0000899243-16-023259.txt : 20160617 0000899243-16-023259.hdr.sgml : 20160617 20160617210029 ACCESSION NUMBER: 0000899243-16-023259 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160616 FILED AS OF DATE: 20160617 DATE AS OF CHANGE: 20160617 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TUBEMOGUL INC CENTRAL INDEX KEY: 0001449278 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 510633881 STATE OF INCORPORATION: CA BUSINESS ADDRESS: STREET 1: 1250 53RD STREET, SUITE 6 CITY: EMERYVILLE STATE: CA ZIP: 94608 BUSINESS PHONE: 510-653-0677 MAIL ADDRESS: STREET 1: 1250 53RD STREET, SUITE 6 CITY: EMERYVILLE STATE: CA ZIP: 94608 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHOPRA AJAY CENTRAL INDEX KEY: 0001228023 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36543 FILM NUMBER: 161721229 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 4, SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-06-16 0 0001449278 TUBEMOGUL INC TUBE 0001228023 CHOPRA AJAY 2480 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 1 0 1 0 Common Stock 2016-06-16 4 A 0 8069 0.00 A 11243 D Common Stock 9554 I By Chopra/Banerjee Revocable Trust Common Stock 4968249 I By Trinity Ventures X, L.P. Common Stock 48044 I By Trinity X Entrepreneurs' Fund, L.P. Common Stock 28134 I By Trinity X Side-By-Side Fund, L.P. Common Stock 2528 I By TVL Management Corporation One-hundred percent (100%) of the shares subject to the RSU vest upon the earlier of (i) the day prior to the next year's annual meeting of stockholders, or (ii) one year from the date of grant, subject to continued service as a director through the applicable vesting date. Of the reported shares, 8,069 shares are represented by RSUs. The shares are held by the Chopra/Banerjee Revocable Trust (the "Chopra Family Trust"). The reporting person is a trustee of the Chopra Family Trust. The reporting person disclaims beneficial ownership of the shares held by the Chopra Family Trust except to the extent of his proportionate pecuniary interest therein. Trinity TVL X, LLC is the general partner of Trinity Ventures X, L.P., Trinity X Side-By-Side Fund, L.P. and Trinity X Entrepreneurs' Fund, L.P. and has sole voting and investment power with respect to the shares held by Trinity Ventures X, L.P., Trinity X Side-By-Side Fund, L.P. and Trinity X Entrepreneurs' Fund, L.P. The reporting person is a management member of Trinity TVL X, LLC, and may be deemed to share voting and investment power over the shares owned by Trinity Ventures X, L.P., Trinity X Side-By-Side Fund, L.P. and Trinity X Entrepreneurs' Fund, L.P. The reporting person disclaims beneficial ownership of the shares held by the aforementioned entities except to the extent of his pecuniary interest therein. Ajay Chopra serves as an officer of TVL Management Corporation. The reporting person disclaims beneficial ownership of the shares held by TVL Management Corporation except to the extent of his pecuniary interest therein. /s/ Ajay Chopra 2016-06-17