0001181431-12-061511.txt : 20121130 0001181431-12-061511.hdr.sgml : 20121130 20121130195828 ACCESSION NUMBER: 0001181431-12-061511 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121128 FILED AS OF DATE: 20121130 DATE AS OF CHANGE: 20121130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCHLEIN TED CENTRAL INDEX KEY: 0001242733 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35367 FILM NUMBER: 121235908 MAIL ADDRESS: STREET 1: 2750 DANS HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Jive Software, Inc. CENTRAL INDEX KEY: 0001462633 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 421515522 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 325 LYTTON STREET CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: 503-295-3700 MAIL ADDRESS: STREET 1: 325 LYTTON STREET CITY: PALO ALTO STATE: CA ZIP: 94301 4 1 rrd361801.xml X0306 4 2012-11-28 0 0001462633 Jive Software, Inc. JIVE 0001242733 SCHLEIN TED 2750 SAND HILL ROAD MENLO PARK CA 94025 1 0 0 0 Common Stock 2012-11-28 4 J 0 746080 0 D 4850581 I See footnote Common Stock 2012-11-28 4 J 0 127134 0 A 127134 I See footnote Common Stock 2012-11-28 4 J 0 127134 0 D 0 I See footnote Common Stock 2012-11-28 4 J 0 8320 0 A 8320 D Kleiner Perkins Caufield & Byers XIII, LLC ("KPCB XIII") made pro rata distributions for no consideration of 746,080 shares of common stock of the issuer to its members on November 28, 2012 (the "Distribution"). The shares are directly held for convenience in the name of "KPCB Holdings, Inc. as nominee," for the account of KPCB XIII. The managing member of KPCB XIII is KPCB XIII Associates, LLC ("KPCB XIII Associates"), of which the Reporting Person is a managing director. The voting and dispositive control over these shares is shared by individual managing directors of KPCB XIII Associates, none of whom, including the Reporting Person, has veto power. Excludes 350,556 shares in the aggregate beneficially owned by individuals and entities associated with KPCB XIII and held for convenience in the name of "KPCB Holdings, Inc. as nominee," for the accounts of such individuals and entities each of whom exercise their own voting and dispositive control over such shares. Shares acquired by KPCB XIII Associates in connection with the Distribution. The shares are directly held for convenience in the name of "KPCB Holdings, Inc. as nominee," for the account of KPCB XIII Associates and the individual managing directors may be deemed to have shared voting and dispositive power over the shares owned by KPCB XIII Associates. KPCB XIII Associates made pro rata distributions for no consideration of 127,134 shares of common stock of the issuer to its members on November 28, 2012 (the "Associates Distribution"). Shares acquired by the Reporting Person in connection with the Associates Distribution of such shares to the members of KPCB XIII Associates, of which the Reporting Person is a member. The Reporting Person disclaims beneficial ownership of these shares except to the extent of any pecuniary interest therein, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these shares for purposes of Section 16 or for any other purpose. /s/ Susan Biglieri, Attorney-In-Fact for Ted Schlein 2012-11-30