0001209191-15-048489.txt : 20150601 0001209191-15-048489.hdr.sgml : 20150601 20150601185011 ACCESSION NUMBER: 0001209191-15-048489 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150528 FILED AS OF DATE: 20150601 DATE AS OF CHANGE: 20150601 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: 425 MARKET STREET 12TH FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: 415-660-1089 MAIL ADDRESS: STREET 1: 425 MARKET STREET 12TH FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94105 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: 15904889 MAIL ADDRESS: STREET 1: C/O SEQUOIA CAPITAL STREET 2: 2800 SAND HILL RD, SUITE 101 CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-05-28 0 0001315657 XOOM Corp XOOM 0001222287 BOTHA ROELOF 2800 SAND HILL ROAD, SUITE 101 MENLO PARK CA 94025 1 0 0 0 Common Stock 2015-05-28 4 A 0 3666 0.00 A 8445 D Common Stock 2015-05-28 4 A 0 3924 0.00 A 12369 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 Common Stock 70000 I Shares held by BV 369 Trust Stock Option (right to buy) 19.11 2015-05-28 4 A 0 9179 0.00 A 2025-05-28 Common Stock 9179 9179 D The Common Stock was issued under the Xoom Corporation Non-Employee Director's Compensation Policy approved by the Board of Directors. The Reporting Person was issued Restricted Stock Units (RSU) under the Xoom Corporation Non-Employee Director's Compensation Policy approved by the Board of Directors. The RSUs vest on the one year anniversary of the vesting commencement date of May 28, 2015, subject to the Reporting Person's continuous service to the Issuer on such 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. Shares held by BV 369 Trust. The Reporting Person may be deemed to beneficially own the shares held by BV 369 Trust. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities on this report shall not be deemed an admission that the Reporting Person is the beneficial owner of the reported securities for purposes of Section 16 or for any other purpose. This stock option was issued under the Xoom Corporation Non-Employee Director's Compensation Policy approved by the Board of Directors. The shares subject to the option vest on the one year anniversary of the vesting commencement date of May 28, 2015, subject to the Reporting Person's continuous service to the Issuer on such date. /s/ Christopher G. Ferro, Attorney in fact to Roelof Frederik Botha 2015-06-01