0001179110-12-008622.txt : 20120517
0001179110-12-008622.hdr.sgml : 20120517
20120517203825
ACCESSION NUMBER: 0001179110-12-008622
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120515
FILED AS OF DATE: 20120517
DATE AS OF CHANGE: 20120517
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SALZMAN ALAN E
CENTRAL INDEX KEY: 0001098349
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35232
FILM NUMBER: 12853685
MAIL ADDRESS:
STREET 1: C/O VANTAGEPOINT
STREET 2: 1001 BAY HILL DR #300
CITY: SAN BRUNO
STATE: CA
ZIP: 94066
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: WAGEWORKS, INC.
CENTRAL INDEX KEY: 0001158863
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 943351864
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1100 PARK PLACE
STREET 2: 4TH FLOOR
CITY: SAN MATEO
STATE: CA
ZIP: 94403
BUSINESS PHONE: 650-557-5200
MAIL ADDRESS:
STREET 1: 1100 PARK PLACE
STREET 2: 4TH FLOOR
CITY: SAN MATEO
STATE: CA
ZIP: 94403
FORMER COMPANY:
FORMER CONFORMED NAME: WAGEWORKS INC
DATE OF NAME CHANGE: 20010907
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: VANTAGEPOINT VENTURE PARTNERS IV LP
CENTRAL INDEX KEY: 0001114993
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35232
FILM NUMBER: 12853687
BUSINESS ADDRESS:
STREET 1: 1001 BAY HILL DRIVE
STREET 2: SUITE 300
CITY: SAN BRUNO
STATE: CA
ZIP: 94066
BUSINESS PHONE: 6508663100
MAIL ADDRESS:
STREET 1: 1001 BAY HILL DRIVE
STREET 2: SUITE 300
CITY: SAN BRUNO
STATE: CA
ZIP: 94066
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: VANTAGEPOINT VENTURE PARTNERS IV Q LP
CENTRAL INDEX KEY: 0001129585
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35232
FILM NUMBER: 12853688
BUSINESS ADDRESS:
STREET 1: 1001 BAY HILL DRIVE
STREET 2: SUITE 300
CITY: SAN BRUNO
STATE: CA
ZIP: 94066
BUSINESS PHONE: 6508663100
MAIL ADDRESS:
STREET 1: 1001 BAY HILL DRIVE
STREET 2: SUITE 300
CITY: SAN BRUNO
STATE: CA
ZIP: 94066
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: VANTAGEPOINT VENTURE ASSOCIATES IV LLC
CENTRAL INDEX KEY: 0001256847
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35232
FILM NUMBER: 12853689
BUSINESS ADDRESS:
STREET 1: 1001 BAYHILL DRIVE
STREET 2: SUITE 300
CITY: SAN BRUNO
STATE: CA
ZIP: 94066
BUSINESS PHONE: 6508663100
MAIL ADDRESS:
STREET 1: 1001 BAYHILL DRIVE
STREET 2: SUITE 300
CITY: SAN BRUNO
STATE: CA
ZIP: 94066
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: VANTAGEPOINT VENTURE PARTNERS IV PRINCIPALS FUND LP
CENTRAL INDEX KEY: 0001267585
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35232
FILM NUMBER: 12853686
BUSINESS ADDRESS:
STREET 1: 1001 BAYHILL DRIVE
STREET 2: SUITE 300
CITY: SAN BRUNO
STATE: CA
ZIP: 94066
BUSINESS PHONE: 6508663100
MAIL ADDRESS:
STREET 1: 1001 BAYHILL DRIVE
STREET 2: SUITE 300
CITY: SAN BRUNO
STATE: CA
ZIP: 94066
FORMER NAME:
FORMER CONFORMED NAME: VANTAGEPOINT VENTURE PARTNERS IV PRINCIPALS FUND LP
DATE OF NAME CHANGE: 20031020
4
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FORM 4 -
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2012-05-15
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0001158863
WAGEWORKS, INC.
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SAN BRUNO
CA
94066
0
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VANTAGEPOINT VENTURE PARTNERS IV LP
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CA
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0
0
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CA
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0
0
1
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0001098349
SALZMAN ALAN E
C/O VANTAGEPOINT CAPITAL PARTNERS
1001 BAYHILL DRIVE, SUITE 300
SAN BRUNO
CA
94066
0
0
1
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Common Stock
2012-05-15
4
C
0
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Common Stock
2012-05-15
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Common Stock
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Common Stock
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Common Stock
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A
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Common Stock
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0
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Common Stock
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0
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Common Stock
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Common Stock
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Common Stock
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Common Stock
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Common Stock
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Common Stock
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Common Stock
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Common Stock
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0
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2012-05-15
4
C
0
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Common Stock
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Series E Preferred Stock
2012-05-15
4
C
0
3860189
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Common Stock
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0
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Series E Preferred Stock
2012-05-15
4
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0
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Common Stock
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0
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Series E Preferred Stock
2012-05-15
4
C
0
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Common Stock
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0
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2012-05-15
4
C
0
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Series E-1 Preferred Stock
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0
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2012-05-15
4
C
0
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0
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Common Stock
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2012-05-15
4
C
0
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Series E-1 Preferred Stock
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0
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2012-05-15
4
C
0
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0
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Common Stock
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2012-05-15
4
C
0
23193
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Series E-1 Preferred Stock
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0
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2012-05-15
4
C
0
11596
0
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Common Stock
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D
The General Partner of VantagePoint Venture Partners IV (Q), L.P. VantagePoint Venture Partners IV, L.P., and VantagePoint Venture Partners IV Principals Fund, L.P. is VantagePoint Venture Associates IV, L.L.C. Alan E. Salzman is a managing member of the General Partner and may be deemed to have voting and investment power with respect to the securities held by these entities. Mr. Salzman disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. The Reporting Persons may be deemed to be acting as a group in relation to their respective holdings of the Issuer but do not affirm the existence of any such group.
By: VantagePoint Venture Partners IV (Q), L.P.
By: VantagePoint Venture Partners IV, L.P.
By: VantagePoint Venture Partners IV Principals Fund, L.P.
Each share of Series A-1 Preferred Stock automatically converted into 1.47059 shares of Common Stock upon closing of the Issuer's initial public offering and had no expiration date.
Each share of Series A-2 Preferred Stock automatically converted into 0.85208 shares of Common Stock upon closing of the Issuer's initial public offering and had no expiration date.
Each share of Preferred Stock automatically converted into 0.5 shares of Common Stock upon closing of the Issuer's initial public offering and had no expiration date.
Preferred Warrant is immediately exercisable and automatically converted into warrant to purchase 0.5 shares of common stock upon closing of the Issuer's initial public offering.
VantagePoint Venture Associates IV, L.L.C., By: Alan E. Salzman, Managing Member
2012-05-17
VantagePoint Venture Partners IV (Q), L.P., By: VantagePoint Venture Associates IV, L.L.C., By: Alan E. Salzman, Managing Member
2012-05-17
VantagePoint Venture Partners IV, L.P., By: VantagePoint Venture Associates IV, L.L.C., By: Alan E. Salzman, Managing Member
2012-05-17
VantagePoint Venture Partners IV Principals Fund, L.P., By: VantagePoint Venture Associates IV, L.L.C., By: Alan E. Salzman, Managing Member
2012-05-17
Alan E. Salzman
2012-05-17