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