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