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