0001209191-11-061818.txt : 20111216 0001209191-11-061818.hdr.sgml : 20111216 20111216171034 ACCESSION NUMBER: 0001209191-11-061818 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111216 FILED AS OF DATE: 20111216 DATE AS OF CHANGE: 20111216 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: 111267190 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 c25990_4x0.xml MAIN DOCUMENT DESCRIPTION X0304 4 2011-12-16 0001462633 Jive Software, Inc. JIVE 0001242733 SCHLEIN TED C/O KLEINER PERKINS CAUFIELD & BYERS 2750 SAND HILL ROAD MENLO PARK CA 94025 1 0 0 0 Common Stock 2011-12-16 4 C 0 5787930 A 6667930 I See Footnotes Series C Preferred Stock 2011-12-16 4 C 0 5787930 0 D Common Stock 5787930 0 I See Footnotes The Series C Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and had no expiration date. The shares are directly held by Kleiner Perkins Caufield & Byers XIII, LLC ("KPCB XIII"). The managing member of KPCB XIII is KPCB XIII Associates, LLC, of which the Reporting Person is a managing director. The voting and dispositive control over the shares is shared by individual managing directors of KPCB XIII Associates, LLC, none of whom, including the Reporting Person, has veto power. Excludes 449,418 shares in the aggregate beneficially owned by individuals and entities affiliated with Kleiner Perkins Caufiled & Byers and held for convenience in the name of "KPCB Holdings, Inc. as nominee," for the accounts of such individuals and entities, each of whom exercises their own voting and dispositive control over such shares. The Reporting Person disclaims beneficial ownership over all Issuer shares held for convenience in the name of "KPCB Holdings, Inc. as nominee," except to the extent of his 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, Attoney-In-Fact for Ted Schlein 2011-12-16