0001104659-14-049374.txt : 20140630
0001104659-14-049374.hdr.sgml : 20140630
20140630165317
ACCESSION NUMBER: 0001104659-14-049374
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140630
FILED AS OF DATE: 20140630
DATE AS OF CHANGE: 20140630
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 ENTREPRENEURS FUND VI LP
CENTRAL INDEX KEY: 0001156158
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36516
FILM NUMBER: 14949658
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 CAPITAL PARTNERS VI LP
CENTRAL INDEX KEY: 0001135500
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36516
FILM NUMBER: 14949659
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36516
FILM NUMBER: 14949660
BUSINESS ADDRESS:
STREET 1: TWO INTERNATIONAL PL
CITY: BOSTON
STATE: MA
ZIP: 02110
BUSINESS PHONE: 6175311500
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36516
FILM NUMBER: 14949661
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36516
FILM NUMBER: 14949662
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
4
1
a4.xml
4
X0306
4
2014-06-30
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
Common Stock
2014-06-30
4
C
0
2794892
A
2794892
I
See Footnote
Common Stock
2014-06-30
4
C
0
1531768
A
1531768
I
See Footnote
Common Stock
2014-06-30
4
C
0
138416
A
138416
I
See Footnote
Series A Convertible Preferred Stock
2014-06-30
4
C
0
1558065
0
D
Common Stock
1558065
0
I
See footnote
Series B Convertible Preferred Stock
2014-06-30
4
C
0
756401
0
D
Common Stock
756401
0
I
See footnote
Series C Convertible Preferred Stock
2014-06-30
4
C
0
480426
0
D
Common Stock
480426
0
I
See footnote
Series A Convertible Preferred Stock
2014-06-30
4
C
0
853699
0
D
Common Stock
853699
0
I
See footnote
Series B Convertible Preferred Stock
2014-06-30
4
C
0
414684
0
D
Common Stock
414684
0
I
See footnote
Series C Convertible Preferred Stock
2014-06-30
4
C
0
263385
0
D
Common Stock
263385
0
I
See footnote
Series A Convertible Preferred Stock
2014-06-30
4
C
0
77155
0
D
Common Stock
77155
0
I
See footnote
Series B Convertible Preferred Stock
2014-06-30
4
C
0
37465
0
D
Common Stock
37465
0
I
See footnote
Series C Convertible Preferred Stock
2014-06-30
4
C
0
23796
0
D
Common Stock
23796
0
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 converted into shares of Common Stock on a 1.5-for-1 basis upon the closing of the Issuer's initial public offering. The securities had no expiration date.
/s/ Paul A. Maeder, Authorized Manager of Highland Management Partners VI, Inc.
2014-06-30
/s/ Paul A. Maeder, Authorized Manager of Highland Management Partners VI, Inc., the general partner of Highland Management Partners VI Limited Partnership
2014-06-30
/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
2014-06-30
/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
2014-06-30
/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
2014-06-30