0000950123-15-003346.txt : 20150220 0000950123-15-003346.hdr.sgml : 20150220 20150217202342 ACCESSION NUMBER: 0000950123-15-003346 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20150217 DATE AS OF CHANGE: 20150220 GROUP MEMBERS: GENESIS VC PARTNERS XI, LLC GROUP MEMBERS: GENESIS VC PARTNERS XII, LLC GROUP MEMBERS: JEFFREY CROWE GROUP MEMBERS: MATTHEW D. HOWARD GROUP MEMBERS: NORWEST VENTURE PARTNERS XII, LP GROUP MEMBERS: NVP ASSOCIATES, LLC GROUP MEMBERS: PROMOD HAQUE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: Intersect ENT, Inc. CENTRAL INDEX KEY: 0001271214 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 200280837 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-88513 FILM NUMBER: 15625525 BUSINESS ADDRESS: STREET 1: 1555 ADAMS DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-641-2100 MAIL ADDRESS: STREET 1: 1555 ADAMS DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 FORMER COMPANY: FORMER CONFORMED NAME: SINEXUS INC DATE OF NAME CHANGE: 20031124 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Norwest Venture Partners XI, LP CENTRAL INDEX KEY: 0001534522 IRS NUMBER: 270774954 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 525 UNIVERSITY AVENUE STREET 2: SUITE 800 CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: 650-321-8000 MAIL ADDRESS: STREET 1: 525 UNIVERSITY AVENUE STREET 2: SUITE 800 CITY: PALO ALTO STATE: CA ZIP: 94301 SC 13G 1 d876863dsc13g.htm SCHEDULE 13G Schedule 13G

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

SCHEDULE 13G

Under the Securities Exchange Act of 1934

 

 

Intersect ENT, Inc.

(Name of Issuer)

Common Stock

(Title of Class of Securities)

46071F103

(CUSIP Number)

 

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

¨ Rule 13d-1(b)

¨ Rule 13d-1(c)

x Rule 13d-1(d)

 

* The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 

 

 


13G

 

CUSIP No. 46071F103

 

  1) 

Name of reporting person

 

Norwest Venture Partners XI, LP

  2)

Check the appropriate box if a member of a group

(a)  ¨        (b)  ¨

 

  3)

SEC use only

 

  4)

Citizenship or place of organization

 

    Delaware

Number of

shares

beneficially

owned by

each

reporting

person

with

 (5) 

  Sole voting power

 

      1,124,492

 (6)

  Shared voting power

 

      0

 (7)

  Sole dispositive power

 

      1,124,492

 (8)

  Shared dispositive power

 

      0

  9)

Aggregate amount beneficially owned by each reporting person

 

    1,124,492

10)

Check if the aggregate amount in Row (9) excludes certain shares

 

11)

Percent of class represented by amount in Row (9)

 

    4.81%

12)

Type of reporting person

 

    PN

 

2


13G

 

CUSIP No. 46071F103

 

  1) 

Name of reporting person

 

Genesis VC Partners XI, LLC

  2)

Check the appropriate box if a member of a group

(a)  ¨        (b)  ¨

 

  3)

SEC use only

 

  4)

Citizenship or place of organization

 

    Delaware

Number of

shares

beneficially

owned by

each

reporting

person

with

 (5) 

  Sole voting power

 

      1,124,492

 (6)

  Shared voting power

 

      0

 (7)

  Sole dispositive power

 

      1,124,492

 (8)

  Shared dispositive power

 

      0

  9)

Aggregate amount beneficially owned by each reporting person

 

    1,124,492

10)

Check if the aggregate amount in Row (9) excludes certain shares

 

11)

Percent of class represented by amount in Row (9)

 

    4.81%

12)

Type of reporting person

 

    PN

 

3


13G

 

CUSIP No. 46071F103

 

  1) 

Name of reporting person

 

Norwest Venture Partners XII, LP

  2)

Check the appropriate box if a member of a group

(a)  ¨        (b)  ¨

 

  3)

SEC use only

 

  4)

Citizenship or place of organization

 

    Delaware

Number of

shares

beneficially

owned by

each

reporting

person

with

 (5) 

  Sole voting power

 

      1,124,492

 (6)

  Shared voting power

 

      0

 (7)

  Sole dispositive power

 

      1,124,492

 (8)

  Shared dispositive power

 

      0

  9)

Aggregate amount beneficially owned by each reporting person

 

    1,124,492

10)

Check if the aggregate amount in Row (9) excludes certain shares

 

11)

Percent of class represented by amount in Row (9)

 

