0001209191-15-025038.txt : 20150311 0001209191-15-025038.hdr.sgml : 20150311 20150311130709 ACCESSION NUMBER: 0001209191-15-025038 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150311 FILED AS OF DATE: 20150311 DATE AS OF CHANGE: 20150311 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MaxPoint Interactive, Inc. CENTRAL INDEX KEY: 0001611231 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ADVERTISING [7310] IRS NUMBER: 205530657 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3020 CARRINGTON MILL BLVD. STREET 2: SUITE 300 CITY: MORRISVILLE STATE: NC ZIP: 27560 BUSINESS PHONE: 800-916-9960 MAIL ADDRESS: STREET 1: 3020 CARRINGTON MILL BLVD. STREET 2: SUITE 300 CITY: MORRISVILLE STATE: NC ZIP: 27560 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Trinity X Side-By-Side Fund, L.P. CENTRAL INDEX KEY: 0001459208 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36864 FILM NUMBER: 15691896 BUSINESS ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 4, SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 6508549500 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 4, SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Trinity X Entrepreneurs' Fund, L.P. CENTRAL INDEX KEY: 0001461716 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36864 FILM NUMBER: 15691897 BUSINESS ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 4, SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: (650) 854-9500 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 4, SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fenton Noel J CENTRAL INDEX KEY: 0001290449 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36864 FILM NUMBER: 15691900 MAIL ADDRESS: STREET 1: C/O TRINITY VENTURES STREET 2: 3000 SAND HILL ROAD, BLDG. 4, SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 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: 001-36864 FILM NUMBER: 15691902 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 4, SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wang Fred CENTRAL INDEX KEY: 0001290451 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36864 FILM NUMBER: 15691903 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 4, SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TRINITY VENTURES X LP CENTRAL INDEX KEY: 0001456065 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36864 FILM NUMBER: 15691898 BUSINESS ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 4, SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-854-9500 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 4, SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TVL Management CORP CENTRAL INDEX KEY: 0001290448 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36864 FILM NUMBER: 15691895 BUSINESS ADDRESS: STREET 1: C/O TRINITY VENTURES STREET 2: 3000 SAND HILL ROAD, BLDG. 4, SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-854-9500 MAIL ADDRESS: STREET 1: C/O TRINITY VENTURES STREET 2: 3000 SAND HILL ROAD, BLDG. 4, SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Trinity TVL X, LLC CENTRAL INDEX KEY: 0001461710 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36864 FILM NUMBER: 15691894 BUSINESS ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 4, SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: (650) 854-9500 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 4, SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Nakache Patricia CENTRAL INDEX KEY: 0001597755 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36864 FILM NUMBER: 15691901 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 4, SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ORR LAWRENCE K CENTRAL INDEX KEY: 0001231094 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36864 FILM NUMBER: 15691899 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 2015-03-11 0 0001611231 MaxPoint Interactive, Inc. MXPT 0001461710 Trinity TVL X, LLC 2480 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 0001290451 Wang Fred 2480 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 0001228023 CHOPRA AJAY 2480 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 0001597755 Nakache Patricia 2480 