SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
HLM VENTURE PARTNERS II, L.P.

(Last) (First) (Middle)
222 BERKELEY STREET

(Street)
BOSTON MA 02116

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/30/2015
3. Issuer Name and Ticker or Trading Symbol
Teladoc, Inc. [ TDOC ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Series C-1 Preferred Stock (2) (2) Common Stock 6,039,316 (2) I See Footnote(1)
Series D Preferred Stock (3) (3) Common Stock 1,874,100 (3) I See Footnote(1)
Series E Preferred Stock (4) (4) Common Stock 2,490,867 (4) I See Footnote(1)
Series F Preferred Stock (5) (5) Common Stock 980,568 (5) I See Footnote(1)
1. Name and Address of Reporting Person*
HLM VENTURE PARTNERS II, L.P.

(Last) (First) (Middle)
222 BERKELEY STREET

(Street)
BOSTON MA 02116

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
HLM VENTURE ASSOCIATES II, LLC

(Last) (First) (Middle)
222 BERKELEY STREET

(Street)
BOSTON MA 02116

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
CAHILL EDWARD L

(Last) (First) (Middle)
C/O HLM VENTURE PARTNERS,
222 BERKELEY STREET

(Street)
BOSTON MA 02116

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
GRUA PETER J

(Last) (First) (Middle)
C/O HLM VENTURE PARTNERS,
222 BERKELEY STREET

(Street)
BOSTON MA 02116

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. 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.
2. 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.
3. 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.
4. 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.
5. 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. 06/30/2015
/s/ Peter J. Grua, Managing Member of HLM Venture Associates II, L.L.C. 06/30/2015
/s/ Edward L. Cahill 06/30/2015
/s/ Peter J. Grua 06/30/2015
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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