    4.81%

12)

Type of reporting person

 

    PN

 

4


13G

 

CUSIP No. 46071F103

 

  1) 

Name of reporting person

 

Genesis VC Partners XII, LLC

  2)

Check the appropriate box if a member of a group

(a)  ¨        (b)  ¨

 

  3)

SEC use only

 

  4)

Citizenship or place of organization

 

    Delaware

Number of

shares

beneficially

owned by

each

reporting

person

with

 (5) 

  Sole voting power

 

      1,124,492

 (6)

  Shared voting power

 

      0

 (7)

  Sole dispositive power

 

      1,124,492

 (8)

  Shared dispositive power

 

      0

  9)

Aggregate amount beneficially owned by each reporting person

 

    1,124,492

10)

Check if the aggregate amount in Row (9) excludes certain shares

 

11)

Percent of class represented by amount in Row (9)

 

    4.81%

12)

Type of reporting person

 

    PN

 

5


13G

 

CUSIP No. 46071F103

 

  1) 

Name of reporting person

 

NVP Associates, LLC

  2)

Check the appropriate box if a member of a group

(a)  ¨        (b)  ¨

 

  3)

SEC use only

 

  4)

Citizenship or place of organization

 

    Delaware

Number of

shares

beneficially

owned by

each

reporting

person

with

 (5) 

  Sole voting power

 

      2,248,984

 (6)

  Shared voting power

 

      0

 (7)

  Sole dispositive power

 

      2,248,984

 (8)

  Shared dispositive power

 

      0

  9)

Aggregate amount beneficially owned by each reporting person

 

    2,248,984

10)

Check if the aggregate amount in Row (9) excludes certain shares

 

11)

Percent of class represented by amount in Row (9)

 

    9.62%

12)

Type of reporting person

 

    PN

 

6


13G

 

CUSIP No. 46071F103

 

  1) 

Name of reporting person

 

Promod Haque

  2)

Check the appropriate box if a member of a group

(a)  ¨        (b)  ¨

 

  3)

SEC use only

 

  4)

Citizenship or place of organization

 

    United States of America

Number of

shares

beneficially

owned by

each

reporting

person

with

 (5) 

  Sole voting power

 

      2,248,984

 (6)

  Shared voting power

 

      0

 (7)

  Sole dispositive power

 

      2,248,984

 (8)

  Shared dispositive power

 

      0

  9)

Aggregate amount beneficially owned by each reporting person

 

    2,248,984

10)

Check if the aggregate amount in Row (9) excludes certain shares

 

11)

Percent of class represented by amount in Row (9)

 

    9.62%

12)

Type of reporting person

 

    IN

 

7


13G

 

CUSIP No. 46071F103

 

  1) 

Name of reporting person

 

Jeffrey Crowe

  2)

Check the appropriate box if a member of a group

(a)  ¨        (b)  ¨

 

  3)

SEC use only

 

  4)

Citizenship or place of organization

 

    United States of America

Number of

shares

beneficially

owned by

each

reporting

person

with

 (5) 

  Sole voting power

 

      2,248,984

 (6)

  Shared voting power

 

      0

 (7)

  Sole dispositive power

 

      2,248,984

 (8)

  Shared dispositive power

 

      0

  9)

Aggregate amount beneficially owned by each reporting person

 

    2,248,984

10)

Check if the aggregate amount in Row (9) excludes certain shares

 

11)

Percent of class represented by amount in Row (9)

 

    9,62%

12)

Type of reporting person

 

    IN

 

8


13G

 

CUSIP No. 46071F103

 

  1) 

Name of reporting person

 

Matthew D. Howard

  2)

Check the appropriate box if a member of a group

(a)  ¨        (b)  ¨

 

  3)

SEC use only

 

  4)

Citizenship or place of organization

 

    United States of America

Number of

shares

beneficially

owned by

each

reporting

person

with

 (5) 

  Sole voting power

 

      2,248,984

 (6)

  Shared voting power

 

      0

 (7)

  Sole dispositive power

 

      2,248,984

 (8)

  Shared dispositive power

 

      0

  9)

Aggregate amount beneficially owned by each reporting person

 

    2,248,984

10)

Check if the aggregate amount in Row (9) excludes certain shares

 

11)

Percent of class represented by amount in Row (9)

 

    9.62%

12)

Type of reporting person

 

    IN

 

9


UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

SCHEDULE 13G

Under the Securities Exchange Act of 1934

 

Item 1(a) Name of Issuer:

Intersect ENT, Inc.

