0001209191-15-025039.txt : 20150311
0001209191-15-025039.hdr.sgml : 20150311
20150311130742
ACCESSION NUMBER: 0001209191-15-025039
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: Labatt Nina C.
CENTRAL INDEX KEY: 0001605660
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36864
FILM NUMBER: 15691904
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mehandru Karan
CENTRAL INDEX KEY: 0001606271
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36864
FILM NUMBER: 15691905
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD, SUITE 4-160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Scholnick Dan
CENTRAL INDEX KEY: 0001606272
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36864
FILM NUMBER: 15691906
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD, SUITE 4-160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Trinity X Side-By-Side Fund, L.P.
CENTRAL INDEX KEY: 0001459208
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36864
FILM NUMBER: 15691908
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 6508549500
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Trinity X Entrepreneurs' Fund, L.P.
CENTRAL INDEX KEY: 0001461716
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36864
FILM NUMBER: 15691909
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 854-9500
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Trinity TVL X, LLC
CENTRAL INDEX KEY: 0001461710
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36864
FILM NUMBER: 15691911
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 854-9500
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TVL Management CORP
CENTRAL INDEX KEY: 0001290448
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36864
FILM NUMBER: 15691907
BUSINESS ADDRESS:
STREET 1: C/O TRINITY VENTURES
STREET 2: 3000 SAND HILL ROAD, BLDG. 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-854-9500
MAIL ADDRESS:
STREET 1: C/O TRINITY VENTURES
STREET 2: 3000 SAND HILL ROAD, BLDG. 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TRINITY VENTURES X LP
CENTRAL INDEX KEY: 0001456065
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36864
FILM NUMBER: 15691910
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-854-9500
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
0001461710
Trinity TVL X, LLC
2480 SAND HILL ROAD, SUITE 200
MENLO PARK
CA
94025
0
0
1
0
0001456065
TRINITY VENTURES X LP
2480 SAND HILL ROAD, SUITE 200
MENLO PARK
CA
94025
0
0
1
0
0001461716
Trinity X Entrepreneurs' Fund, L.P.
2480 SAND HILL ROAD, SUITE 200
MENLO PARK
CA
94025
0
0
1
0
0001459208
Trinity X Side-By-Side Fund, L.P.
2480 SAND HILL ROAD, SUITE 200
MENLO PARK
CA
94025
0
0
1
0
0001290448
TVL Management CORP
2480 SAND HILL ROAD, SUITE 200
MENLO PARK
CA
94025
0
0
1
0
0001605660
Labatt Nina C.
2480 SAND HILL ROAD, SUITE 200
MENLO PARK
CA
94025
0
0
1
0
0001606271
Mehandru Karan
2480 SAND HILL ROAD, SUITE 200
MENLO PARK
CA
94025
0
0
1
0
0001606272
Scholnick Dan
2480 SAND HILL ROAD, SUITE 200
MENLO PARK
CA
94025
0
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.
Messrs. Orr, Fenton, Tai, Wang, Chopra, Mehandru and Scholnick, Mrs. Nakache and Ms. Labatt serve as Management Members of Trinity TVL X and Owners of TVL Management Corporation and share voting and dispositive power over the shares held by Trinity X EF, Trinity X SBS and Trinity X. Each Reporting Person disclaims beneficial ownership of the shares held by Trinity X EF, Trinity X SBS and Trinity X except to the extent of his, her or its proportionate pecuniary interest therein. Mr. Tai is a director of the Issuer and, accordingly, files separate Section 16 reports.
Filing 2 of 2
/s/ Nina C. Labatt, Management Member of Trinity TVL X, LLC
2015-03-11
/s/ Nina C. Labatt, Management Member of Trinity TVL X, LLC, which serves as the sole General Partner to Trinity Ventures X, L.P.
2015-03-11
/s/ Nina C. Labatt, Management Member of Trinity TVL X, LLC, which serves as the sole General Partner to Trinity X Entrepreneurs' Fund, L.P.
2015-03-11
/s/ Nina C. Labatt, Management Member of Trinity TVL X, LLC, which serves as the sole General Partner to Trinity X Side-By-Side Fund, L.P.
2015-03-11
/s/ Nina C. Labatt, Owner of TVL Management Corporation
2015-03-11
/s/ Nina C. Labatt
2015-03-11
/s/ Mehandru Karan
2015-03-11
/s/ Daniel Scholnick
2015-03-11