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