0001209191-16-145167.txt : 20161005
0001209191-16-145167.hdr.sgml : 20161005
20161005195653
ACCESSION NUMBER: 0001209191-16-145167
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161005
FILED AS OF DATE: 20161005
DATE AS OF CHANGE: 20161005
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Coupa Software Inc
CENTRAL INDEX KEY: 0001385867
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 204429448
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 1855 S. GRANT STREET
CITY: SAN MATEO
STATE: CA
ZIP: 94402
BUSINESS PHONE: 6509313200
MAIL ADDRESS:
STREET 1: 1855 S. GRANT STREET
CITY: SAN MATEO
STATE: CA
ZIP: 94402
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Irwin Michael Scott
CENTRAL INDEX KEY: 0001490333
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37901
FILM NUMBER: 161923710
MAIL ADDRESS:
STREET 1: 11501 DOMAIN DRIVE
STREET 2: SUITE 200
CITY: AUSTIN
STATE: TX
ZIP: 78758
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Peterson Thomas H
CENTRAL INDEX KEY: 0001412965
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37901
FILM NUMBER: 161923711
MAIL ADDRESS:
STREET 1: C/O EL DORADO VENTURES
STREET 2: 2440 SAND HILL ROAD SUITE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: EL DORADO TECHNOLOGY 05 LP
CENTRAL INDEX KEY: 0001345946
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37901
FILM NUMBER: 161923712
BUSINESS ADDRESS:
STREET 1: 702 OAK GROVE AVENUE
STREET 2: THIRD FLOOR
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 6508541200
MAIL ADDRESS:
STREET 1: 702 OAK GROVE AVENUE
STREET 2: THIRD FLOOR
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: El Dorado Ventures VII, LLC
CENTRAL INDEX KEY: 0001686247
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37901
FILM NUMBER: 161923713
BUSINESS ADDRESS:
STREET 1: 702 OAK GROVE AVENUE, THIRD FLOOR
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 854-1200
MAIL ADDRESS:
STREET 1: 702 OAK GROVE AVENUE, THIRD FLOOR
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: EL Dorado Ventures VII L P
CENTRAL INDEX KEY: 0001318521
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37901
FILM NUMBER: 161923714
BUSINESS ADDRESS:
STREET 1: 702 OAK GROVE AVENUE
STREET 2: THIRD FLOOR
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 854-1200
MAIL ADDRESS:
STREET 1: 702 OAK GROVE AVENUE
STREET 2: THIRD FLOOR
CITY: MENLO PARK
STATE: CA
ZIP: 94025
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2016-10-05
0
0001385867
Coupa Software Inc
COUP
0001318521
EL Dorado Ventures VII L P
702 OAK GROVE AVENUE
MENLO PARK
CA
94025
0
0
1
0
0001686247
El Dorado Ventures VII, LLC
702 OAK GROVE AVENUE
MENLO PARK
CA
94025
0
0
1
0
0001345946
EL DORADO TECHNOLOGY 05 LP
702 OAK GROVE AVENUE
MENLO PARK
CA
94025
0
0
1
0
0001412965
Peterson Thomas H
702 OAK GROVE AVENUE
MENLO PARK
CA
94025
0
0
1
0
0001490333
Irwin Michael Scott
702 OAK GROVE AVENUE
MENLO PARK
CA
94025
0
0
1
0
Common Stock
128016
I
El Dorado Ventures VII L.P.
Common Stock
3996
I
El Dorado Technology '05 L.P.
Series C Convertible Preferred Stock
1.278
Common Stock
2845440
I
El Dorado Ventures VII L.P.
Series D Convertible Preferred Stock
1.3524
Common Stock
1093858
I
El Dorado Ventures VII L.P.
Series E Convertible Preferred Stock
3.1148
Common Stock
721407
I
El Dorado Ventures VII L.P.
Series F Convertible Preferred Stock
8.09
Common Stock
299668
I
El Dorado Ventures VII L.P.
Series G Convertible Preferred Stock
16.7232
Common Stock
97604
I
El Dorado Ventures VII L.P.
Series C Convertible Preferred Stock
1.278
Common Stock
88831
I
El Dorado Technology '05 L.P.
Series D Convertible Preferred Stock
1.3524
Common Stock
34149
I
El Dorado Technology '05 L.P.
Series E Convertible Preferred Stock
3.1148
Common Stock
22521
I
El Dorado Technology '05 L.P.
Series F Convertible Preferred Stock
8.09
Common Stock
9355
I
El Dorado Technology '05 L.P.
Series G Convertible Preferred Stock
16.7232
Common Stock
3046
I
El Dorado Technology '05 L.P.
The Shares are held by El Dorado Ventures VII, L.P. ("EDV"). El Dorado Venture Partners VII, LLC ("EDVP") is the general partner of EDV. Charles Beeler, Thomas H. Peterson and M. Scott Irwin are the managing members of EDVP. These individuals share voting and investment power over the shares owned by EDV and disclaim beneficial ownership in the shares held by the aforementioned entities except to the extent of his pecuniary interest therein. Charles Beeler is a director of the Issuer and, accordingly files separate Section 16 reports.
The Shares are held by El Dorado Technology '05, L.P. ("EDTV"). EDVP is the general partner of EDTV. Charles Beeler, Thomas H. Peterson and M. Scott Irwin are the managing members of EDVP. These individuals share voting and investment power over the shares owned by EDTV and disclaim beneficial ownership in the shares held by the aforementioned entities except to the extent of his pecuniary interest therein. Charles Beeler is a director of the Issuer and, accordingly files separate Section 16 reports.
The Series C Convertible Preferred Stock, the Series D Convertible Preferred Stock, the Series E Convertible Preferred Stock, the Series F Convertible Preferred Stock and the Series G Convertible Preferred Stock shall automatically convert into Common Stock on a 1-for-1 basis immediately prior to the completion of the Issuer's initial public offering and has no expiration date.
/s/ Charles D. Beeler
2016-10-05