0001628280-17-010293.txt : 20171026 0001628280-17-010293.hdr.sgml : 20171026 20171026211753 ACCESSION NUMBER: 0001628280-17-010293 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171026 FILED AS OF DATE: 20171026 DATE AS OF CHANGE: 20171026 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PATTERSON ARTHUR C CENTRAL INDEX KEY: 0001219233 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38253 FILM NUMBER: 171157702 MAIL ADDRESS: STREET 1: 428 UNIVERSITY AVE CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SWARTZ JAMES R CENTRAL INDEX KEY: 0001219237 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38253 FILM NUMBER: 171157701 MAIL ADDRESS: STREET 1: P O BOX 2816 CITY: PARK CIRY STATE: UT ZIP: 84060 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ACCEL VIII ASSOCIATES LLC CENTRAL INDEX KEY: 0001248538 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38253 FILM NUMBER: 171157706 BUSINESS ADDRESS: STREET 1: 428 UNIVERSITY AVENUE CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: 6506144800 MAIL ADDRESS: STREET 1: 428 UNIVERSITY AVE CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ACCEL INVESTORS 2000 LLC CENTRAL INDEX KEY: 0001248459 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38253 FILM NUMBER: 171157703 BUSINESS ADDRESS: STREET 1: 428 UNIVERSITY AVENUE CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: 6506144800 MAIL ADDRESS: STREET 1: 428 UNIVERSITY AVE CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ACCEL VIII LP CENTRAL INDEX KEY: 0001115786 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38253 FILM NUMBER: 171157705 BUSINESS ADDRESS: STREET 1: 428 UNIVERSITY AVE CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: 6503305443 MAIL ADDRESS: STREET 1: 428 UNIVERSITYI AVENUE CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ACCEL INTERNET FUND IV LP CENTRAL INDEX KEY: 0001119932 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38253 FILM NUMBER: 171157704 BUSINESS ADDRESS: STREET 1: 428 UNIVERSITY AVE CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: 6503305443 MAIL ADDRESS: STREET 1: 428 UNIVERSITY AVENUE CITY: PALO ALTO STATE: CA ZIP: 94301 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FORESCOUT TECHNOLOGIES, INC CENTRAL INDEX KEY: 0001145057 STANDARD INDUSTRIAL CLASSIFICATION: COMPUTER PERIPHERAL EQUIPMENT, NEC [3577] IRS NUMBER: 510406800 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 900 E. HAMILTON AVE #300 CITY: CAMPBELL STATE: CA ZIP: 95008 BUSINESS PHONE: 866-377-8771 MAIL ADDRESS: STREET 1: 900 E. HAMILTON AVE #300 CITY: CAMPBELL STATE: CA ZIP: 95008 FORMER COMPANY: FORMER CONFORMED NAME: FORESCOUT TECHNOLOGIES INC DATE OF NAME CHANGE: 20010717 3 1 wf-form3_150906705867465.xml FORM 3 X0206 3 2017-10-26 0 0001145057 FORESCOUT TECHNOLOGIES, INC FSCT 0001248538 ACCEL VIII ASSOCIATES LLC 428 UNIVERSITY AVENUE PALO ALTO CA 94301 0 0 1 0 0001115786 ACCEL VIII LP 428 UNIVERSITY AVENUE PALO ALTO CA 94301 0 0 1 0 0001119932 ACCEL INTERNET FUND IV LP 428 UNIVERSITY AVENUE PALO ALTO CA 94301 0 0 1 0 0001248459 ACCEL INVESTORS 2000 LLC 428 UNIVERSITY AVENUE PALO ALTO CA 94301 0 0 1 0 0001219233 PATTERSON ARTHUR C 428 UNIVERSITY AVENUE PALO ALTO CA 94301 0 0 1 0 0001219237 SWARTZ JAMES R 428 UNIVERSITY AVENUE PALO ALTO CA 94301 0 0 1 0 Common Stock 25000 I See footnote Series B Convertible Preferred Stock Common Stock 1218301.0 I See footnote Series B Convertible Preferred Stock Common Stock 239282.0 I See footnote Series B Convertible Preferred Stock Common Stock 105480.0 I See footnote Series C Convertible Preferred Stock Common Stock 317547.0 I See footnote Series C Convertible Preferred Stock Common Stock 62338.0 I See footnote Series C Convertible Preferred Stock Common Stock 27476.0 I See footnote Series D Convertible Preferred Stock Common Stock 953737.0 I See footnote Series D Convertible Preferred Stock Common Stock 187346.0 I See footnote Series D Convertible Preferred Stock Common Stock 82597.0 I See footnote Series D-1 Convertible Preferred Stock Common Stock 183308.0 I See footnote Series D-1 