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