0001209191-15-074120.txt : 20151005 0001209191-15-074120.hdr.sgml : 20151005 20151005182328 ACCESSION NUMBER: 0001209191-15-074120 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151002 FILED AS OF DATE: 20151005 DATE AS OF CHANGE: 20151005 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MOBILEIRON, INC. CENTRAL INDEX KEY: 0001470099 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 260866846 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 415 EAST MIDDLEFIELD ROAD CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 BUSINESS PHONE: 650-919-8100 MAIL ADDRESS: STREET 1: 415 EAST MIDDLEFIELD ROAD CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 FORMER COMPANY: FORMER CONFORMED NAME: MOBILE IRON, INC. DATE OF NAME CHANGE: 20110603 FORMER COMPANY: FORMER CONFORMED NAME: Mobile Iron, Inc. DATE OF NAME CHANGE: 20090811 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FLOYD RYAN CENTRAL INDEX KEY: 0001633440 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36471 FILM NUMBER: 151144545 MAIL ADDRESS: STREET 1: 2440 SAND HILL ROAD STREET 2: SUITE 301 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Storm Ventures Fund IV, L.P. CENTRAL INDEX KEY: 0001502411 STATE OF INCORPORATION: DE FISCAL YEAR END: 1210 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36471 FILM NUMBER: 151144547 BUSINESS ADDRESS: STREET 1: 2440 SAND HILL ROAD STREET 2: SUITE 301 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650.926.8800 MAIL ADDRESS: STREET 1: 2440 SAND HILL ROAD STREET 2: SUITE 301 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STORM VENTURES AFFILIATES FUND III LP CENTRAL INDEX KEY: 0001326513 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36471 FILM NUMBER: 151144548 BUSINESS ADDRESS: STREET 1: 2440 SAND HILL RD STREET 2: SUITE 301 CITY: MENLO STATE: CA ZIP: 94025 BUSINESS PHONE: 650.926.8800 MAIL ADDRESS: STREET 1: 2440 SAND HILL RD STREET 2: SUITE 301 CITY: MENLO STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STORM VENTURES PRINCIPALS FUND III CENTRAL INDEX KEY: 0001312946 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36471 FILM NUMBER: 151144549 BUSINESS ADDRESS: STREET 1: 2440 SAND HILL ROAD STREET 2: SUITE 301 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650.926.8800 MAIL ADDRESS: STREET 1: 2440 SAND HILL ROAD STREET 2: SUITE 301 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STORM VENTURES FUND III LP CENTRAL INDEX KEY: 0001313016 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36471 FILM NUMBER: 151144551 BUSINESS ADDRESS: STREET 1: 2440 SAND HILL ROAD STREET 2: SUITE 301 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650.926.8800 MAIL ADDRESS: STREET 1: 2440 SAND HILL ROAD STREET 2: SUITE 301 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NAHM TAE HEA CENTRAL INDEX KEY: 0001576746 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36471 FILM NUMBER: 151144552 MAIL ADDRESS: STREET 1: 2440 SAND HILL ROAD STREET 2: SUITE 301 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MENDEZ M ALEX CENTRAL INDEX KEY: 0001271316 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36471 FILM NUMBER: 151144544 MAIL ADDRESS: STREET 1: STORM VENTURES STREET 2: 2440 SAND HILL ROAD, SUITE 301 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STORM VENTURE ASSOCIATES III, L.L.C. CENTRAL INDEX KEY: 0001576722 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36471 FILM NUMBER: 151144550 BUSINESS ADDRESS: STREET 1: 2440 SAND HILL ROAD STREET 2: SUITE 301 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650.926.8800 MAIL ADDRESS: STREET 1: 2440 SAND HILL ROAD STREET 2: SUITE 301 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STORM VENTURE ASSOCIATES IV, L.L.C. CENTRAL INDEX KEY: 0001608448 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36471 FILM NUMBER: 151144546 BUSINESS ADDRESS: STREET 1: 2440 SAND HILL ROAD STREET 2: SUITE 301 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650.925.8800 MAIL ADDRESS: STREET 1: 2440 SAND HILL ROAD STREET 