0001209191-17-039147.txt : 20170612 0001209191-17-039147.hdr.sgml : 20170612 20170612161824 ACCESSION NUMBER: 0001209191-17-039147 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170612 FILED AS OF DATE: 20170612 DATE AS OF CHANGE: 20170612 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SHOTSPOTTER, INC CENTRAL INDEX KEY: 0001351636 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7979 GATEWAY BLVD., STE. 210 CITY: NEWARK STATE: CA ZIP: 94560 BUSINESS PHONE: (510) 794-3100 MAIL ADDRESS: STREET 1: 7979 GATEWAY BLVD., STE. 210 CITY: NEWARK STATE: CA ZIP: 94560 FORMER COMPANY: FORMER CONFORMED NAME: SHOTSPOTTER INC DATE OF NAME CHANGE: 20110517 FORMER COMPANY: FORMER CONFORMED NAME: Shotspotter Inc DATE OF NAME CHANGE: 20060131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hawks Randall CENTRAL INDEX KEY: 0001646756 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38107 FILM NUMBER: 17906495 MAIL ADDRESS: STREET 1: 300 FRANK H. OGAWA PLAZA, #350 CITY: OAKLAND STATE: CA ZIP: 94612 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOLDHABER NATHANIEL CENTRAL INDEX KEY: 0001086858 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38107 FILM NUMBER: 17906496 MAIL ADDRESS: STREET 1: C/O CYBERGOLD INC STREET 2: 2921 ADELINE ST CITY: BERKELEY STATE: CA ZIP: 94703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Claremont Creek Partners, LLC CENTRAL INDEX KEY: 0001646777 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38107 FILM NUMBER: 17906497 BUSINESS ADDRESS: STREET 1: 300 FRANK H. OGAWA PLAZA, #350 CITY: OAKLAND STATE: CA ZIP: 94612 BUSINESS PHONE: 510 740 5001 MAIL ADDRESS: STREET 1: 300 FRANK H. OGAWA PLAZA, #350 CITY: OAKLAND STATE: CA ZIP: 94612 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Claremont Creek Partners fund L P CENTRAL INDEX KEY: 0001343179 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38107 FILM NUMBER: 17906498 BUSINESS ADDRESS: STREET 1: 505 14TH ST SUITE 800 STREET 2: C/O CLAREMONT CREEK CITY: OAKLAND STATE: CA ZIP: 94612 BUSINESS PHONE: 5108738414 MAIL ADDRESS: STREET 1: 505 14TH ST SUITE 800 STREET 2: C/O CLAREMONT CREEK CITY: OAKLAND STATE: CA ZIP: 94612 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CLAREMONT CREEK VENTURES L P CENTRAL INDEX KEY: 0001332576 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38107 FILM NUMBER: 17906499 BUSINESS ADDRESS: STREET 1: 505 14TH ST SUITE 800 CITY: OAKLAND STATE: CA ZIP: 94612 BUSINESS PHONE: 510-873-8414 MAIL ADDRESS: STREET 1: 505 14TH ST SUITE 800 CITY: OAKLAND STATE: CA ZIP: 94612 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-06-12 0 0001351636 SHOTSPOTTER, INC SSTI 0001332576 CLAREMONT CREEK VENTURES L P 300 FRANK H. OGAWA PLAZA #350 OAKLAND CA 94612 0 0 1 0 0001343179 Claremont Creek Partners fund L P 300 FRANK H. OGAWA PLAZA #350 OAKLAND CA 94612 0 0 1 0 0001646777 Claremont Creek Partners, LLC 300 FRANK H. OGAWA PLAZA #350 OAKLAND CA 94612 0 0 1 0 0001086858 GOLDHABER NATHANIEL C/O CLAREMONT CREEK VENTURES 300 FRANK H. OGAWA PLAZA #350 OAKLAND CA 94612 0 0 1 0 0001646756 Hawks Randall C/O CLAREMONT CREEK VENTURES 300 FRANK H OGAWA PLAZA #350 OAKLAND CA 94612 1 0 1 0 Common Stock 2017-06-12 4 C 0 177011 0.00 A 499592 I By Claremont Creek Ventures, L.P. Common Stock 2017-06-12 4 C 0 192539 0.00 A 692131 I By Claremont Creek Ventures, L.P. Common Stock 2017-06-12 4 C 0 5946 0.00 A 16782 I By Claremont Creek Partners Fund, L.P. Common Stock 2017-06-12 4 C 0 6467 0.00 A 23249 I By Claremont Creek Partners Fund, L.P Series A-2 Preferred Stock 2017-06-12 4 C 0 247379 D Common Stock 177011 0 I By Claremont Creek Ventures, L.P. Series B-1 Preferred Stock 2017-06-12 4 C 0 192539 D Common Stock 192539 0 I By Claremont Creek Ventures, L.P. Series A-2 Preferred Stock 2017-06-12 4 C 0 8310 D Common Stock 5946 0 I By Claremont Creek Partners Fund, L.P. Series B-1 Preferred Stock 2017-06-12 4 C 0 6467 D Common Stock 6467 0 I By Claremont Creek Partners Fund, L.P. Claremont Creek Partners, LLC ("CCP") is the general partner of Claremont Creek Ventures, L.P. ("CCV") and Claremont Creek Partners Fund, L.P. ("CCPF"). Nat Goldhaber and Randall Hawks, Jr. are managing members of CCPP. As a result, each may be deemed to share beneficial ownership of the shares held by CCV and CCF. Each managing member disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purpose. Each share of Series A-2 Preferred stock automatically converted into 0.715548 shares of Common Stock upon the closing of the Issuer's initial public offering of Common Stock and has no expiration date. Inapplicable. Each share of Series B-1 Preferred stock automatically converted into 1 share of Common Stock upon the closing of the Issuer's initial public offering of Common Stock and has no expiration date. by /s/ Randall Hawks, Jr., Managing Member of General Partner 2017-06-12 /s/ Randall Hawks, Jr., Managing Member of General Partner 2017-06-12 /s/ Randall Hawks, Jr., Managing Member 2017-06-12 /s/ Nathaniel Goldhaber 2017-06-12 /s/ Randall Hawks, Jr. 2017-06-12