0001209191-16-145113.txt : 20161005
0001209191-16-145113.hdr.sgml : 20161005
20161005180728
ACCESSION NUMBER: 0001209191-16-145113
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161005
FILED AS OF DATE: 20161005
DATE AS OF CHANGE: 20161005
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Coupa Software Inc
CENTRAL INDEX KEY: 0001385867
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 204429448
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 1855 S. GRANT STREET
CITY: SAN MATEO
STATE: CA
ZIP: 94402
BUSINESS PHONE: 6509313200
MAIL ADDRESS:
STREET 1: 1855 S. GRANT STREET
CITY: SAN MATEO
STATE: CA
ZIP: 94402
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lee Roger H
CENTRAL INDEX KEY: 0001404868
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37901
FILM NUMBER: 161923499
MAIL ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: SUITE 1100
CITY: BOSTON
STATE: MA
ZIP: 02210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TOBIN SCOTT R
CENTRAL INDEX KEY: 0001199926
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37901
FILM NUMBER: 161923500
MAIL ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: SUITE 1100
CITY: BOSTON
STATE: MA
ZIP: 02210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LAWLER KENNETH P
CENTRAL INDEX KEY: 0001192451
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37901
FILM NUMBER: 161923502
MAIL ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: SUITE 1100
CITY: BOSTON
STATE: MA
ZIP: 02210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FRISBIE RICHARD D
CENTRAL INDEX KEY: 0001192362
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37901
FILM NUMBER: 161923503
MAIL ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: SUITE 1100
CITY: BOSTON
STATE: MA
ZIP: 02210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Battery Partners VIII, LLC
CENTRAL INDEX KEY: 0001542631
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37901
FILM NUMBER: 161923506
BUSINESS ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: SUITE 1100
CITY: BOSTON
STATE: MA
ZIP: 02210
BUSINESS PHONE: 617-948-3600
MAIL ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: SUITE 1100
CITY: BOSTON
STATE: MA
ZIP: 02210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Battery Ventures VIII lp
CENTRAL INDEX KEY: 0001407201
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37901
FILM NUMBER: 161923507
BUSINESS ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: SUITE 1100
CITY: BOSTON
STATE: MA
ZIP: 02210
BUSINESS PHONE: 6179483600
MAIL ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: SUITE 1100
CITY: BOSTON
STATE: MA
ZIP: 02210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TABORS R DAVID
CENTRAL INDEX KEY: 0001199925
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37901
FILM NUMBER: 161923501
MAIL ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: SUITE 1100
CITY: BOSTON
STATE: MA
ZIP: 02210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Battery Management Corp.
CENTRAL INDEX KEY: 0001548594
STATE OF INCORPORATION: MA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37901
FILM NUMBER: 161923498
BUSINESS ADDRESS:
STREET 1: ONE MARINA PARK DRIVE, SUITE 1100
CITY: BOSTON
STATE: MA
ZIP: 02210
BUSINESS PHONE: 617-948-3600
MAIL ADDRESS:
STREET 1: ONE MARINA PARK DRIVE, SUITE 1100
CITY: BOSTON
STATE: MA
ZIP: 02210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BROWN MICHAEL MAURICE
CENTRAL INDEX KEY: 0001354614
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37901
FILM NUMBER: 161923505
MAIL ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: SUITE 1100
CITY: BOSTON
STATE: MA
ZIP: 02210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CROTTY THOMAS J
CENTRAL INDEX KEY: 0001192462
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37901
FILM NUMBER: 161923504
MAIL ADDRESS:
STREET 1: ONE MARINA PARK DRIVE
STREET 2: SUITE 1100
CITY: BOSTON
STATE: MA
ZIP: 02210
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2016-10-05
0
0001385867
Coupa Software Inc
COUP
0001407201
Battery Ventures VIII lp
ONE MARINA PARK DRIVE
SUITE 1100
BOSTON
MA
02210
0
0
1
0
0001542631
Battery Partners VIII, LLC
ONE MARINA PARK DRIVE
SUITE 1100
BOSTON
MA
02210
0
0
1
0
0001354614
BROWN MICHAEL MAURICE
ONE MARINA PARK DRIVE
SUITE 1100
BOSTON
MA
02210
0
0
1
0
0001192462
CROTTY THOMAS J
ONE MARINA PARK DRIVE
SUITE 1100
BOSTON
MA
02210
0
0
1
0
0001192362
FRISBIE RICHARD D
ONE MARINA PARK DRIVE
SUITE 1100
BOSTON
MA
02210
0
0
1
0
0001192451
LAWLER KENNETH P
ONE MARINA PARK DRIVE
SUITE 1100
BOSTON
MA
02210
0
0
1
0
0001199925
TABORS R DAVID
ONE MARINA PARK DRIVE
SUITE 1100
BOSTON
MA
02210
0
0
1
0
0001199926
TOBIN SCOTT R
ONE MARINA PARK DRIVE
SUITE 1100
BOSTON
MA
02210
0
0
1
0
0001404868
Lee Roger H
ONE MARINA PARK DRIVE
SUITE 1100
BOSTON
MA
02210
0
0
1
0
0001548594
Battery Management Corp.
