0001601060-14-000002.txt : 20140310 0001601060-14-000002.hdr.sgml : 20140310 20140310204542 ACCESSION NUMBER: 0001601060-14-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140306 FILED AS OF DATE: 20140310 DATE AS OF CHANGE: 20140310 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: COUPONS.com Inc CENTRAL INDEX KEY: 0001115128 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ADVERTISING [7310] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 400 LOGUE AVENUE CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 BUSINESS PHONE: 650-605-4600 MAIL ADDRESS: STREET 1: 400 LOGUE AVENUE CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 FORMER COMPANY: FORMER CONFORMED NAME: COUPONS INC DATE OF NAME CHANGE: 20050802 FORMER COMPANY: FORMER CONFORMED NAME: COUPONS COM INC DATE OF NAME CHANGE: 20000522 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Torem Shachar CENTRAL INDEX KEY: 0001601060 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36331 FILM NUMBER: 14682571 MAIL ADDRESS: STREET 1: 400 LOGUE AVENUE CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2014-03-06 0001115128 COUPONS.com Inc COUP 0001601060 Torem Shachar C/O COUPONS.COM INCORPORATED 400 LOGUE AVENUE MOUNTAIN VIEW CA 94043 0 1 0 0 Sr. V.P. of Sales Common Stock 2014-03-06 4 A 0 60000 0 A 60000 D Common Stock 2014-03-06 4 A 0 100000 0 A 160000 D The reported shares are represented by restricted stock units or RSUs, which will vest upon the satisfaction of both a service condition and a liquidity-event condition. The liquidity-event condition will be satisfied on the earlier of (i) six months after the effective date of the initial public offering of the Issuer's common stock pursuant to an effective registration statement, or (ii) March 15 of the calendar year following the year in which the initial public offering was declared effective; and (iii) the time immediately prior to the consummation of a change in control. The service condition was satisfied as to 50% of the total number of shares of common stock underlying the RSUs on February 7, 2014, and after satisfaction of the liquidity-event condition, the remaining balance will vest in equal annual installments over the following two years. The reported shares are represented by restricted stock units or RSUs, which will vest upon the satisfaction of both a service condition and a liquidity-event condition. The liquidity-event condition will be satisfied on the earlier of (i) six months after the effective date of the initial public offering of the Issuer's common stock pursuant to an effective registration statement, or (ii) March 15 of the calendar year following the year in which the initial public offering was declared effective; and (iii) the time immediately prior to the consummation of a change in control. The service condition was satisfied as to 25% of the total number of shares of common stock underlying the RSUs on February 7, 2014, and after satisfaction of the liquidity-event condition, the remaining balance will vest in equal annual installments over the following three years. Of the reported shares, 160,000 shares are represented by RSUs. /s/Richard Hornstein, with Power of Attorney on Behalf of Shachar Torem 2014-03-07