FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 01/23/2014 |
3. Issuer Name and Ticker or Trading Symbol
Care.com Inc [ CRCM ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock, $0.001 par value | 117,848 | I | By Partnership(1) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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: 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 Convertible Preferred Stock | (2) | (3) | Common Stock | 3,385,890 | $0.00 | I | By Partnership(1) |
Series A-1 Convertible Preferred Stock | (2) | (3) | Common Stock | 875,199 | $0.00 | I | By Partnership(1) |
Series B Convertible Preferred Stock | (2) | (3) | Common Stock | 728,119 | $0.00 | I | By Partnership(1) |
Series C Convertible Preferred Stock | (2) | (3) | Common Stock | 199,399 | $0.00 | I | By Partnership(1) |
Series D Convertible Preferred Stock | (2) | (3) | Common Stock | 45,734 | $0.00 | I | By Partnership(1) |
Series E Convertible Preferred Stock | (2) | (3) | Common Stock | 76,680 | $0.00 | I | By Partnership(1) |
Explanation of Responses: |
1. All shares are held by Matrix Partners VII, L.P. Mr. Rodriguez is a managing member of Matrix VII Management Co., L.L.C., which is the general partner of Matrix Partners VII, L.P. Mr. Rodriguez disclaims beneficial ownership of the Matrix VII, L.P. shares except to the extent of any pecuniary interest therein. |
2. The Series A Convertible Preferred Stock, Series A-1 Convertible Preferred Stock, Series B Convertible Preferred Stock, Series C Convertible Preferred Stock, Series D Convertible Preferred Stock and Series E Convertible Preferred Stock automatically convert into shares of Issuer's Common Stock on a 1:1 basis immediately prior to the completion of Issuer's initial public offering. |
3. The expiration date is not relevant to the conversion of these securities. |
/s/ Diane Musi, as Attorney-in-Fact for Antonio L. Rodriguez | 01/23/2014 | |
** 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 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). | ||
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. |