 

Item 1(b) Address of Issuer’s Principal Executive Offices:

301 Congress Avenue, Suite 700

Austin, TX 78701

 

Item 2(a) Name of Person Filing:

 

  1. Norwest Venture Partners XI, LP

 

  2. Genesis VC Partners XI, LLC

 

  3. Norwest Venture Partners XII, LP

 

  4. Genesis VC Partners XII, LLC

 

  5. NVP Associates, LLC

 

  6. Promod Haque

 

  7. Jeffrey Crowe

 

  8. Matthew D. Howard

 

Item 2(b) Address of Principal Business Office or, if None, Residence:

 

  1. Norwest Venture Partners XI, LP

525 University Ave, Suite 800

Palo Alto, CA 94301

 

  2. Genesis VC Partners XI, LLC

525 University Ave, Suite 800

Palo Alto, CA 94301

 

  3. Norwest Venture Partners XII, LP

525 University Ave, Suite 800

Palo Alto, CA 94301

 

  4. Genesis VC Partners XII, LLC

525 University Ave, Suite 800

Palo Alto, CA 94301

 

  5. NVP Associates, LLC

525 University Ave, Suite 800

Palo Alto, CA 94301

 

  6. Promod Haque

525 University Ave, Suite 800

Palo Alto, CA 94301

 

  7. Jeffrey Crowe

525 University Ave, Suite 800

Palo Alto, CA 94301

 

  8. Matthew D. Howard

525 University Ave, Suite 800

Palo Alto, CA 94301

 

10


This statement is filed by Norwest Venture Partners XI, LP on behalf of all of the persons listed above pursuant to Rule 13d-1(d) and Rule 13d-1(k). Norwest Venture Partners XI, LP is a Delaware limited partnership, whose general partner is Genesis VC Partners XI, LLC. Norwest Venture Partners XII, LP is a Delaware limited partnership, whose general partner is Genesis VC Partners XII, LLC. NVP Associates, LLC is the managing member of Genesis VC Partners XI, LLC and Genesis VC Partners XII, LLC. Promod Haque, Jeffrey Crowe and Matthew D. Howard are co-Chief Executive Officers of NVP Associates, LLC.

 

Item 2(c) Citizenship:

 

  1. Norwest Venture Partners XI, LP: Delaware

 

  2. Genesis VC Partners XI, LLC: Delaware

 

  3. Norwest Venture Partners XII, LP: Delaware

 

  4. Genesis VC Partners XII, LLC: Delaware

 

  5. NVP Associates, LLC: Delaware

 

  6. Promod Haque: United States of America

 

  7. Jeffrey Crowe: United States of America

 

  8. Matthew D. Howard: United States of America

 

Item 2(d) Title of Class of Securities:

Common Stock

 

Item 2(e) CUSIP Number:

46071F103

 

Item 3 Not Applicable

 

Item 4 Ownership:

(1) Norwest Venture Partners XI, LP (“NVP XI”): At December 31, 2014, NVP XI owned of record 1,124,492 shares of Issuer’s Common Stock (“Common Stock”). This amount represents 4.81% of the total shares of Common Stock outstanding at this date.

(2) Genesis VC Partners XI, LLC (“Genesis XI”): At December 31, 2014, Genesis XI may be deemed to have beneficially owned, by virtue of its status as general partner of NVP XI, 1,124,492 shares of Common Stock. This amount represents 4.81% of the total shares of Common Stock outstanding at this date.

(3) Norwest Venture Partners XII, LP (“NVP XII”): At December 31, 2014, NVP XII owned of record 1,124,492 shares of Common Stock. This amount represents 4.81% of the total shares of Common Stock outstanding at this date.

(4) Genesis VC Partners XII, LLC (“Genesis XII”): At December 31, 2014, Genesis XII may be deemed to have beneficially owned, by virtue of its status as general partner of NVP XII, 1,124,492 shares of Common Stock. This amount represents 4.81% of the total shares of Common Stock outstanding at this date.

(5) NVP Associates, LLC (“NVP Associates”): At December 31, 2014, NVP Associates may be deemed to have beneficially owned 2,248,984 shares of Common Stock consisting of the following: (1) 1,124,492 shares of Common Stock by virtue of its status as managing member of Genesis XI, the general partner of NVP XI, the record owner of such shares; and (2) 1,124,492 shares of Common Stock by virtue of its status as managing

 

11


member of Genesis XII, the general partner of NVP XII, the record owner of such shares. This amount represents 9.62% of the total shares of Common Stock outstanding at this date.

