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