0001209191-21-047627.txt : 20210721
0001209191-21-047627.hdr.sgml : 20210721
20210721193253
ACCESSION NUMBER: 0001209191-21-047627
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210721
FILED AS OF DATE: 20210721
DATE AS OF CHANGE: 20210721
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DAMORE RICHARD A
CENTRAL INDEX KEY: 0001206641
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40601
FILM NUMBER: 211105602
MAIL ADDRESS:
STREET 1: C/O NORTHBRIDGE VENTURE PARTNERS
STREET 2: 950 WINTER ST STE 4600
CITY: WALTHAM
STATE: MA
ZIP: 02451
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: North Bridge Venture Partners VI L P
CENTRAL INDEX KEY: 0001327539
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40601
FILM NUMBER: 211105601
BUSINESS ADDRESS:
STREET 1: 950 WINTER ST
STREET 2: SUITE 4600
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 781-290-0004
MAIL ADDRESS:
STREET 1: 950 WINTER ST
STREET 2: SUITE 4600
CITY: WALTHAM
STATE: MA
ZIP: 02451
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NBVM GP, LLC
CENTRAL INDEX KEY: 0001401650
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40601
FILM NUMBER: 211105604
BUSINESS ADDRESS:
STREET 1: 950 WINTER STREET
STREET 2: SUITE 4600
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 781-290-0004
MAIL ADDRESS:
STREET 1: 950 WINTER STREET
STREET 2: SUITE 4600
CITY: WALTHAM
STATE: MA
ZIP: 02451
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: North Bridge Venture Partners 7, L.P.
CENTRAL INDEX KEY: 0001853158
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40601
FILM NUMBER: 211105603
BUSINESS ADDRESS:
STREET 1: 60 WILLIAM STREET
STREET 2: SUITE 350
CITY: WELLESLEY
STATE: MA
ZIP: 02481
BUSINESS PHONE: 781-290-0004
MAIL ADDRESS:
STREET 1: 60 WILLIAM STREET
STREET 2: SUITE 350
CITY: WELLESLEY
STATE: MA
ZIP: 02481
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: North Bridge Venture Management VI, L.P.
CENTRAL INDEX KEY: 0001590898
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40601
FILM NUMBER: 211105600
BUSINESS ADDRESS:
STREET 1: 950 WINTER STREET, SUITE 4600
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 781-290-0004
MAIL ADDRESS:
STREET 1: 950 WINTER STREET, SUITE 4600
CITY: WALTHAM
STATE: MA
ZIP: 02451
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: North Bridge Venture Management 7, L.P.
CENTRAL INDEX KEY: 0001853157
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40601
FILM NUMBER: 211105599
BUSINESS ADDRESS:
STREET 1: 60 WILLIAM STREET
STREET 2: SUITE 350
CITY: WELLESLEY
STATE: MA
ZIP: 02481
BUSINESS PHONE: 781-290-0004
MAIL ADDRESS:
STREET 1: 60 WILLIAM STREET
STREET 2: SUITE 350
CITY: WELLESLEY
STATE: MA
ZIP: 02481
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Couchbase, Inc.
CENTRAL INDEX KEY: 0001845022
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 263576987
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0131
BUSINESS ADDRESS:
STREET 1: 3250 OLCOTT STREET
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
BUSINESS PHONE: 6504177500
MAIL ADDRESS:
STREET 1: 3250 OLCOTT STREET
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2021-07-21
0
0001845022
Couchbase, Inc.
BASE
0001401650
NBVM GP, LLC
60 WILLIAM STREET
SUITE 350
WELLESLEY
MA
02481
0
0
1
0
0001853158
North Bridge Venture Partners 7, L.P.
60 WILLIAM STREET
SUITE 350
WELLESLEY
MA
02481
0
0
1
0
0001206641
DAMORE RICHARD A
60 WILLIAM STREET
SUITE 350
WELLESLEY
MA
02481
0
0
1
0
0001327539
North Bridge Venture Partners VI L P
60 WILLIAM STREET
SUITE 350
WELLESLEY
MA
02481
0
0
1
0
0001590898
North Bridge Venture Management VI, L.P.
60 WILLIAM STREET
SUITE 350
WELLESLEY
MA
02481
0
0
1
0
0001853157
North Bridge Venture Management 7, L.P.
60 WILLIAM STREET
SUITE 350
WELLESLEY
MA
02481
0
0
1
0
Common Stock
192234
I
By: North Bridge Venture Partners 7, L.P.
Common Stock
82378
I
By: North Bridge Venture Partners VI, L.P.
Series A Preferred Stock
0.00
Common Stock
643708
I
By: North Bridge Venture Partners 7, L.P.
Series A Preferred Stock
0.00
Common Stock
643708
I
By: North Bridge Venture Partners VI, L.P.
