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