
|
Â
(5)
|
Common Stock
|
5,214
(5)
|
$
0
|
I
(1)
|
By Clarus, LLC
(1)
|
Series B Preferred Stock
|
Â
(5)
|
Â
(5)
|
Common Stock
|
134,082
(5)
|
$
0
|
I
(2)
|
By Kleiner Perkins Caufield & Byers XII, LLC
(2)
|
Series B Preferred Stock
|
Â
(5)
|
Â
(5)
|
Common Stock
|
2,563
(5)
|
$
0
|
I
(3)
|
By KPCB XII Founders Fund, LLC
(3)
|
Series C Preferred Stock
|
Â
(4)
|
Â
(4)
|
Common Stock
|
14,517
(4)
|
$
0
|
I
(1)
|
By Clarus, LLC
(1)
|
Series C Preferred Stock
|
Â
(4)
|
Â
(4)
|
Common Stock
|
375,705
(4)
|
$
0
|
I
(2)
|
By Kleiner Perkins Caufield & Byers XII, LLC
(2)
|
Series C Preferred Stock
|
Â
(4)
|
Â
(4)
|
Common Stock
|
4,784
(4)
|
$
0
|
I
(3)
|
By KPCB XII Founders Fund, LLC
(3)
|
* |
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) |
The reporting person is the manager of Clarus, LLC. Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. The shares are held for convenience in the name of "KPCB Holdings, Inc., as nominee" for the account of entities affiliated with Kleiner Perkins Caufield & Byers and others. KPCB Holdings, Inc. has no voting, dispositive or pecuniary interest in any such shares. |
(2) |
The General Partner of Kleiner Perkins Caufield & Byers XII, LLC is KPCB XII Associates, LLC, of which the reporting person is a managing member. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. The shares are held for convenience in the name of "KPCB Holdings, Inc., as nominee" for the account of entities affiliated with Kleiner Perkins Caufield & Byers and others. KPCB Holdings, Inc. has no voting, dispositive or pecuniary interest in any such shares. |
(3) |
The General Partner of KPCB XII Founders Fund, LLC is KPCB XII Associates, LLC, of which the reporting person is a managing member. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. The shares are held for convenience in the name of "KPCB Holdings, Inc., as nominee" for the account of entities affiliated with Kleiner Perkins Caufield & Byers and others. KPCB Holdings, Inc. has no voting, dispositive or pecuniary interest in any such shares. |
(4) |
Upon completion of the Issuer's initial public offering, each outstanding share of Series A Preferred Stock and Series C Preferred Stock will be automatically converted into one share of the Issuer's Common Stock. The Series A Preferred Stock and Series C Preferred Stock have no expiration date. |
(5) |
Upon completion of the Issuer's initial public offering, each outstanding share of Series B Preferred Stock will be automatically converted into 1.118 shares of the Issuer's Common Stock. The number of shares of underlying Common Stock reported in Column 3 does not reflect this automatic conversion. The Series B Preferred Stock has no expiration date. |