0000899243-16-023078.txt : 20160616
0000899243-16-023078.hdr.sgml : 20160616
20160616162317
ACCESSION NUMBER: 0000899243-16-023078
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160516
FILED AS OF DATE: 20160616
DATE AS OF CHANGE: 20160616
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Five9, Inc.
CENTRAL INDEX KEY: 0001288847
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374]
IRS NUMBER: 943394123
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4000 EXECUTIVE PKWY.
STREET 2: SUITE 400
CITY: SAN RAMON
STATE: CA
ZIP: 94583
BUSINESS PHONE: 9252012000
MAIL ADDRESS:
STREET 1: 4000 EXECUTIVE PKWY.
STREET 2: SUITE 400
CITY: SAN RAMON
STATE: CA
ZIP: 94583
FORMER COMPANY:
FORMER CONFORMED NAME: Five 9 Inc
DATE OF NAME CHANGE: 20040428
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Welsh David S.
CENTRAL INDEX KEY: 0001603743
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36383
FILM NUMBER: 161717839
MAIL ADDRESS:
STREET 1: C/O ADAMS STREET PARTNERS, LLC
STREET 2: ONE NORTH WACKER DR., SUITE 2200
CITY: CHICAGO
STATE: IL
ZIP: 60606
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-05-16
0
0001288847
Five9, Inc.
FIVN
0001603743
Welsh David S.
C/O ADAMS STREET PARTNERS LLC
ONE NORTH WACKER DRIVE SUITE 2200
CHICAGO
IL
60606
1
0
1
0
Common Stock
2016-05-16
4
J
0
42840
0.00
A
42840
D
Common Stock
67173
D
Common Stock
2584821
I
See Footnote
Common Stock
2235689
I
See Footnote
Common Stock
1269991
I
See Footnote
Common Stock
1084176
I
See Footnote
Distribution from funds managed by Partech International, LLC, of which the reporting person was formerly a partner.
The reported shares are owned directly by David Welsh, who is a partner of Adams Street Partners, LLC ("ASP"). ASP is the managing member of the general partner of Adams Street 2008 Direct Fund, LP ("AS 2008"), Adams Street 2009 Direct Fund, LP ("AS 2009"), Adams Street 2010 Direct Fund, LP ("AS 2010") and the managing member of the general partner of the general partner of Adams Street 2011 Direct Fund LP ("AS 2011") (such funds collectively, the "Funds"). By agreement with the Funds, Mr. Welsh is deemed to hold the shares for the benefit of the Funds. Mr. Welsh disclaims beneficial ownership of the shares except to the extent of his pecuniary interest therein.
The reported securities are owned directly by AS 2008 (the "Shares") and indirectly by ASP as the managing member of the general partner of AS 2008. The securities owned by AS 2008 may be deemed to be beneficially owned by ASP and David S. Welsh, who is a partner of ASP, and may be deemed to have shared voting and investment power over the shares. Mr. Welsh disclaims beneficial ownership of the Shares except to the extent of his pecuniary interest therein.
The reported securities are owned directly by AS 2009 (the "Shares") and indirectly by ASP as the managing member of the general partner of AS 2009. The securities owned by AS 2009 may be deemed to be beneficially owned by ASP and David S. Welsh, who is a partner of ASP, and may be deemed to have shared voting and investment power over the shares. Mr. Welsh disclaims beneficial ownership of the Shares except to the extent of his pecuniary interest therein.
The reported securities are owned directly by AS 2010 (the "Shares") and indirectly by ASP as the managing member of the general partner of AS 2010. The securities owned by AS 2010 may be deemed to be beneficially owned by ASP and David S. Welsh, who is a partner of ASP, and may be deemed to have shared voting and investment power over the shares. Mr. Welsh disclaims beneficial ownership of the Shares except to the extent of his pecuniary interest therein.
The reported securities are owned directly by AS 2011 (the "Shares") and indirectly by ASP as the managing member of the general partner of AS 2011. The securities owned by AS 2011 may be deemed to be beneficially owned by ASP and David S. Welsh, who is a partner of ASP, and may be deemed to have shared voting and investment power over the shares. Mr. Welsh disclaims beneficial ownership of the Shares except to the extent of his pecuniary interest therein.
/s/ Barry Zwarenstein, attorney-in-fact
2016-06-16