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