0001179110-15-010543.txt : 20150630 0001179110-15-010543.hdr.sgml : 20150630 20150630190654 ACCESSION NUMBER: 0001179110-15-010543 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150630 FILED AS OF DATE: 20150630 DATE AS OF CHANGE: 20150630 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Teladoc, Inc. CENTRAL INDEX KEY: 0001477449 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-OFFICES & CLINICS OF DOCTORS OF MEDICINE [8011] IRS NUMBER: 043705970 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4100 SPRING VALLEY STREET 2: SUITE 600 CITY: DALLAS STATE: TX ZIP: 75244 BUSINESS PHONE: 2143025208 MAIL ADDRESS: STREET 1: 4100 SPRING VALLEY STREET 2: SUITE 600 CITY: DALLAS STATE: TX ZIP: 75244 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GRUA PETER J CENTRAL INDEX KEY: 0001242813 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37477 FILM NUMBER: 15962767 MAIL ADDRESS: STREET 1: 28 GARDEN ST CITY: BOSTON STATE: MA ZIP: 02114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CAHILL EDWARD L CENTRAL INDEX KEY: 0001025665 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37477 FILM NUMBER: 15962768 MAIL ADDRESS: STREET 1: C/O HLM VENTURE PARTNERS STREET 2: 222 BERKELEY STREET, 20TH FLOOR CITY: BOSTON STATE: MA ZIP: 02116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HLM VENTURE ASSOCIATES II, LLC CENTRAL INDEX KEY: 0001591541 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37477 FILM NUMBER: 15962769 BUSINESS ADDRESS: STREET 1: 222 BERKELEY STREET, 20TH FLOOR CITY: BOSTON STATE: MA ZIP: 02116 BUSINESS PHONE: 617-266-0030 MAIL ADDRESS: STREET 1: 222 BERKELEY STREET, 20TH FLOOR CITY: BOSTON STATE: MA ZIP: 02116 FORMER NAME: FORMER CONFORMED NAME: HLM Venture Associates II, LLC DATE OF NAME CHANGE: 20131108 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HLM VENTURE PARTNERS II, L.P. CENTRAL INDEX KEY: 0001340660 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37477 FILM NUMBER: 15962770 BUSINESS ADDRESS: STREET 1: 222 BERKELEY STREET, 20TH FLOOR CITY: BOSTON STATE: MA ZIP: 02116 BUSINESS PHONE: 617-266-0030 MAIL ADDRESS: STREET 1: 222 BERKELEY STREET, 20TH FLOOR CITY: BOSTON STATE: MA ZIP: 02116 FORMER NAME: FORMER CONFORMED NAME: HLM VENTURE PARTNERS II L P DATE OF NAME CHANGE: 20051004 3 1 edgar.xml FORM 3 - X0206 3 2015-06-30 0 0001477449 Teladoc, Inc. TDOC 0001340660 HLM VENTURE PARTNERS II, L.P. 222 BERKELEY STREET BOSTON MA 02116 0 0 1 0 0001591541 HLM VENTURE ASSOCIATES II, LLC 222 BERKELEY STREET BOSTON MA 02116 0 0 1 0 0001025665 CAHILL EDWARD L C/O HLM VENTURE PARTNERS, 222 BERKELEY STREET BOSTON MA 02116 0 0 1 0 0001242813 GRUA PETER J C/O HLM VENTURE PARTNERS, 222 BERKELEY STREET BOSTON MA 02116 0 0 1 0 Series C-1 Preferred Stock Common Stock 6039316 I See Footnote Series D Preferred Stock Common Stock 1874100 I See Footnote Series E Preferred Stock Common Stock 2490867 I See Footnote Series F Preferred Stock Common Stock 980568 I See Footnote HLM Venture Associates II, L.L.C. is the general partner of HLM Venture Partners II, L.P. Edward L. Cahill and Peter J. Grua (collectively, the "Managing Members") are the managing members of HLM Venture Associates II, L.L.C. and, as such, may be deemed to have shared voting and dispositive power with respect to the issuer's securities held of record by HLM Venture Partners II, L.P. Each of the entities and the Managing Members disclaim beneficial ownership of the securities reported herein, except to the extent of their respective pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of the shares for purposes of Section 16 or for any other purpose. Each share of Series C-1 Preferred Stock will automatically convert into common stock of the issuer on a 0.4375-for-one basis immediately prior to the closing of issuer's initial public offering and has no expiration date. Each share of Series D Preferred Stock will automatically convert into common stock of the issuer on a 0.4375-for-one basis immediately prior to the closing of issuer's initial public offering and has no expiration date. Each share of Series E Preferred Stock will automatically convert into common stock of the issuer on a 0.4375-for-one basis immediately prior to the closing of issuer's initial public offering and has no expiration date. Each share of Series F Preferred Stock will automatically convert into common stock of the issuer on a 0.4375-for-one basis immediately prior to the closing of issuer's initial public offering and has no expiration date. /s/ Peter J. Grua, Managing Member of HLM Venture Associates II, L.L.C, General Partner of HLM Venture Partners II, L.P. 2015-06-30 /s/ Peter J. Grua, Managing Member of HLM Venture Associates II, L.L.C. 2015-06-30 /s/ Edward L. Cahill 2015-06-30 /s/ Peter J. Grua 2015-06-30