0000899243-16-019185.txt : 20160504 0000899243-16-019185.hdr.sgml : 20160504 20160504160523 ACCESSION NUMBER: 0000899243-16-019185 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160502 FILED AS OF DATE: 20160504 DATE AS OF CHANGE: 20160504 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CONNECTURE INC CENTRAL INDEX KEY: 0001211759 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 18500 W. CORPORATE DRIVE STREET 2: SUITE 250 CITY: BROOKFIELD STATE: WI ZIP: 53045 BUSINESS PHONE: 262-432-8282 MAIL ADDRESS: STREET 1: 18500 W. CORPORATE DRIVE STREET 2: SUITE 250 CITY: BROOKFIELD STATE: WI ZIP: 53045 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JONES DAVID A JR/KY CENTRAL INDEX KEY: 0001025393 STATE OF INCORPORATION: KY FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-36778 FILM NUMBER: 161619279 MAIL ADDRESS: STREET 1: C/O HUMANA INC STREET 2: 500 WEST MAIN STREET CITY: LOUISVILLE STATE: KY ZIP: 40202 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2016-05-02 2016-05-03 0 0001211759 CONNECTURE INC CNXR 0001025393 JONES DAVID A JR/KY 18500 W. CORPORATE DR., STE. 250 BROOKFIELD WI 53045 1 0 0 0 Series A Convertible Preferred Stock 2016-05-02 4 P 0 2000 1000.00 A 2016-05-02 Common Stock 444444 2000 I By Chrysalis Ventures II, L.P. The Series A Convertible Preferred Stock is convertible into Common Stock at a rate equal to (i) the sum of (a) the original purchase price ($1,000 per share) plus (b) all accrued and unpaid dividends thereon up to but not including the conversion date, divided by (ii) the conversion price of the Common Stock at such time, which initially is $4.50 per share, subject to customary anti-dilution adjustments. These shares were previously reported as disposed of instead of acquired. The Series A Convertible Preferred Stock has no expiration date. Shares held directly by Chrysalis Ventures II, L.P. ("CV II"). Mr. Jones is a Managing Member of Chrysalis Partners II, LLC, the general partner of CV II. Mr. Jones disclaims beneficial ownership of the shares held by CV II except to the extent of any pecuniary interest therein. Mr. Jones was previously identified as a board member of CV II. /s/ Scott Heinert for David A. Jones, Jr. 2016-05-04