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 |
|
|||||||||||||||
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*
(Street)
|
2. Issuer Name and Ticker or Trading Symbol
AUDIENCE INC [ ADNC ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
||||||||||||||||||||||||
3. Date of Earliest Transaction
(Month/Day/Year) 05/15/2012 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
|
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 | 05/15/2012 | C | 385,950 | A | (1) | 385,950 | I | See Footnote(2) | ||
Common Stock | 05/15/2012 | C | 123,992 | A | (1) | 509,942 | I | See Footnote(2) | ||
Common Stock | 05/15/2012 | C | 389,554 | A | (1) | 899,496 | I | See Footnote(2) | ||
Common Stock | 05/15/2012 | C | 181,767 | A | (1) | 1,081,263 | I | See Footnote(2) | ||
Common Stock | 05/15/2012 | C | 355,798 | A | (1) | 1,437,061 | I | See Footnote(2) | ||
Common Stock | 05/15/2012 | C | 159,893 | A | (1) | 159,893 | I | See Footnote(3) | ||
Common Stock | 05/15/2012 | C | 51,368 | A | (1) | 211,261 | I | See Footnote(3) | ||
Common Stock | 05/15/2012 | C | 161,386 | A | (1) | 372,647 | I | See Footnote(3) | ||
Common Stock | 05/15/2012 | C | 75,303 | A | (1) | 447,950 | I | See Footnote(3) | ||
Common Stock | 05/15/2012 | C | 147,402 | A | (1) | 595,352 | I | See Footnote(3) | ||
Common Stock | 05/15/2012 | C | 5,513 | A | (1) | 5,513 | I | See Footnote(4) | ||
Common Stock | 05/15/2012 | C | 1,771 | A | (1) | 7,284 | I | See Footnote(4) | ||
Common Stock | 05/15/2012 | C | 5,565 | A | (1) | 12,849 | I | See Footnote(4) | ||
Common Stock | 05/15/2012 | C | 2,596 | A | (1) | 15,445 | I | See Footnote(4) | ||
Common Stock | 05/15/2012 | C | 5,082 | A | (1) | 20,527 | I | See Footnote(4) | ||
Common Stock | 05/15/2012 | C | 5,695 | A | (1) | 26,222 | I | See Footnote(4) | ||
Common Stock | 05/15/2012 | C | 1,133,312 | A | (1) | 1,133,312 | I | See Footnote(5) | ||
Common Stock | 05/15/2012 | C | 1,042,323 | A | (1) | 1,042,323 | I | See Footnote(6) | ||
Common Stock | 05/15/2012 | C | 286,234 | A | (1) | 286,234 | I | See Footnote(7) | ||
Common Stock | 05/15/2012 | C | 131,990 | A | (1) | 131,990 | I | See Footnote(8) | ||
Common Stock | 05/15/2012 | C | 8,075 | A | (1) | 8,075 | I | See Footnote(9) |
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 AA Preferred Stock(1) | (1) | 05/15/2012 | C | 385,950 | (10) | (11) | Common Stock | 385,950 | (1) | 0 | I | See Footnote(2) | |||
Series AA Preferred Stock(1) | (1) | 05/15/2012 | C | 159,893 | (10) | (11) | Common Stock | 159,893 | (1) | 0 | I | See Footnote(3) | |||
Series AA Preferred Stock(1) | (1) | 05/15/2012 | C | 5,513 | (10) | (11) | Common Stock | 5,513 | (1) | 0 | I | See Footnote(4) | |||
Series AA-1 Preferred Stock(1) | (1) | 05/15/2012 | C | 123,992 | (10) | (11) | Common Stock | 123,992 | (1) | 0 | I | See Footnote(2) | |||
Series AA-1 Preferred Stock(1) | (1) | 05/15/2012 | C | 51,368 | (10) | (11) | Common Stock | 51,368 | (1) | 0 | I | See Footnote(3) | |||
Series AA-1 Preferred Stock(1) | (1) | 05/15/2012 | C | 1,771 | (10) | (11) | Common Stock | 1,771 | (1) | 0 | I | See Footnote(4) | |||
Series B Preferred Stock(1) | (1) | 05/15/2012 | C | 389,554 | (10) | (11) | Common Stock | 389,554 | (1) | 0 | I | See Footnote(2) | |||
Series B Preferred Stock(1) | (1) | 05/15/2012 | C | 161,386 | (10) | (11) | Common Stock | 161,386 | (1) | 0 | I | See Footnote(3) | |||
Series B Preferred Stock(1) | (1) | 05/15/2012 | C | 5,565 | (10) | (11) | Common Stock | 5,565 | (1) | 0 | I | See Footnote(4) | |||
Series B-1 Preferred Stock(1) | (1) | 05/15/2012 | C | 181,767 | (10) | (11) | Common Stock | 181,767 | (1) | 0 | I | See Footnote(2) | |||
Series B-1 Preferred Stock(1) | (1) | 05/15/2012 | C | 75,303 | (10) | (11) | Common Stock | 75,303 | (1) | 0 | I | See Footnote(3) | |||
Series B-1 Preferred Stock(1) | (1) | 05/15/2012 | C | 2,596 | (10) | (11) | Common Stock | 2,596 | (1) | 0 | I | See Footnote(4) | |||
Series C Preferred Stock(1) | (1) | 05/15/2012 | C | 355,798 | (10) | (11) | Common Stock | 355,798 | (1) | 0 | I | See Footnote(2) | |||
Series C Preferred Stock(1) | (1) | 05/15/2012 | C | 147,402 | (10) | (11) | Common Stock | 147,402 | (1) | 0 | I | See Footnote(3) | |||
Series C Preferred Stock(1) | (1) | 05/15/2012 | C | 5,082 | (10) | (11) | Common Stock | 5,082 | (1) | 0 | I | See Footnote(4) | |||
