0001209191-11-061811.txt : 20111216
0001209191-11-061811.hdr.sgml : 20111216
20111216170529
ACCESSION NUMBER: 0001209191-11-061811
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: LANFRI WILLIAM A
CENTRAL INDEX KEY: 0001219232
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35367
FILM NUMBER: 111267147
MAIL ADDRESS:
STREET 1: 428 UNIVERSITY AVE
CITY: PALO ALTO
STATE: CA
ZIP: 94301
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
c25985_4x0.xml
MAIN DOCUMENT DESCRIPTION
X0304
4
2011-12-16
0001462633
Jive Software, Inc.
JIVE
0001219232
LANFRI WILLIAM A
C/O JIVE SOFTWARE, INC.
SUITE 200
PALO ALTO
CA
94301
1
0
0
0
Common Stock
2011-12-16
4
C
0
121011
A
581058
I
See Footnote
Series A Preferred Stock
2011-12-16
4
C
0
47500
0
D
Common Stock
47500
0
I
See Footnote
Series B Preferred Stock
2011-12-16
4
C
0
73511
0
D
Common Stock
73511
0
I
See Footnote
The Series A and B 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 by Hawkswatch Holdings, LLC. The Reporting Person is the sole member of Hawkswatch Holdings and therefore is deemed to have voting power and investment control over the shares held by this entity.
/s/ Vicki Ryan by power of attorney for William A. Lanfri
2011-12-16