SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
X
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Charter Legacy, LLC

(Last) (First) (Middle)
C/O C.M. CAPITAL CORP.
525 UNIVERSITY AVENUE, SUITE 1400

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
ELLIE MAE INC [ ELLI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
04/20/2011
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 04/20/2011 C 666,666 A (1) 666,666 I See footnote(2)
Common Stock 04/20/2011 C 637,586 A (1) 1,304,252 I See footnote(2)
Common Stock 04/20/2011 C 160,133 A (1) 1,464,385 I See footnote(2)
Common Stock 04/20/2011 C 296,622 A (1) 1,761,007 I See footnote(2)
Common Stock 04/20/2011 C 363,373 A (1) 2,124,380 I See footnote(2)
Common Stock 04/20/2011 C 163,539 A (1) 2,287,919 I See footnote(2)
Common Stock 04/20/2011 X 83,333(3) A $3 2,371,252 I See footnote(2)
Common Stock 04/20/2011 S 41,667(3) D $6 2,329,585 I See footnote(2)
Common Stock 04/20/2011 S 553,841(4) D $6 1,775,744 I See footnote(2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series A Preferred Stock (1) 04/20/2011 C 666,666 (1) (1) Common Stock 666,666 (1) 0 I See footnote(2)
Series B Preferred Stock (1) 04/20/2011 C 637,586 (1) (1) Common Stock 637,586 (1) 0 I See footnote(2)
Series C Preferred Stock (1) 04/20/2011 C 160,133 (1) (1) Common Stock 160,133 (1) 0 I See footnote(2)
Series D Preferred Stock (1) 04/20/2011 C 296,622 (1) (1) Common Stock 296,622 (1) 0 I See footnote(2)
Series E Preferred Stock (1) 04/20/2011 C 363,373 (1) (1) Common Stock 363,373 (1) 0 I See footnote(2)
Series F Preferred Stock (1) 04/20/2011 C 163,539 (1) (1) Common Stock 163,539 (1) 0 I See footnote(2)
Common Stock Warrant $3 04/20/2011 X 17,730 07/13/2001 (5) Common Stock 17,730 $3 0 I See footnote(2)
Common Stock Warrant $3 04/20/2011 X 17,730 08/15/2001 (5) Common Stock 17,730 $3 0 I See footnote(2)
Common Stock Warrant $3 04/20/2011 X 47,873 10/01/2001 (5) Common Stock 47,783 $3 0 I See footnote(2)
1. Name and Address of Reporting Person*
Charter Legacy, LLC

(Last) (First) (Middle)
C/O C.M. CAPITAL CORP.
525 UNIVERSITY AVENUE, SUITE 1400

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
CMC Master Fund, L.P.

(Last) (First) (Middle)
C/O C.M. CAPITAL CORP.
525 UNIVERSITY AVENUE, SUITE 1400

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
C.M. Capital Advisors, LLC

(Last) (First) (Middle)
C/O C.M. CAPITAL CORP.
525 UNIVERSITY AVENUE, SUITE 1400

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
C.M. Capital Corp

(Last) (First) (Middle)
525 UNIVERSITY AVENUE, SUITE 1400

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Upon the closing of the Issuer's initial public offering on April 20, 2011, each share of Series A Preferred Stock, Series B Preferred Stock, Series C Preferred Stock, Series D Preferred Stock, Series E Preferred Stock, and Series F Preferred Stock (collectively, the "Preferred Shares") converted automatically into shares of the Issuer's Common Stock. The Preferred Shares converted on a one-to-one basis into Common Stock, without payment of additional consideration. The Preferred Shares were convertible at any time, at the holder's election, and automatically upon consummation of the Issuer's initial public offering and had no expiration date.
2. The reported securities are held of record by Charter Legacy, LLC. Charter Legacy, LLC is a wholly owned investment vehicle of the CMC Master Fund, L.P. C.M. Capital Advisors, LLC is the fund manager of CMC Master Fund, L.P. and the manager of Charter Legacy, LLC. The sole member of C.M. Capital Advisors, LLC is C.M. Capital Corp.
3. These shares reflect the combined net exercise of the warrants for Common Stock pursuant to the terms of the warrants into 41,666 shares of the Issuer's Common Stock.
4. Shares sold as part of the initial public offering, including shares sold as part of the partial exercise of the underwriters' overallotment option.
5. Pursuant to their terms, the warrants would terminate at the closing of the Issuer's initial public offering. The holder elected to net exercise the warrants contingent upon and effective immediately prior to the closing of the Issuer's initial public offering of Common Stock.
/s/ Elizabeth Hammack, Authorized Officer 04/21/2011
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.