Convertible Preferred Stock Common Stock 36007.0 I See footnote Series D-1 Convertible Preferred Stock Common Stock 15875.0 I See footnote Series E Convertible Preferred Stock Common Stock 777612.0 I See footnote Series E Convertible Preferred Stock Common Stock 152742.0 I See footnote Series E Convertible Preferred Stock Common Stock 67336.0 I See footnote Series F Convertible Preferred Stock Common Stock 252756.0 I See footnote Series F Convertible Preferred Stock Common Stock 49650.0 I See footnote Series F Convertible Preferred Stock Common Stock 21890.0 I See footnote Shares are held directly by ACP Family Partnership L.P. Members of Arthur C. Patterson's immediate family are beneficial holders of ACP Family Partnership L.P., andthe reporting person may be deemed to exercise voting and investment power over such shares. The Series B Convertible Preferred Stock shall automatically convert into Common Stock on an approximate 1:52.7 basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and has no expiration date. The shares are held of record by Accel VIII L.P. ("Accel VIII"). Arthur C. Patterson and James R. Swartz are the managing members of Accel VIII Associates LLC ("Accel Associates"), the general partner of Accel VIII, and share voting and dispositive power over the shares held by Accel VIII. Each of the reporting persons disclaims beneficial ownership of these shares except to the extent of any pecuniary interest therein, and the filing of this report is not an admission that any reporting person is the beneficial owner of these shares for purposes of Section 16 or for any other purpose. The shares are held of record by Accel Internet Fund IV L.P. ("Fund IV"). Messrs. Patterson and Swartz are the managing members of Accel Associates, the general partner of Fund IV, and share voting and dispositive power over the shares held by Fund IV. Each of the reporting persons disclaims beneficial ownership of these shares except to the extent of any pecuniary interest therein, and the filing of this report is not an admission that any reporting person is the beneficial owner of these shares for purposes of Section 16 or for any other purpose. The shares are held of record by Accel Investors 2000 L.L.C. ("Investors 2000"). Messrs. Patterson and Swartz are the managing members of Investors 2000 and share voting and dispositive power over the shares held by Investors 2000. Each of the reporting persons disclaims beneficial ownership of these shares except to the extent of any pecuniary interest therein, and the filing of this report is not an admission that any reporting person is the beneficial owner of these shares for purposes of Section 16 or for any other purpose. The Series C Convertible Preferred Stock shall automatically convert into Common Stock on an approximate 1:52.7 basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and has no expiration date. The Series D Convertible Preferred Stock shall automatically convert into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and has no expiration date. The Series D-1 Convertible Preferred Stock shall automatically convert into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and has no expiration date. The Series E Convertible Preferred Stock shall automatically convert into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and has no expiration date. The Series F Convertible Preferred Stock shall automatically convert into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and has no expiration date. /s/ Tracy L. Sedlock, as attorney in fact 2017-10-26 /s/ Tracy L. Sedlock, as attorney in fact for Accel VIII Associates LLC, the General Partner of Accel VIII L.P. 2017-10-26 /s/ Tracy L. Sedlock, as attorney in fact for Accel VIII Associates LLC, the General Partner of Accel Internet Fund IV L.P. 2017-10-26 /s/ Tracy L. Sedlock, as attorney in fact for Accel Investors 2000 L.L.C. 2017-10-26 /s/ Tracy L. Sedlock, as attorney in fact for Arthur C. Patterson 2017-10-26 /s/ Tracy L. Sedlock, as attorney in fact for James R. Swartz 2017-10-26