0001477932-16-013336.txt : 20161109 0001477932-16-013336.hdr.sgml : 20161109 20161109193502 ACCESSION NUMBER: 0001477932-16-013336 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161107 FILED AS OF DATE: 20161109 DATE AS OF CHANGE: 20161109 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INSTRUCTURE INC CENTRAL INDEX KEY: 0001355754 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6330 SOUTH 3000 EAST, SUITE 700 CITY: SALT LAKE CITY STATE: UT ZIP: 84121 BUSINESS PHONE: (800) 203-6755 MAIL ADDRESS: STREET 1: 6330 SOUTH 3000 EAST, SUITE 700 CITY: SALT LAKE CITY STATE: UT ZIP: 84121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Efstratis E. Nicholaus CENTRAL INDEX KEY: 0001281063 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37629 FILM NUMBER: 161985601 MAIL ADDRESS: STREET 1: C/O INSTRUCTURE, INC. STREET 2: 6330 SOUTH 3000 EAST, SUITE 700 CITY: SALT LAKE CITY STATE: UT ZIP: 84121 FORMER NAME: FORMER CONFORMED NAME: EFSTRATIS NICK DATE OF NAME CHANGE: 20040223 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MADSEN KENT CENTRAL INDEX KEY: 0001259434 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37629 FILM NUMBER: 161985602 MAIL ADDRESS: STREET 1: 15 W. SOUTH TEMPLE #500 CITY: SALT LAKE CITY STATE: UT ZIP: 84101 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ZIONS SBIC LLC CENTRAL INDEX KEY: 0001137502 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37629 FILM NUMBER: 161985603 BUSINESS ADDRESS: STREET 1: ONE SOUTH MAIN STREET STREET 2: SUITE 1660 CITY: SALT LAKE CITY STATE: UT ZIP: 84133 BUSINESS PHONE: 8015248939 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: EPIC VENTURE FUND IV, LLC CENTRAL INDEX KEY: 0001456865 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37629 FILM NUMBER: 161985604 BUSINESS ADDRESS: STREET 1: 15 W. SOUTH TEMPLE #500 CITY: Salt Lake City STATE: UT ZIP: 84101 BUSINESS PHONE: 801-524-8939 MAIL ADDRESS: STREET 1: 15 W. SOUTH TEMPLE #500 CITY: Salt Lake City STATE: UT ZIP: 84101 FORMER NAME: FORMER CONFORMED NAME: EPIC VENTURE FUND IV LLC DATE OF NAME CHANGE: 20090223 4 1 form4.xml FORM 4 X0306 4 2016-11-07-07:00 false 0001355754 INSTRUCTURE INC INST 0001456865 EPIC VENTURE FUND IV, LLC C/O EPIC VENTURES 15 W. SOUTH TEMPLE #500 SALT LAKE CITY UT 84101 false false true false 0001137502 ZIONS SBIC LLC C/O EPIC VENTURES 15 W. SOUTH TEMPLE #500 SALT LAKE CITY UT 84101 false false true false 0001259434 MADSEN KENT C/O EPIC VENTURES 15 W. SOUTH TEMPLE #500 SALT LAKE CITY UT 84101 false false true false 0001281063 Efstratis E. Nicholaus C/O EPIC VENTURES 15 W. SOUTH TEMPLE #500 SALT LAKE CITY UT 84101 false false true false Common Stock 2016-11-07-07:00 4 S false 30204 20.48 D 2172560 D Common Stock 2016-11-07-07:00 4 S false 13612 20.48 D 979028 I By Zions SBIC LLC Common Stock 2016-11-07-07:00 4 S false 442 20.48 D 31821 I By Kent I. Madsen Common Stock 2016-11-07-07:00 4 S false 442 20.48 D 31821 I By NKE Investments, LLC Epic Management Partners, LLC (EMP) is the investment manager of Epic Venture Fund IV, LLC (EVF IV) and has sole voting and investment power with regard to the shares held directly by EVF IV. E. Nicholaus Efstratis (Mr. Efstratis) and Kent I. Madsen (Mr. Madsen) are the managers of EMP and, therefore, may be deemed to share voting and investment power with regard to the shares held by EVF IV. Each of such individuals disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. The inclusion of these securities shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or any other purpose. ZWMC IV, L.L.C. (ZWMC) is the investment manager of Zions SBIC LLC (Zions SBIC) and has sole voting and investment power with regard to the shares held directly by Zions SBIC. Mr. Efstratis and Mr. Madsen are the managers of ZWMC and, therefore, may be deemed to share voting and investment power with regard to the shares held by Zions SBIC. Each of such individuals disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. The inclusion of these securities shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or any other purpose. These shares are owned directly by Mr. Madsen. Mr. Efstratis has voting and dispositive power with respect to the shares held by NKE Investments, LLC. /s/ Kent I. Madsen, Manager of Epic Management Partners,LLC, Investment Manager of Epic Venture Fund IV, LLC 2016-11-09-07:00 /s/ Kent I. Madsen, Manager of ZWMC, IV, L.L.C., Investment Manager of Zions SBIC LLC 2016-11-09-07:00 /s/ Kent I. Madsen, an individual 2016-11-09-07:00 /s/ E. Nicholaus Efstratis, an individual 2016-11-09-07:00