Series B Preferred Stock
0.00
Common Stock
498927
I
By: North Bridge Venture Partners 7, L.P.
Series B Preferred Stock
0.00
Common Stock
498927
I
By: North Bridge Venture Partners VI, L.P.
Series C Preferred Stock
0.00
Common Stock
317901
I
By: North Bridge Venture Partners 7, L.P.
Series C Preferred Stock
0.00
Common Stock
317901
I
By: North Bridge Venture Partners VI, L.P.
Series D Preferred Stock
0.00
Common Stock
201031
I
By: North Bridge Venture Partners 7, L.P.
Series D Preferred Stock
0.00
Common Stock
86156
I
By: North Bridge Venture Partners VI, L.P.
Series E Preferred Stock
0.00
Common Stock
98962
I
By: North Bridge Venture Partners 7, L.P.
Series E Preferred Stock
0.00
Common Stock
42411
I
By: North Bridge Venture Partners VI, L.P.
Series F Preferred Stock
0.00
Common Stock
131840
I
By: North Bridge Venture Partners 7, L.P.
Series F Preferred Stock
0.00
Common Stock
56502
I
By: North Bridge Venture Partners VI, L.P.
Series G Preferred Stock
0.00
Common Stock
509778
I
By: North Bridge Venture Partners 7, L.P.
Series G Preferred Stock
0.00
Common Stock
218476
I
By: North Bridge Venture Partners VI, L.P.
The reportable securities are owned directly by North Bridge Venture Partners 7, L.P. ("NBVP 7"). North Bridge Venture Management 7, L.P. ("NBVM 7") is the sole general partner of NBVP 7, and NBVM GP, LLC ("NBVM GP") is the sole general partner of NBVM 7. Each of Edward T. Anderson, a member of the Issuer's board of directors, and Richard A. D'Amore are the managers of NBVM GP (collectively, the "Managing Members") and may be deemed to have shared voting and dispositive power over the shares held by NBVP 7. Each of NBVM 7, NBVM GP and the Managing Members disclaims beneficial ownership of these securities and this report shall not be deemed an admission that any one of them is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of their respective pecuniary interests therein.
The reportable securities are owned directly by North Bridge Venture Partners VI, L.P. ("NBVP VI"). North Bridge Venture Management VI, L.P. ("NBVM VI") is the sole general partner of NBVP VI, and NBVM GP is the sole general partner of NBVM VI. The Managing Members are the managers of NBVM GP and may be deemed to have shared voting and dispositive power over the shares held by NBVP VI. Each of NBVM VI, NBVM GP and the Managing Members disclaims beneficial ownership of these securities and this report shall not be deemed an admission that any one of them is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of their respective pecuniary interests therein.
The Series A Preferred Stock, Series B Preferred Stock, Series C Preferred Stock, Series D Preferred Stock and Series F Preferred Stock is convertible at any time at the holder's election and has no expiration date. Each such share of preferred stock shall be automatically converted into shares of the Issuer's Common Stock on a one-for-one basis immediately prior to the completion of the Issuer's initial public offering for no additional consideration.
The Series E Preferred Stock is convertible at any time at the holder's election and has no expiration date. Each share of Series E Preferred Stock shall be automatically converted into shares of the Issuer's Common Stock on a 1.05279880234039-for-one basis immediately prior to the completion of the Issuer's initial public offering for no additional consideration.
The Series G Preferred Stock is convertible at any time at the holder's election and has no expiration date. Each share of Series G Preferred Stock shall be automatically converted into shares of the Issuer's Common Stock on an expected 1.06673317089756-for-one basis immediately prior to the completion of the Issuer's initial public offering for no additional consideration and as described in Amendment No. 1 to the Issuer's Registration Statement on Form S-1 and filed with the United States Securities Commission on July 12, 2021.
NBVM GP, LLC, /s/ Edward T. Anderson, Manager of NBVM GP
2021-07-21
North Bridge Venture Partners 7, L.P., /s/ Edward T. Anderson, Manager of NBVM GP, general partner of North Bridge Venture Management 7, L.P., general partner of North Bridge Venture Partners 7, L.P.
2021-07-21
/s/ Richard A. D'Amore
2021-07-21
North Bridge Venture Partners VI, L.P., /s/ Edward T. Anderson, Manager of NBVM GP, general partner of North Bridge Venture Management VI, L.P., general partner of North Bridge Venture Partners VI, L.P.
2021-07-21
North Bridge Venture Management VI, L.P., /s/ Edward T. Anderson, Manager of NBVM GP, general partner of North Bridge Venture Management VI, L.P.
2021-07-21
North Bridge Venture Management 7, L.P., /s/ Edward T. Anderson, Manager of NBVM GP, general partner of North Bridge Venture Management V, L.P.
2021-07-21