Series D Preferred Stock(1) | (1) | 05/15/2012 | C | 5,695 | (10) | (11) | Common Stock | 5,695 | (1) | 0 | I | See Footnote(4) | |||
Series D Preferred Stock(1) | (1) | 05/15/2012 | C | 1,133,312 | (10) | (11) | Common Stock | 1,133,312 | (1) | 0 | I | See Footnote(5) | |||
Series E Preferred Stock(1) | (1) | 05/15/2012 | C | 1,042,323 | (10) | (11) | Common Stock | 1,042,323 | (1) | 0 | I | See Footnote(6) | |||
Series E Preferred Stock(1) | (1) | 05/15/2012 | C | 286,234 | (10) | (11) | Common Stock | 286,234 | (1) | 0 | I | See Footnote(7) | |||
Series E Preferred Stock(1) | (1) | 05/15/2012 | C | 131,990 | (10) | (11) | Common Stock | 131,990 | (1) | 0 | I | See Footnote(8) | |||
Series E Preferred Stock(1) | (1) | 05/15/2012 | C | 8,075 | (10) | (11) | Common Stock | 8,075 | (1) | 0 | I | See Footnote(9) |
Explanation of Responses: |
1. Each share of Series AA, Series AA-1, Series B, Series B-1, Series C, Series D and Series E Preferred Stock automatically converted into one share of common stock immediately prior to the consummation of the Issuer's initial public offering. |
2. The shares are held by Tallwood II, L.P. ("Tallwood II"). Tallwood II Management, LLC ("Tallwood II Management") is the general partner of Tallwood II. The reporting person is a managing member of Tallwood II Management and shares voting and investment power over the shares held by Tallwood II. The reporting person disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest therein. |
3. The shares are held by Tallwood II Partners, L.P. ("Tallwood II Partners"). Tallwood II Management is the general partner of Tallwood II Partners. The reporting person is a managing member of Tallwood II Management and shares voting and investment power over the shares held by Tallwood II Partners. The reporting person disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest therein. |
4. The shares are held by Tallwood II Associates, L.P. ("Tallwood II Associates"). Tallwood II Management is the general partner of Tallwood II Associates. The reporting person is a managing member of Tallwood II Management and shares voting and investment power over the shares held by Tallwood II Associates. The reporting person disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest therein. |
5. The shares are held by Tallwood II Annex, L.P. ("Tallwood II Annex"). Tallwood II Management is the general partner of Tallwood II Annex. The reporting person is a managing member of Tallwood II Management and shares voting and investment power over the shares held by Tallwood II Annex. The reporting person disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest therein. |
6. The shares are held by Tallwood III, L.P. ("Tallwood III"). Tallwood III Management, LLC ("Tallwood III Management") is the general partner of Tallwood III. The reporting person is a managing member of Tallwood III Management and shares voting and investment power over the shares held by Tallwood III. The reporting person disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest therein. |
7. The shares are held by Tallwood I, L.P. ("Tallwood I"). Tallwood Management Co., LLC ("Tallwood Management") is the general partner of Tallwood I. The reporting person is a managing member of Tallwood Management and shares voting and investment power over the shares held by Tallwood I. The reporting person disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest therein. |
8. The shares are held by Tallwood III Partners, L.P. ("Tallwood III Partners"). Tallwood III Management is the general partner of Tallwood III Partners. The reporting person is a managing member of Tallwood III Management and shares voting and investment power over the shares held by Tallwood III Partners. The reporting person disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest therein. |
9. The shares are held by Tallwood III Associates, L.P. ("Tallwood III Associates"). Tallwood III Management is the general partner of Tallwood III Associates. The reporting person is a managing member of Tallwood III Management and shares voting and investment power over the shares held by Tallwood III Associates. The reporting person disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest therein. |
10. The securities are immediately convertible. |
11. The expiration date is not relevant to the conversion of these securities. |
/s/ George A. Pavlov | 05/17/2012 | |
** 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. |