0001209191-13-009116.txt : 20130214
0001209191-13-009116.hdr.sgml : 20130214
20130214185739
ACCESSION NUMBER: 0001209191-13-009116
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20130214
FILED AS OF DATE: 20130214
DATE AS OF CHANGE: 20130214
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BOTHA ROELOF
CENTRAL INDEX KEY: 0001222287
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35801
FILM NUMBER: 13616952
MAIL ADDRESS:
STREET 1: C/O SEQUOIA CAPITAL
STREET 2: 3000 SAND HILL RD BLDG 4 #180
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: XOOM Corp
CENTRAL INDEX KEY: 0001315657
STANDARD INDUSTRIAL CLASSIFICATION: FUNCTIONS RELATED TO DEPOSITORY BANKING, NEC [6099]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
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
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2013-02-14
0
0001315657
XOOM Corp
XOOM
0001222287
BOTHA ROELOF
3000 SAND HILL ROAD BLDG. 4, SUITE 250
MENLO PARK
CA
94025
1
0
0
0
Series B Preferred Stock
Common Stock
2246338
I
By Sequoia Capital XI, LP
Series B Preferred Stock
Common Stock
241913
I
By Sequoia Capital XI Principals Fund, LLC
Series B Preferred Stock
Common Stock
71678
I
By Sequoia Technology Partners XI, LP
Series C Preferred Stock
Common Stock
835393
I
By Sequoia Capital XI, LP
Series C Preferred Stock
Common Stock
90884
I
By Sequoia Capital XI Principals Fund, LLC
Series C Preferred Stock
Common Stock
26388
I
By Sequoia Technology Partners XI, LP
Series C-1 Preferred Stock
Common Stock
684467
I
By Sequoia Capital XI, LP
Series C-1 Preferred Stock
Common Stock
74465
I
By Sequoia Capital XI Principals Fund, LLC
Series C-1 Preferred Stock
Common Stock
21621
I
By Sequoia Technology Partners XI, LP
Series D Preferred Stock
Common Stock
511757
I
By Sequoia Capital XI, LP
Series D Preferred Stock
Common Stock
55675
I
By Sequoia Capital XI Principals Fund, LLC
Series D Preferred Stock
Common Stock
16165
I
By Sequoia Technology Partners XI, LP
Series E Preferred Stock
Common Stock
398381
I
By Sequoia Capital XI, LP
Series E Preferred Stock
Common Stock
43340
I
By Sequoia Capital XI Principals Fund, LLC
Series E Preferred Stock
Common Stock
12584
I
By Sequoia Technology Partners XI, LP
Series F Preferred Stock
Common Stock
359970
I
By Sequoia Capital XI, LP
Series F Preferred Stock
Common Stock
39162
I
By Sequoia Capital XI Principals Fund, LLC
Series F Preferred Stock
Common Stock
11371
I
By Sequoia Technology Partners XI, LP
Each share of Series B Preferred Stock, Series C Preferred Stock, Series C-1 Preferred Stock, Series D Preferred Stock, Series E Preferred Stock and Series F Preferred Stock automatically converts into Common Stock on a 1-for-1 basis immediately prior to the closing of the Issuer's initial public offering of Common Stock and has no expiration date.
Roelof Frederik Botha is an indirect non-managing member of SC XI Management, LLC ("SC XI Management"). SC XI Management is the general partner of Sequoia Capital XI, LP and Sequoia Technology Partners XI, LP and is the managing member of Sequoia Capital XI Principals Fund, LLC. In addition, Mr. Botha is an indirect member of Sequoia Capital XI Principals Fund, LLC. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purpose.
/s/Christopher Ferro, attorney in fact to Roelof Frederik Botha
2013-02-14
EX-24.3_458130
2
poa.txt
POA DOCUMENT
LIMITED POWER OF ATTORNEY
The undersigned hereby constitutes and appoints each of John Kunze, Ryno
Blignaut and Christopher Ferro, signing singly, and with full power of
substitution, the undersigned's true and lawful attorney-in-fact to:
(1) execute for and on behalf of the undersigned, in the undersigned's capacity
as an officer and/or director of Xoom Corporation (the "Company"), from time to
time the following U.S. Securities and Exchange Commission ("SEC") forms: (i)
Form ID, including any attached documents, to effect the assignment of codes to
the undersigned to be used in the transmission of information to the SEC using
the EDGAR System; (ii) Form 3, Initial Statement of Beneficial Ownership of
Securities, including any attached documents; (iii) Form 4, Statement of
Changes in Beneficial Ownership of Securities, including any attached documents;
(iv) Form 5, Annual Statement of Beneficial Ownership of Securities in
accordance with Section 16(a) of the Securities Exchange Act of 1934, as
amended, and the rules thereunder, including any attached documents; (v)
Schedule 13D and (vi) amendments of each thereof, in accordance with the
Securities Exchange Act of 1934, as amended, and the rules thereunder, including
any attached documents;
(2) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 3, 4 or 5,
Schedule 13D or any amendment(s) thereto, and timely file such form(s) with the
SEC and any securities exchange, national association or similar authority; and
(3) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact, acting singly,
full power and authority to do and perform any and every act and thing
whatsoever requisite, necessary or proper to be done in the exercise of any of
the rights and powers herein granted, as fully to all intents and purposes as
the undersigned might or could do if personally present, with full power of
substitution or revocation, hereby ratifying and confirming all that such
attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall
lawfully do or cause to be done by virtue of this power of attorney and the
rights and powers herein granted. The undersigned acknowledges that the
foregoing attorneys-in-fact, in serving in such capacity at the request of the
undersigned, are not assuming, nor is the Company assuming, any of the
undersigned's responsibilities to comply with Section 16 or Regulation 13D-G of
the Securities Exchange Act of 1934, as amended. The undersigned hereby agrees
to indemnify the attorney in fact and the Company from and against any demand,
damage, loss, cost or expense arising from any false or misleading information
provided by the undersigned to the attorney-in fact.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file such forms with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of July 12, 2012.
/s/ Roelof Frederik Botha