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*
Bay Management Co X, LLC

(Last) (First) (Middle)
2180 SAND HILL ROAD, SUITE 345

(Street)
MENLO PARK CA 94025

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/25/2015
3. Issuer Name and Ticker or Trading Symbol
Xactly Corp [ XTLY ]
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 A Convertible Preferred Stock (1) (1) Common Stock 1,022,088 (1) I See footnote(2)
Series A Convertible Preferred Stock (1) (1) Common Stock 56,632 (1) I See footnote(3)
Series B Convertible Preferred Stock (4) (4) Common Stock 459,976 (4) I See footnote(2)
Series B Convertible Preferred Stock (4) (4) Common Stock 25,486 (4) I See footnote(3)
Series C Convertible Preferred Stock (5) (5) Common Stock 364,453 (5) I See footnote(2)
Series C Convertible Preferred Stock (5) (5) Common Stock 20,193 (5) I See footnote(3)
Series D Convertible Preferred Stock (6) (6) Common Stock 352,060 (6) I See footnote(2)
Series D Convertible Preferred Stock (6) (6) Common Stock 19,506 (6) I See footnote(3)
Series D-1Convertible Preferred Stock (7) (7) Common Stock 116,889 (7) I See footnote(2)
Series D-1 Convertible Preferred Stock (7) (7) Common Stock 6,476 (7) I See footnote(3)
1. Name and Address of Reporting Person*
Bay Management Co X, LLC

(Last) (First) (Middle)
2180 SAND HILL ROAD, SUITE 345

(Street)
MENLO PARK CA 94025

(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*
BAY PARTNERS X LP

(Last) (First) (Middle)
2180 SAND HILL ROAD, SUITE 345

(Street)
MENLO PARK CA 94025

(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*
BAY PARTNERS X ENTREPRENEURS FUND LP

(Last) (First) (Middle)
2180 SAND HILL ROAD, SUITE 345

(Street)
MENLO PARK CA 94025

(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*
PHILLIPS STUART G

(Last) (First) (Middle)
2180 SAND HILL ROAD, SUITE 345

(Street)
MENLO PARK CA 94025

(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. The Series A 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.
2. The reported shares are held of record by Bay Partners X, L.P. ("Bay Partners"). Bay Management Company X, LLC ("Bay Management") is the general partner of Bay Partners. Neal Dempsey and Stuart G. Phillips, as the co-Managers of Bay Management, share voting and dispositive power with respect to the shares held by Bay Partners. Messrs. Dempsey and Phillips disclaim beneficial ownership of the securities reported herein, except to the extent of any individual pecuniary interest therein.
3. The reported shares are held of record by Bay Partners X Entrepreneurs Fund, L.P. ("Bay Entrepreneurs"). Bay Management is the general partner of Bay Entrepreneurs. Neal Dempsey and Stuart G. Phillips, as the co-Managers of Bay Management, share voting and dispositive power with respect to the shares held by Bay Entrepreneurs. Messrs. Dempsey and Phillips disclaim beneficial ownership of the securities reported herein, except to the extent of any individual pecuniary interest therein.
4. The Series B 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.
5. The Series C 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.
6. 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.
7. 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.
Remarks:
/s/ Stuart G. Phillips, Manager, Bay Management Company X, LLC 06/25/2015
/s/ Stuart G. Phillips, Manager, Bay Management Company X, LLC, the General Partner of Bay Partners X, L.P. 06/25/2015
/s/ Stuart G. Phillips, Manager, Bay Management Company X, LLC, the General Partner of Bay Partners X Entrepreneurs Fund, L.P. 06/25/2015
/s/ Stuart G. Phillips 06/25/2015
** 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).
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