0001209191-15-025040.txt : 20150311
0001209191-15-025040.hdr.sgml : 20150311
20150311130809
ACCESSION NUMBER: 0001209191-15-025040
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150311
FILED AS OF DATE: 20150311
DATE AS OF CHANGE: 20150311
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: MaxPoint Interactive, Inc.
CENTRAL INDEX KEY: 0001611231
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ADVERTISING [7310]
IRS NUMBER: 205530657
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3020 CARRINGTON MILL BLVD.
STREET 2: SUITE 300
CITY: MORRISVILLE
STATE: NC
ZIP: 27560
BUSINESS PHONE: 800-916-9960
MAIL ADDRESS:
STREET 1: 3020 CARRINGTON MILL BLVD.
STREET 2: SUITE 300
CITY: MORRISVILLE
STATE: NC
ZIP: 27560
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tai Augustus O
CENTRAL INDEX KEY: 0001290446
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36864
FILM NUMBER: 15691913
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-03-11
0
0001611231
MaxPoint Interactive, Inc.
MXPT
0001290446
Tai Augustus O
2480 SAND HILL ROAD, SUITE 200
MENLO PARK
CA
94025
1
0
1
0
Common Stock
2015-03-11
4
C
0
6055851
A
6055851
I
By Trinity Ventures X, L.P.
Common Stock
2015-03-11
4
C
0
34718
A
34718
I
By Trinity X Side-By-Side Fund, L.P.
Common Stock
2015-03-11
4
C
0
59006
A
59006
I
By Trinity X Entrepreneurs' Fund, L.P.
Series B Convertible Preferred Stock
2015-03-11
4
C
0
3489221
D
Common Stock
3489221
0
I
By Trinity Ventures X, L.P.
Series B Convertible Preferred Stock
2015-03-11
4
C
0
20908
D
Common Stock
20908
0
I
By Trinity X Side-By-Side Fund, L.P.
Series B Convertible Preferred Stock
2015-03-11
4
C
0
33666
D
Common Stock
33666
0
I
By Trinity X Entrepreneurs' Fund, L.P.
Series C Convertible Preferred Stock
2015-03-11
4
C
0
1597460
D
Common Stock
1597460
0
I
By Trinity Ventures X, L.P.
Series C Convertible Preferred Stock
2015-03-11
4
C
0
8596
D
Common Stock
8596
0
I
By Trinity X Side-By-Side Fund, L.P.
Series C Convertible Preferred Stock
2015-03-11
4
C
0
15895
D
Common Stock
15895
0
I
By Trinity X Entrepreneurs' Fund, L.P.
Series D Convertible Preferred Stock
2015-03-11
4
C
0
969170
D
Common Stock
969170
0
I
By Trinity Ventures X, L.P.
Series D Convertible Preferred Stock
2015-03-11
4
C
0
5214
D
Common Stock
5214
0
I
By Trinity X Side-By-Side Fund, L.P.
Series D Convertible Preferred Stock
2015-03-11
4
C
0
9445
D
Common Stock
9445
0
I
By Trinity X Entrepreneurs' Fund, L.P.
Each share of Series B Convertible Preferred Stock, Series C Convertible Preferred Stock and Series D Convertible Preferred Stock automatically converted into one share of Issuer's Common Stock for no additional consideration immediately prior to the completion of the Issuer's initial public offering. The exercisability date and expiration date are not relevant to the conversion of these securities.
Trinity TVL X, LLC ("Trinity TVL X") serves as the sole general partner of Trinity Ventures X, L.P. ("Trinity X"), Trinity X Side-By-Side Fund, L.P. ("Trinity X SBS") and Trinity X Entrepreneurs' Fund, L.P. ("Trinity X EF"). As such, Trinity TVL X possesses sole voting and investment control over the shares owned by Trinity X, Trinity X SBS and Trinity X EF, and may be deemed to have indirect beneficial ownership of the securities held by Trinity X, Trinity X SBS and Trinity X EF. Trinity TVL X and TVL Management Corporation own no shares of the Issuer directly.
The Reporting Person is a Management Member of Trinity TVL X and is an Owner of TVL Management Corporation, and may be deemed to share voting and investment power over the shares owned by Trinity X, Trinity X SBS and Trinity X EF. The Reporting Person disclaims beneficial ownership in the shares held by the aforementioned entities except to the extent of his pecuniary interest therein.
/s/ Augustus O. Tai
2015-03-11