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 0001290449 Fenton Noel J 2480 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 0001231094 ORR LAWRENCE K 2480 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 0001456065 TRINITY VENTURES X LP 2480 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 0001461716 Trinity X Entrepreneurs' Fund, L.P. 2480 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 0001459208 Trinity X Side-By-Side Fund, L.P. 2480 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 0001290448 TVL Management CORP 2480 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 Common Stock 2015-03-11 4 C 0 6055851 A 6055851 I By Trinity Ventures X, L.P. Common Stock 2015-03-11 4 C 0 34718 A 34718 I By Trinity X Side-By-Side Fund, L.P. Common Stock 2015-03-11 4 C 0 59006 A 59006 I By Trinity X Entrepreneurs' Fund, L.P. Series B Convertible Preferred Stock 2015-03-11 4 C 0 3489221 D Common Stock 3489221 0 I By Trinity Ventures X, L.P. Series B Convertible Preferred Stock 2015-03-11 4 C 0 20908 D Common Stock 20908 0 I By Trinity X Side-By-Side Fund, L.P. Series B Convertible Preferred Stock 2015-03-11 4 C 0 33666 D Common Stock 33666 0 I By Trinity X Entrepreneurs' Fund, L.P. Series C Convertible Preferred Stock 2015-03-11 4 C 0 1597460 D Common Stock 1597460 0 I By Trinity Ventures X, L.P. Series C Convertible Preferred Stock 2015-03-11 4 C 0 8596 D Common Stock 8596 0 I By Trinity X Side-By-Side Fund, L.P. Series C Convertible Preferred Stock 2015-03-11 4 C 0 15895 D Common Stock 15895 0 I By Trinity X Entrepreneurs' Fund, L.P. Series D Convertible Preferred Stock 2015-03-11 4 C 0 969170 D Common Stock 969170 0 I By Trinity Ventures X, L.P. Series D Convertible Preferred Stock 2015-03-11 4 C 0 5214 D Common Stock 5214 0 I By Trinity X Side-By-Side Fund, L.P. Series D Convertible Preferred Stock 2015-03-11 4 C 0 9445 D Common Stock 9445 0 I By Trinity X Entrepreneurs' Fund, L.P. Each share of Series B Convertible Preferred Stock, Series C Convertible Preferred Stock and Series D Convertible Preferred Stock automatically converted into one share of Issuer's Common Stock for no additional consideration immediately prior to the completion of the Issuer's initial public offering. The exercisability date and expiration date are not relevant to the conversion of these securities. Trinity TVL X, LLC ("Trinity TVL X") serves as the sole general partner of Trinity Ventures X, L.P. ("Trinity X"), Trinity X Side-By-Side Fund, L.P. ("Trinity X SBS") and Trinity X Entrepreneurs' Fund, L.P. ("Trinity X EF"). As such, Trinity TVL X possesses sole voting and investment control over the shares owned by Trinity X, Trinity X SBS and Trinity X EF, and may be deemed to have indirect beneficial ownership of the securities held by Trinity X, Trinity X SBS and Trinity X EF. Trinity TVL X and TVL Management Corporation own no shares of the Issuer directly. Messrs. Orr, Fenton, Tai, Wang, Chopra, Mehandru and Scholnick, Mrs. Nakache and Ms. Labatt serve as Management Members of Trinity TVL X and Owners of TVL Management Corporation and share voting and dispositive power over the shares held by Trinity X EF, Trinity X SBS and Trinity X. Each Reporting Person disclaims beneficial ownership of the shares held by Trinity X EF, Trinity X SBS and Trinity X except to the extent of his, her or its proportionate pecuniary interest therein. Mr. Tai is a director of the Issuer and, accordingly, files separate Section 16 reports. Filing 1 of 2 /s/ Nina C. Labatt, Management Member of Trinity TVL X, LLC 2015-03-11 /s/ Fred Wang 2015-03-11 /s/ Ajay Chopra 2015-03-11 /s/ Patricia Nakache 2015-03-11 /s/ Noel Fenton 2015-03-11 /s/ Lawrence Orr 2015-03-11 /s/ Nina C. Labatt, Management Member of Trinity TVL X, LLC, which serves as the sole General Partner to Trinity Ventures X, L.P. 2015-03-11 /s/ Nina C. Labatt, Management Member of Trinity TVL X, LLC, which serves as the sole General Partner to Trinity X Entrepreneurs' Fund, L.P. 2015-03-11 /s/ Nina C. Labatt, Management Member of Trinity TVL X, LLC, which serves as the sole General Partner to Trinity X Side-By-Side Fund, L.P. 2015-03-11 /s/ Nina C. Labatt, Owner of TVL Management Corporation 2015-03-11