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