2: SUITE 301 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SUBHEDAR SANJAY CENTRAL INDEX KEY: 0001633439 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36471 FILM NUMBER: 151144543 MAIL ADDRESS: STREET 1: 2440 SAND HILL ROAD STREET 2: SUITE 301 CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-10-02 0 0001470099 MOBILEIRON, INC. MOBL 0001576746 NAHM TAE HEA C/O STORM VENTURES 2440 SANDHILL ROAD, SUITE 301 MENLO PARK CA 94025 1 0 1 0 0001313016 STORM VENTURES FUND III LP 2440 SANDHILL ROAD, SUITE 301 MENLO PARK CA 94025 0 0 1 0 0001576722 STORM VENTURE ASSOCIATES III, L.L.C. 2440 SANDHILL ROAD, SUITE 301 MENLO PARK CA 94025 0 0 1 0 0001312946 STORM VENTURES PRINCIPALS FUND III 2440 SANDHILL ROAD, SUITE 301 MENLO PARK CA 94025 0 0 1 0 0001326513 STORM VENTURES AFFILIATES FUND III LP 2440 SANDHILL ROAD, SUITE 301 MENLO PARK CA 94025 0 0 1 0 0001502411 Storm Ventures Fund IV, L.P. 2440 SANDHILL ROAD, SUITE 301 MENLO PARK CA 94025 0 0 1 0 0001608448 STORM VENTURE ASSOCIATES IV, L.L.C. 2440 SANDHILL ROAD, SUITE 301 MENLO PARK CA 94025 0 0 1 0 0001633440 FLOYD RYAN 2440 SANDHILL ROAD, SUITE 301 MENLO PARK CA 94025 0 0 1 0 0001271316 MENDEZ M ALEX 250 CAMBRIDGE AVE. PALO ALTO CA 94306 0 0 1 0 0001633439 SUBHEDAR SANJAY 2440 SANDHILL ROAD, SUITE 301 MENLO PARK CA 94025 0 0 1 0 Common Stock 2015-10-02 4 J 0 7131 0.00 A 10578176 I By Partnership Common Stock 2015-10-02 4 J 0 390 0.00 A 578604 I By Partnership Common Stock 2015-10-02 4 J 0 221 0.00 A 327696 I By Limited Liability Company Common Stock 2015-10-02 4 J 0 7743 0.00 A 582101 I By Partnership On October 2, 2015, the reporting persons became entitled to receive a total of 15,485 shares of the Issuer's common stock following the expiration of a share "holdback" period pursuant to an asset purchase agreement, pursuant to which the reporting persons sold assets to the Issuer in exchange for shares of the Issuer's common stock. The asset purchase agreement provided that the reporting persons would receive these additional shares of Issuer common stock, for no additional consideration, if no claims arose as a result of the reporting persons' breach of any of its representations and warranties or covenants in the asset purchase agreement. The number of shares issuable upon the expiration of the "holdback" period was determined on October 2, 2015. The shares are held directly by Storm Ventures Fund III, L.P ("SV III"). Storm Venture Associates III, L.L.C. ("SVA LLC") is the general partner of SV III and SVA III and the managing member of SVP III and, as such, may be deemed to have shared power to vote and dispose of the Issuer's shares of common stock held of record by each such fund. Ryan Floyd, M. Alex Mendez, Tae Hea Nahm and Sanjay Subhedar are the managing members of SVA LLC and, as such, may be deemed to have shared power to vote and dispose of the Issuer's shares of common stock held of record by each of SV III, SVA III and SVP III. Each of the managing directors disclaims beneficial ownership of the shares reported herein, except to the extent of his respective pecuniary interest therein. The shares are held directly by Storm Ventures Affiliates Fund III, L.P. ("SVA III"). The shares are held directly by Storm Ventures Principals Fund III, L.L.C. ("SVP III"). Storm Venture Associates IV, L.L.C. ("SVA IV") is the general partner of Storm Ventures Fund IV, L.P. ("SV IV") and, as such, may be deemed to have shared power to vote and dispose of the Issuer's shares of common stock held of record by each such fund. Ryan Floyd, M. Alex Mendez, Tae Hea Nahm and Sanjay Subhedar are the managing members of SVA IV and, as such, may be deemed to have shared power to vote and dispose of the Issuer's shares of common stock held of record by SV IV. Each of the managing directors disclaims beneficial ownership of the shares reported herein, except to the extent of his respective pecuniary interest therein. The shares are held directly by SV IV. /s/ Kevin Melia, Attorney-in-Fact 2015-10-05