0001209191-11-061827.txt : 20111216
0001209191-11-061827.hdr.sgml : 20111216
20111216171644
ACCESSION NUMBER: 0001209191-11-061827
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111216
FILED AS OF DATE: 20111216
DATE AS OF CHANGE: 20111216
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GOETZ JAMES J
CENTRAL INDEX KEY: 0001219231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35367
FILM NUMBER: 111267303
MAIL ADDRESS:
STREET 1: C/O SEQUOIA CAPITAL
STREET 2: 3000 SAND HILL RD, BLDG 4, STE 180
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Jive Software, Inc.
CENTRAL INDEX KEY: 0001462633
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374]
IRS NUMBER: 421515522
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 325 LYTTON STREET
CITY: PALO ALTO
STATE: CA
ZIP: 94301
BUSINESS PHONE: 503-295-3700
MAIL ADDRESS:
STREET 1: 325 LYTTON STREET
CITY: PALO ALTO
STATE: CA
ZIP: 94301
4
1
c25983_4x0.xml
MAIN DOCUMENT DESCRIPTION
X0304
4
2011-12-16
0001462633
Jive Software, Inc.
JIVE
0001219231
GOETZ JAMES J
3000 SAND HILL ROAD, 4-250
MENLO PARK
CA
94025
1
0
0
0
Common Stock
2011-12-16
4
C
0
16046266
A
16065406
I
See Footnote
Common Stock
2011-12-16
4
C
0
745903
A
746659
I
See Footnote
Common Stock
2011-12-16
4
C
0
138064
A
138168
I
See Footnote
Series A Preferred Stock
2011-12-16
4
C
0
9231539
0
D
Common Stock
9231539
0
I
See Footnote
Series A Preferred Stock
2011-12-16
4
C
0
476732
0
D
Common Stock
476732
0
I
See Footnote
Series A Preferred Stock
2011-12-16
4
C
0
101036
0
D
Common Stock
101036
0
I
See Footnote
Series B Preferred Stock
2011-12-16
4
C
0
3122027
0
D
Common Stock
3122027
0
I
See Footnote
Series B Preferred Stock
2011-12-16
4
C
0
123315
0
D
Common Stock
123315
0
I
See Footnote
Series B Preferred Stock
2011-12-16
4
C
0
16964
0
D
Common Stock
16964
0
I
See Footnote
Series C Preferred Stock
2011-12-16
4
C
0
3692700
0
D
Common Stock
3692700
0
I
See Footnote
Series C Preferred Stock
2011-12-16
4
C
0
145856
0
D
Common Stock
145856
0
I
See Footnote
Series C Preferred Stock
2011-12-16
4
C
0
20064
0
D
Common Stock
20064
0
I
See Footnote
The shares of Series A, B, and C Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and had no expiration date.
Shares held directly by Sequoia Capital Growth Fund III, L.P., ("Sequoia III"). The Reporting Person is a Managing Member of SCGF III Management, LLC, the general partner of Sequoia III, and may be deemed to share voting and dispositive power with respect to the shares held by Sequoia III. The Reporting Person disclaims beneficial ownership of securities held by Sequoia III, except to the extent of his pecuniary interest therein.
Shares held directly by Sequoia Capital Growth III Principals Fund LLC, ("Sequoia Principals"). The Reporting Person is a Managing Member of SCGF III Management, LLC, the managing member of Sequoia Principals, and may be deemed to share voting and dispositive power with respect to the shares held by Sequoia Principals. The Reporting Person disclaims beneficial ownership of securities held by Sequoia Principals, except to the extent of his pecuniary interest therein.
Shares held directly by Sequoia Capital Growth Partners III, L.P., ("Sequoia Partners"). The Reporting Person is a Managing Member of SCGF III Management, LLC, the general partner of Sequoia Partners, and may be deemed to share voting and dispositive power with respect to the shares held by Sequoia Partners. The Reporting Person disclaims beneficial ownership of securities held by Sequoia Partners, except to the extent of his pecuniary interest therein.
/s/ Melinda Dunn, by power of attorney for James J. Goetz
2011-12-16