0001181431-13-055879.txt : 20131031 0001181431-13-055879.hdr.sgml : 20131031 20131031135951 ACCESSION NUMBER: 0001181431-13-055879 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131029 FILED AS OF DATE: 20131031 DATE AS OF CHANGE: 20131031 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: XOOM Corp CENTRAL INDEX KEY: 0001315657 STANDARD INDUSTRIAL CLASSIFICATION: FUNCTIONS RELATED TO DEPOSITORY BANKING, NEC [6099] IRS NUMBER: 943401054 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 BUSH STREET SUITE 300 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 BUSINESS PHONE: 415-395-4203 MAIL ADDRESS: STREET 1: 100 BUSH STREET SUITE 300 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 FORMER COMPANY: FORMER CONFORMED NAME: XOOM CORP DATE OF NAME CHANGE: 20050127 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOLLURI KRISHNA KITTU CENTRAL INDEX KEY: 0001270521 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35801 FILM NUMBER: 131181993 4 1 rrd393875.xml X0306 4 2013-10-29 1 0001315657 XOOM Corp XOOM 0001270521 KOLLURI KRISHNA KITTU 1954 GREENSPRING DRIVE SUITE 600 TIMONIUM MD 21093 0 0 1 0 Common Stock 2013-10-29 4 J 0 2239385 0 D 2239385 I See Note 2 Common Stock 2013-10-29 4 J 0 22394 0 A 22394 I See Note 4 Common Stock 2013-10-29 4 J 0 22394 0 D 0 I See Note 4 Common Stock 2013-10-29 4 J 0 197 0 A 197 I See Note 7 Common Stock 2013-10-29 4 J 0 1008 0 A 1205 I See Note 7 New Enterprise Associates 11, Limited Partnership ("NEA 11") made a pro rata distribution for no consideration of an aggregate of 2,239,385 shares of Common Stock of the Issuer to its general partner and its limited partners on October 29, 2013. The Reporting Person is a manager of NEA 11 GP, LLC, which is the sole general partner of NEA Partners 11, Limited Partnership ("NEA Partners 11"). NEA Partners 11 is the sole general partner of NEA 11, the direct beneficial owner of the shares. The Reporting Person disclaims beneficial ownership within the meaning of Section 16 of the Securities Exchange Act of 1934 (the "1934 Act"), as amended, or otherwise of the shares held by NEA 11, except to the extent of his pecuniary interest therein. NEA Partners 11 received 22,394 shares of Common Stock of the Issuer in the distribution by NEA 11 on October 29, 2013. The Reporting Person is a manager of NEA 11 GP, LLC, the sole general partner of NEA Partners 11, the direct beneficial owner of the shares. The Reporting Person disclaims beneficial ownership within the meaning of Section 16 of the 1934 Act, as amended, or otherwise of the shares held by NEA Partners 11, except to the extent of his pecuniary interest therein. NEA Partners 11 made a pro rata distribution for no consideration of an aggregate of 22,394 shares of Common Stock of the Issuer to its limited partners on October 29, 2013. The Kolluri Living Trust dated 11/5/99 (the "Kolluri Trust") received 197 shares of Common Stock of the Issuer in the distribution by NEA Partners 11 on October 29, 2013. The shares are held directly by the Kolluri Trust. The Reporting Person disclaims beneficial ownership within the meaning of Section 16 of the 1934 Act, as amended, or otherwise of the shares held by the Kolluri Trust, except to the extent of his pecuniary interest therein. The Kolluri Trust received 1,008 shares of Common Stock of the Issuer in the distribution by NEA 11 on October 29, 2013. /s/ Louis Citron, attorney-in-fact 2013-10-31