0000899243-17-007522.txt : 20170314 0000899243-17-007522.hdr.sgml : 20170314 20170314210125 ACCESSION NUMBER: 0000899243-17-007522 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170310 FILED AS OF DATE: 20170314 DATE AS OF CHANGE: 20170314 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CONNECTURE INC CENTRAL INDEX KEY: 0001211759 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 18500 W. CORPORATE DRIVE STREET 2: SUITE 250 CITY: BROOKFIELD STATE: WI ZIP: 53045 BUSINESS PHONE: 262-432-8282 MAIL ADDRESS: STREET 1: 18500 W. CORPORATE DRIVE STREET 2: SUITE 250 CITY: BROOKFIELD STATE: WI ZIP: 53045 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Perlman Ezra CENTRAL INDEX KEY: 0001344015 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36778 FILM NUMBER: 17689608 MAIL ADDRESS: STREET 1: C/O FRANCISCO PARTNERS STREET 2: 2882 SAND HILL ROAD, SUITE 280 CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-03-10 0 0001211759 CONNECTURE INC CNXR 0001344015 Perlman Ezra C/O FRANCISCO PARTNERS MANAGEMENT, L.P. ONE LETTERMAN DRIVE, BUILDING C -STE 410 SAN FRANCISCO CA 94129 1 0 0 0 Series B Convertible Preferred Stock 2017-03-10 4 P 0 16500 1000.00 A Common Stock 8638743 16500 I See Footnotes The number of shares of common stock of Connecture, Inc. (the "Issuer"), having par value of $0.001 per share (the "Common Stock"), deliverable upon conversion of each share of Series B Convertible Preferred Stock, par value $0.001 per share (the "Series B Preferred Stock"), is equal to approximately 523.56 shares, subject to customary adjustments. The Series B Preferred Stock is convertible at any time and has no expiration date. The Issuer may mandatorily convert the Series B Preferred Stock into Common Stock after March 10, 2019, if certain conditions are met. These securities are directly held by Francisco Partners IV, L.P. ("FP IV") and Francisco Partners IV-A, L.P. ("FP IV-A"). As of the date of this filing, FP IV holds 10,991 shares of Series B Preferred Stock of the Issuer and FP IV-A holds 5,509 shares of Series B Preferred Stock. The general partner of both FP IV and FP IV-A is Francisco Partners GP IV, L.P. ("FP GP"). The general partner of FP GP is Francisco Partners GP IV Management Limited ("FP GP Management"). The Directors of FP GP Management are Mr. Dipanjan Deb and Mr. Tom Ludwig and the Investment Committee of FP GP Management consists of Mr. Deb, Mr. David Golob, Mr. Ezra Perlman, and Mr. Keith Geeslin. Mr. Perlman, an officer of an affiliate of Francisco Partners Management, L.P. ("Francisco Partners"), is a member of the board of directors of the Issuer. FP IV, FP IV-A, FP GP and FP GP Management are affiliates of Francisco Partners and have each filed a separate Form 4 reporting the acquisition of securities of the Issuer that each may be deemed to beneficially own. Mr. Perlman disclaims beneficial ownership of any securities of the Issuer that may be deemed to be beneficially owned by affiliates of Francisco Partners, including FP IV, FP IV-A, FP GP and FP GP Management, except to the extent of his pecuniary interest therein. /s/ EZRA PERLMAN, Title: Director 2017-03-14