0001104659-14-048095.txt : 20140627 0001104659-14-048095.hdr.sgml : 20140627 20140624191415 ACCESSION NUMBER: 0001104659-14-048095 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140624 FILED AS OF DATE: 20140624 DATE AS OF CHANGE: 20140624 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Imprivata Inc CENTRAL INDEX KEY: 0001328015 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 000000000 BUSINESS ADDRESS: STREET 1: 19 MAGUIRE RD SUITE 232 CITY: LEXINGTON STATE: MA ZIP: 02421 BUSINESS PHONE: 781-674-2700 MAIL ADDRESS: STREET 1: 19 MAGUIRE RD SUITE 232 CITY: LEXINGTON STATE: MA ZIP: 02421 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HIGHLAND CAPITAL PARTNERS VI LP CENTRAL INDEX KEY: 0001135500 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36516 FILM NUMBER: 14938480 BUSINESS ADDRESS: STREET 1: TWO INTERNATIONAL PL CITY: BOSTON STATE: MA ZIP: 02110 BUSINESS PHONE: 6175311500 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HIGHLAND CAPITAL PARTNERS VI-B LP CENTRAL INDEX KEY: 0001135507 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36516 FILM NUMBER: 14938481 BUSINESS ADDRESS: STREET 1: TWO INTERNATIONAL PL CITY: BOSTON STATE: MA ZIP: 02110 BUSINESS PHONE: 6175311500 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HIGHLAND ENTREPRENEURS FUND VI LP CENTRAL INDEX KEY: 0001156158 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36516 FILM NUMBER: 14938479 BUSINESS ADDRESS: STREET 1: TWO INTERNATIONAL PLACE CITY: BOSTON STATE: MA ZIP: 02110 BUSINESS PHONE: 617-531-1500 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HIGHLAND MANAGEMENT PARTNERS VI L P CENTRAL INDEX KEY: 0001253995 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36516 FILM NUMBER: 14938482 BUSINESS ADDRESS: STREET 1: HIGHLAND CAPITAL PARTNERS STREET 2: 92 HAYDEN AVENUE CITY: LEXINGTON STATE: MA ZIP: 02421 BUSINESS PHONE: 7818615500 MAIL ADDRESS: STREET 1: HIGHLAND CAPITAL PARTNERS STREET 2: 92 HAYDEN AVENUE CITY: LEXINGTON STATE: MA ZIP: 02421 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Highland Management Partners VI, Inc. CENTRAL INDEX KEY: 0001456415 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36516 FILM NUMBER: 14938483 BUSINESS ADDRESS: STREET 1: 92 HAYDEN AVENUE CITY: LEXINGTON STATE: MA ZIP: 02421 BUSINESS PHONE: 781-861-5523 MAIL ADDRESS: STREET 1: 92 HAYDEN AVENUE CITY: LEXINGTON STATE: MA ZIP: 02421 3 1 a3.xml 3 X0206 3 2014-06-24 0 0001328015 Imprivata Inc IMPR 0001456415 Highland Management Partners VI, Inc. C/O HIGHLAND CAPITAL PARTNERS ONE BROADWAY, 16TH FLOOR CAMBRIDGE MA 02142 0 0 1 0 0001253995 HIGHLAND MANAGEMENT PARTNERS VI L P C/O HIGHLAND CAPITAL PARTNERS ONE BROADWAY, 16TH FLOOR CAMBRIDGE MA 02142 0 0 1 0 0001135507 HIGHLAND CAPITAL PARTNERS VI-B LP C/O HIGHLAND CAPITAL PARTNERS ONE BROADWAY, 16TH FLOOR CAMBRIDGE MA 02142 0 0 1 0 0001135500 HIGHLAND CAPITAL PARTNERS VI LP C/O HIGHLAND CAPITAL PARTNERS ONE BROADWAY, 16TH FLOOR CAMBRIDGE MA 02142 0 0 1 0 0001156158 HIGHLAND ENTREPRENEURS FUND VI LP C/O HIGHLAND CAPITAL PARTNERS ONE BROADWAY, 16TH FLOOR CAMBRIDGE MA 02142 0 0 1 0 Series A Converible Preferred Stock Common Stock 1558065 I See footnote Series B Converible Preferred Stock Common Stock 756401 I See footnote Series C Converible Preferred Stock Common Stock 480426 I See footnote Series A Converible Preferred Stock Common Stock 853699 I See footnote Series B Converible Preferred Stock Common Stock 414684 I See footnote Series C Converible Preferred Stock Common Stock 263385 I See footnote Series A Converible Preferred Stock Common Stock 77155 I See footnote Series B Converible Preferred Stock Common Stock 37465 I See footnote Series C Converible Preferred Stock Common Stock 23796 I See footnote The securities are held by Highland Capital Partners VI Limited Partnership ("HCP VI"). Highland Management Partners VI, Inc. ("HMP VI INC") is the general partner of Highland Management Partnership VI Limited Partnership ("HMP VI LP"), which is the general partner of HCP VI. Each of HMP VI LP and HMP VI INC disclaims beneficial ownership of all shares held by HCP VI except to the extent, if any, of such entity's pecuniary interest therein. The securities are held by Highland Capital Partners VI-B Limited Partnership ("HCP VI-B"). HMP VI LP is the general partner of HCP VI-B. Each of HMP VI LP and HMP VI INC disclaims beneficial ownership of all shares held by HCP VI-B except to the extent, if any, of such entity's pecuniary interest therein. The securities are held by Highland Entrepreneurs' Fund VI Limited Partnership ("HEF VI"). HMP VI LP is the general partner of HEF VI. Each of HMP VI LP and HMP VI INC disclaims beneficial ownership of all shares held by HEF VI except to the extent, if any, of such entity's pecuniary interest therein. The Series A, B and C Convertible Preferred Stock is convertible at any time at the option of the holder, and will automatically convert into shares of Common Stock on a 1.5-for-1 basis upon the closing of the Issuer's initial public offering. The securities have no expiration date. /s/ Paul A. Maeder, Authorized Manager of Highland Management Partners VI, Inc. 2014-06-24 /s/ Paul A. Maeder, Authorized Manager of Highland Management Partners VI, Inc., the general partner of Highland Management Partners VI Limited Partnership 2014-06-24 /s/ Paul A. Maeder, Authorized Manager of Highland Management Partners VI, Inc., the general partner of Highland Management Partners VI Limited Partnership, the general partner of Highland Capital Partners VI Limited Partnership 2014-06-24 /s/ Paul A. Maeder, Authorized Manager of Highland Management Partners VI, Inc., the general partner of Highland Management Partners VI Limited Partnership, the general partner of Highland Capital Partners VI-B Limited Partnership 2014-06-24 /s/ Paul A. Maeder, Authorized Manager of Highland Management Partners VI, Inc., the general partner of Highland Management Partners VI Limited Partnership, the general partner of Highland Entrepreneurs' Fund VI Limited Partnership 2014-06-24