(5) Promod Haque: At December 31, 2014, Promod Haque may be deemed to have beneficially owned 2,248,984 shares of Common Stock consisting of the following: (1) 1,124,492 shares of Common Stock by virtue of his status as co-Chief Executive Officer of NVP Associates, the managing member of Genesis XI, which is the general partner of NVP XI, the record owner of such shares and (2) 1,124,492 shares of Common Stock by virtue of his status as co-Chief Executive Officer of NVP Associates, the managing member of Genesis XII, which is the general partner of NVP XII, the record owner of such shares. This amount represents 9.62% of the total shares of Common Stock outstanding at this date.

(6) Jeffrey Crowe: At December 31, 2014, Jeffrey Crowe may be deemed to have beneficially owned 2,248,984 shares of Common Stock consisting of the following: (1) 1,124,492 shares of Common Stock by virtue of his status as co-Chief Executive Officer of NVP Associates, the managing member of Genesis XI, which is the general partner of NVP XI, the record owner of such shares and (2) 1,124,492 shares of Common Stock by virtue of his status as co-Chief Executive Officer of NVP Associates, the managing member of Genesis XII, which is the general partner of NVP XII, the record owner of such shares. This amount represents 9.62% of the total shares of Common Stock outstanding at this date.

(7) Matthew D. Howard: At December 31, 2014, Matthew D. Howard may be deemed to have beneficially owned 2,248,984 shares of Common Stock consisting of the following: (1) 1,124,492 shares of Common Stock by virtue of his status as co-Chief Executive Officer of NVP Associates, the managing member of Genesis XI, which is the general partner of NVP XI, the record owner of such shares and (2) 1,124,492 shares of Common Stock by virtue of his status as co-Chief Executive Officer of NVP Associates, the managing member of Genesis XII, which is the general partner of NVP XII, the record owner of such shares. This amount represents 9.62% of the total shares of Common Stock outstanding at this date.

 

Item 5 Ownership of Five Percent or Less of a Class:

If this statement is being filed to report the fact that as of the date hereof the reporting persons have ceased to be beneficial owners of more than five percent of the class of securities, check the following ¨.

 

Item 6 Ownership of More than Five Percent on Behalf of Another Person:

Not Applicable

 

Item 7 Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person:

Not Applicable

 

Item 8 Identification and Classification of Members of the Group:

Not Applicable

 

Item 9 Notice of Dissolution of Group:

Not Applicable

 

Item 10 Certification:

Not applicable.

 

12


Signature.

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete, and correct.

Date: February 16, 2015

 

NORWEST VENTURE PARTNERS XI, LP
By Genesis VC Partners XI, LLC, as general partner
By NVP Associates, LLC, as managing member
By:

/s/ Kurt Betcher

Kurt Betcher, Chief Financial Officer

 

13


AGREEMENT

The undersigned hereby agree that this Schedule 13G to which this Agreement is attached shall be filed by Norwest Venture Partners XI, LP on its own behalf and on behalf of (a) Genesis VC Partners XI, LLC, a Delaware limited liability company, (b) Norwest Venture Partners XII, LP, a Delaware Limited Partnership, (c) Genesis VC Partners XII, LLC, a Delaware limited liability company, (d) NVP Associates, LLC, a Delaware limited liability company, (e) Promod Haque, (f) Jeffrey Crowe and (g) Matthew D. Howard.

Dated: February 16, 2015

 

Norwest Venture Partners XI, LP
By Genesis VC Partners XI, LLC, as general partner
By NVP Associates, LLC, as managing member
By:

/s/ Kurt Betcher

Kurt Betcher, Chief Financial Officer
Genesis VC Partners XI, LLC
By NVP Associates, LLC, as managing member
By:

/s/ Kurt Betcher

Kurt Betcher, Chief Financial Officer
Norwest Venture Partners XII, LP
By Genesis VC Partners XII, LLC, as general partner
By NVP Associates, LLC, as managing member
By:

/s/ Kurt Betcher

Kurt Betcher, Chief Financial Officer
Genesis VC Partners XII, LLC
By NVP Associates, LLC, as managing member
By:

/s/ Kurt Betcher

Kurt Betcher, Chief Financial Officer
NVP Associates, LLC
By:

/s/ Kurt Betcher

Kurt Betcher, Chief Financial Officer

/s/ Kurt Betcher

Kurt Betcher, as Attorney-in-fact

for Promod Haque

 

14


/s/ Kurt Betcher

Kurt Betcher, as Attorney-in-fact

for Jeffrey Crowe

/s/ Kurt Betcher

Kurt Betcher, as Attorney-in-fact

For Matthew D. Howard

 

15