0001209191-15-058146.txt : 20150701 0001209191-15-058146.hdr.sgml : 20150701 20150701175240 ACCESSION NUMBER: 0001209191-15-058146 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150701 FILED AS OF DATE: 20150701 DATE AS OF CHANGE: 20150701 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Xactly Corp CENTRAL INDEX KEY: 0001322554 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 113744289 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 300 PARK AVENUE, SUITE 1700 CITY: SAN JOSE STATE: CA ZIP: 95110 BUSINESS PHONE: (408) 977-3132 MAIL ADDRESS: STREET 1: 300 PARK AVENUE, SUITE 1700 CITY: SAN JOSE STATE: CA ZIP: 95110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DEMPSEY NEAL CENTRAL INDEX KEY: 0001015934 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37451 FILM NUMBER: 15966370 MAIL ADDRESS: STREET 1: 10600 N DE ANZA BLVD STREET 2: SUITE 100 CITY: CUPERTINO STATE: CA ZIP: 95054 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-07-01 0 0001322554 Xactly Corp XTLY 0001015934 DEMPSEY NEAL C/O BAY PARTNERS, 2180 SAND HILL ROAD, SUITE 345 MENLO PARK CA 94025 1 0 1 0 Common Stock 2015-07-01 4 C 0 2315466 A 2315466 I See footnote Common Stock 2015-07-01 4 C 0 128293 A 128293 I See footnote Series A Convertible Preferred Stock 2015-07-01 4 C 0 1022088 0.00 D Common Stock 1022088 0 I See footnote Series A Convertible Preferred Stock 2015-07-01 4 C 0 56632 0.00 D Common Stock 56632 0 I See footnote Series B Convertible Preferred Stock 2015-07-01 4 C 0 459976 0.00 D Common Stock 459976 0 I See footnote Series B Convertible Preferred Stock 2015-07-01 4 C 0 25486 0.00 D Common Stock 25486 0 I See footnote Series C Convertible Preferred Stock 2015-07-01 4 C 0 364453 0.00 D Common Stock 364453 0 I See footnote Series C Convertible Preferred Stock 2015-07-01 4 C 0 20193 0.00 D Common Stock 20193 0 I See footnote Series D Convertible Preferred Stock 2015-07-01 4 C 0 352060 0.00 D Common Stock 352060 0 I See footnote Series D Convertible Preferred Stock 2015-07-01 4 C 0 19506 0.00 D Common Stock 19506 0 I See footnote Series D-1 Convertible Preferred Stock 2015-07-01 4 C 0 116889 0.00 D Common Stock 116889 0 I See footnote Series D-1 Convertible Preferred Stock 2015-07-01 4 C 0 6476 0.00 D Common Stock 6476 0 I See footnote The Series A Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of common stock and had no expiration date. The Series B Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of common stock and had no expiration date. The Series C Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of common stock and had no expiration date. The Series D Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of common stock and had no expiration date. The Series D-1 Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of common stock and had no expiration date. The reported shares are held of record by Bay Partners X, LP ("Bay Partners"). The Reporting Person is a co-Manager of Bay Management Company X, LLC ("Bay Management"), the general partner of Bay Partners, and disclaims beneficial ownership of the securities reported herein, except to the extent of his pecuniary interest therein. The reported shares are held of record by Bay Partners X Entrepreneurs Fund, LP ("Bay Entrepreneurs"). The Reporting Person is a co-Manager of Bay Management, the general partner of Bay Entrepreneurs, and disclaims beneficial ownership of the securities reported herein, except to the extent of his pecuniary interest therein. /s/ Neal Dempsey 2015-07-01