0001209191-15-055515.txt : 20150622
0001209191-15-055515.hdr.sgml : 20150622
20150622211940
ACCESSION NUMBER: 0001209191-15-055515
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150618
FILED AS OF DATE: 20150622
DATE AS OF CHANGE: 20150622
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: 15945954
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
2015-06-18
0
0001449278
TUBEMOGUL INC
TUBE
0001228023
CHOPRA AJAY
2480 SAND HILL ROAD, SUITE 200
MENLO PARK
CA
94025
1
0
1
0
Common Stock
2015-06-18
4
A
0
3174
0.00
A
3174
D
Common Stock
5844999
I
By Trinity Ventures X, L.P.
Common Stock
56522
I
By Trinity X Entrepreneurs' Fund, L.P.
Common Stock
33099
I
By Trinity X Side-By-Side Fund, L.P.
Stock Option (right to buy)
15.37
2015-06-18
4
A
0
5679
0.00
A
2025-06-18
Common Stock
5679
5679
D
Each share of common stock is represented by a Restricted Stock Unit ("RSU"). One-hundred percent (100%) of the shares subject to the RSU vest upon the earlier of (i) the day prior 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, 3,174 shares are represented by RSUs.
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.
One-hundred percent (100%) of the option vests 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.
/s/ Ajay Chopra
2015-06-22