0001136261-13-000102.txt : 20130214 0001136261-13-000102.hdr.sgml : 20130214 20130214170558 ACCESSION NUMBER: 0001136261-13-000102 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20130214 DATE AS OF CHANGE: 20130214 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Smerklo Michael A CENTRAL INDEX KEY: 0001516363 FILING VALUES: FORM TYPE: SC 13G MAIL ADDRESS: STREET 1: C/O SERVICESOURCE INTERNATIONAL, INC. STREET 2: 634 SECOND STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SERVICESOURCE INTERNATIONAL, INC. CENTRAL INDEX KEY: 0001310114 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 810578975 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-86636 FILM NUMBER: 13615656 BUSINESS ADDRESS: STREET 1: 634 SECOND STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: 4159016030 MAIL ADDRESS: STREET 1: 634 SECOND STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 FORMER COMPANY: FORMER CONFORMED NAME: SERVICESOURCE INTERNATIONAL LLC DATE OF NAME CHANGE: 20041129 SC 13G 1 sc13gbody.htm SC 13G February 14, 2013 SC 13G DOC

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

_____________

SCHEDULE 13G
 Under the Securities Exchange Act of 1934
(Amendment No.   )

ServiceSource International, Inc.
_____________________________________________________________________________________________________
(Name of Issuer)

 

Common Stock, $0.0001 par value per share
_____________________________________________________________________________________________________
(Title of Class of Securities)

 

81763U 10 0
__________________________________________________________________________
(CUSIP Number)

 

December 31, 2012
__________________________________________________________________________
(Date of Event which Requires Filing of this Statement)

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

¨ Rule 13d-1(b)

¨ Rule 13d-1(c)

x Rule 13d-1(d)

 

 

* The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.

The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

CUSIP No.   81763U 10 0

1.

Names of Reporting Persons
S.S. or I.R.S. Identification no. of above persons (entities only)

Michael A. Smerklo

2.

Check the appropriate box if a member of a group

(a) ¨
(b) ¨

3.

SEC use only

4.

Citizenship or place of organization

California



NUMBER OF

5.

Sole voting power

4,132,011

SHARES
BENEFICIALLY
OWNED BY

6.

Shared voting power

0

EACH
REPORTING
PERSON

7.

Sole dispositive power

3,707,011

WITH

 

8.

Shared dispositive power

0

9.

Aggregate amount beneficially owned by each reporting person

4,132,011 (1)

10.

Check if the aggregate amount in row (9) excludes certain shares ¨

11.

Percent of class represented by amount in row (9)

5.3% (2)

12.

Type of Reporting Person

IN

(1)

Includes (i) 500,000 shares of restricted Common Stock held of record by the Reporting Person of which 75,000 shares vest and become issuable within 60 days of December 31, 2012; (ii) 851,614 shares of Common Stock held of record by the Reporting Person as trustee for The True North Trust dated July 25, 2008; (iii) 231,440 shares of Common Stock held of record by the Reporting Person as trustee of the 2010 Michael Smerklo Grantor Retained Annuity Trust dated November 23, 2010; and (iv) 2,548,957 shares of Common Stock that are issuable to the Reporting Person upon exercise of outstanding options within 60 days of December 31, 2012.

(2)

Based on 75,637,220 shares of the Issuer's Common Stock outstanding as of December 31, 2012.

(Page 2 of 5 Pages)

Item 1.

(a). Name of Issuer:

ServiceSource International, Inc.

(b). Address of Issuer's Principal Executive Offices:

634 Second Street


San Francisco, CA 94107

Item 2.

(a). Name of Person Filing:

Michael A. Smerklo

(b). Address of Principal Business Office or, if None, Residence:

c/o ServiceSource International, Inc.


634 Second Street


San Francisco, CA 94107

(c). Citizenship:

United States

(d). Title of Class of Securities:

Common Stock, $0.0001 par value per share

(e). CUSIP Number: 81763U 10 0

Item 3. If This Statement is Filed Pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check Whether the Person Filing is a:

Not applicable.

Item 4. Ownership.

Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

(a)

Amount beneficially owned: (i) 500,000 shares of restricted Common Stock held of record by the Reporting Person of which 75,000 shares vest and become issuable within 60 days of December 31, 2012; (ii) 851,614 shares of Common Stock held of record by the Reporting Person as trustee for The True North Trust dated July 25, 2008; (iii) 231,440 shares of Common Stock held of record by the Reporting Person as trustee of the 2010 Michael Smerklo Grantor Retained Annuity Trust dated November 23, 2010; and (iv) 2,548,957 shares of Common Stock that are issuable to the Reporting Person upon exercise of outstanding options within 60 days of December 31, 2012.

(b)

Percent of class:    5.3% (1)

(c)

Number of shares as to which the person has:

 

(i) Sole power to vote or to direct the vote

4,132,011

 

 

(ii) Shared power to vote or to direct the vote

0

 

 

(iii) Sole power to dispose or to direct the disposition of

3,707,011

 

 

(iv) Shared power to dispose or to direct the disposition of

0

 

(Page 3 of 5 Pages)

Item 5. Ownership of Five Percent or Less of a Class.

Not applicable.

Item 6. Ownership of More than Five Percent on Behalf of Another Person.

Not applicable.

Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person.

Not applicable.

Item 8. Identification and Classification of Members of the Group.

Not applicable.

Item 9. Notice of Dissolution of Group.

Not applicable.

Item 10. Certification.

Not applicable.

 

______________________

(1)

Based on 75,637,220 shares of the Issuer's Common Stock outstanding as of December 31, 2012.

 

 

 

(Page 4 of 5 Pages)

Signature

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

February 14, 2013        
Date

By: /s/ Michael A. Smerklo        
Michael A. Smerklo

 

 

 

 

 

(Page 5 of 5 Pages)

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