ONE MARINA PARK DRIVE
SUITE 1100
BOSTON
MA
02210
0
0
1
0
Common Stock
350380
I
By Battery Ventures VIII, L.P.
Series A Convertible Preferred Stock
Common Stock
45239
I
By Battery Ventures VIII, L.P.
Series B Convertible Preferred Stock
Common Stock
1595517
I
By Battery Ventures VIII, L.P.
Series C Convertible Preferred Stock
Common Stock
1432578
I
By Battery Ventures VIII, L.P.
Series D Convertible Preferred Stock
Common Stock
1164075
I
By Battery Ventures VIII, L.P.
Series E Convertible Preferred Stock
Common Stock
767715
I
By Battery Ventures VIII, L.P.
Series F Convertible Preferred Stock
Common Stock
1087762
I
By Battery Ventures VIII, L.P.
Series G Convertible Preferred Stock
Common Stock
150954
I
By Battery Ventures VIII, L.P.
The reported securities are owned directly by Battery Ventures VIII, L.P. ("BV VIII"). The sole general partner of BV VIII is Battery Partners VIII, LLC. BV VIII's investment adviser is Battery Management Corp. (together with BV VIII, the "Battery Companies"). Neeraj Agrawal, Michael Brown, Thomas Crotty, Richard Frisbie, Kenneth Lawler, R. David Tabors, Scott Tobin and Roger Lee are the managing members and officers of the Battery Companies and may be deemed to share voting and dispositive power over the securities held by BV VIII. Each of the reporting persons disclaims beneficial ownership of these securities except to the extent of his or its pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 of for any other purpose.
The Series A Convertible Preferred Stock is convertible, at any time, at the holder's election, into the Issuer's common stock and in addition, shall automatically convert into Common Stock on a 1-for-1.25561723 basis immediately prior to the completion of the Issuer's initial public offering. The number of underlying shares reflects this automatic conversion rate. The Series A Convertible Preferred Stock has no expiration date.
The Series B Convertible Preferred Stock is convertible, at any time, at the holder's election, into the Issuer's common stock and in addition, shall automatically convert into Common Stock on a 1-for-1.90043965 basis immediately prior to the completion of the Issuer's initial public offering. The number of underlying shares reflects this automatic conversion rate. The Series B Convertible Preferred Stock has no expiration date.
The Series C Convertible Preferred Stock, the Series D Convertible Preferred Stock, the Series E Convertible Preferred Stock, the Series F Convertible Preferred Stock and the Series G Convertible Preferred Stock are each convertible, at any time, at the holder's election, into the Issuer's common stock and in addition, shall each automatically convert into Common Stock on a 1-for-1 basis immediately prior to the completion of the Issuer's initial public offering. The convertible preferred stock has no expiration date.
/s/ Christopher Schiavo, as Attorney-in-Fact for Battery Ventures VIII, L.P.
2016-10-05
/s/ Christopher Schiavo (as Attorney-in-Fact for Battery Partners VIII, LLC)
2016-10-05
/s/ Christopher Schiavo (as Attorney-in-Fact for Michael Brown)
2016-10-05
/s/ Christopher Schiavo (as Attorney-in-Fact for Thomas Crotty)
2016-10-05
/s/ Christopher Schiavo (as Attorney-in-Fact for Richard Frisbie)
2016-10-05
/s/ Christopher Schiavo (as Attorney-in-Fact for Kenneth Lawler)
2016-10-05
/s/ Christopher Schiavo (as Attorney-in-Fact for R. David Tabors)
2016-10-05
/s/ Christopher Schiavo (as Attorney-in-Fact for Scott Tobin)
2016-10-05
/s/ Christopher Schiavo (as Attorney-in-Fact for Roger Lee)
2016-10-05
/s/ Christopher Schiavo (as Attorney-in-Fact for Battery Management Corp.)
2016-10-05