0001209191-13-030607.txt : 20130604 0001209191-13-030607.hdr.sgml : 20130604 20130604181020 ACCESSION NUMBER: 0001209191-13-030607 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130531 FILED AS OF DATE: 20130604 DATE AS OF CHANGE: 20130604 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: BOTHA ROELOF CENTRAL INDEX KEY: 0001222287 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35801 FILM NUMBER: 13892620 MAIL ADDRESS: STREET 1: C/O SEQUOIA CAPITAL STREET 2: 3000 SAND HILL RD BLDG 4 #180 CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2013-05-31 0 0001315657 XOOM Corp XOOM 0001222287 BOTHA ROELOF 3000 SAND HILL ROAD BLDG. 4, SUITE 250 MENLO PARK CA 94025 1 0 0 0 Common Stock 2013-05-31 4 A 0 2623 0.00 A 2623 D Common Stock 5036306 I By Sequoia Capital XI, LP Common Stock 545439 I By Sequoia Capital XI Principals Fund, LLC Common Stock 159807 I By Sequoia Technology Partners XI, LP The Common Stock was issued under the Xoom Corporation Non-Employee Director's Compensation Policy approved by the Board of Directors. 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 2013-06-04