0001209191-16-131305.txt : 20160705
0001209191-16-131305.hdr.sgml : 20160705
20160705190749
ACCESSION NUMBER: 0001209191-16-131305
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160630
FILED AS OF DATE: 20160705
DATE AS OF CHANGE: 20160705
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: 161752137
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
2016-06-30
0
0001449278
TUBEMOGUL INC
TUBE
0001228023
CHOPRA AJAY
2480 SAND HILL ROAD, SUITE 200
MENLO PARK
CA
94025
1
0
1
0
Common Stock
2016-06-30
4
J
0
292250
0.00
D
4675999
I
By Trinity Ventures X, L.P.
Common Stock
2016-06-30
4
J
0
2826
0.00
D
45218
I
By Trinity X Entrepreneurs' Fund, L.P.
Common Stock
2016-06-30
4
J
0
1655
0.00
D
26479
I
By Trinity X Side-By-Side Fund, L.P.
Common Stock
2016-06-30
4
J
0
2922
0.00
A
2922
I
By Trinity TVL X, LLC
Common Stock
2016-06-30
4
J
0
2922
0.00
D
0
I
By Trinity TVL X, LLC
Common Stock
2016-06-30
4
J
0
110
0.00
A
2638
I
By TVL Management Corporation
Common Stock
2016-06-30
4
J
0
577
0.00
A
10131
I
By Chopra/Banerjee Revocable Trust
Common Stock
11243
D
Represents a pro-rata in-kind distribution of Common Stock of the Issuer by Trinity Ventures X, L.P. without consideration to its limited partners and its general partner, Trinity TVL X, LLC.
The transactions being reported were effected pursuant to a Rule 10b5-1 plan adopted on September 14, 2015.
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.
Mr. Chopra 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. Mr. Chopra serves as an officer of Trinity TVL Management Corporation. Mr. Chopra disclaims beneficial ownership of the shares held by the aforementioned entities except to the extent of his pecuniary interest therein.
Represents a pro-rata in-kind distribution of Common Stock of the Issuer by Trinity X Entrepreneurs' Fund, L.P. without consideration to its limited partners.
Represents a pro-rata in-kind distribution of Common Stock of the Issuer by Trinity X Side-By-Side Fund, L.P. without consideration to its limited partners.
Represents a change in the form of ownership from indirect to direct by virtue of the receipt of shares in the pro-rata in-kind distribution of Common Stock of the Issuer by Trinity Ventures X, L.P. described in footnote 1.
Represents a pro-rata in-kind distribution of Common Stock of the Issuer by Trinity TVL X, LLC without consideration to its members.
The shares are held by Trinity TVL Management Corporation.
The shares are held by the Chopra/Banerjee Revocable Trust (the "Chopra Family Trust"). Mr. Chopra is a trustee of the Chopra Family Trust. Mr. Chopra disclaims beneficial ownership of the shares held by the Chopra Family Trust except to the extent of his proportionate pecuniary interest therein.
/s/ Ajay Chopra
2016-07-05