0001209191-14-043415.txt : 20140627
0001209191-14-043415.hdr.sgml : 20140627
20140624190838
ACCESSION NUMBER: 0001209191-14-043415
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140624
FILED AS OF DATE: 20140624
DATE AS OF CHANGE: 20140624
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Imprivata Inc
CENTRAL INDEX KEY: 0001328015
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 000000000
BUSINESS ADDRESS:
STREET 1: 19 MAGUIRE RD SUITE 232
CITY: LEXINGTON
STATE: MA
ZIP: 02421
BUSINESS PHONE: 781-674-2700
MAIL ADDRESS:
STREET 1: 19 MAGUIRE RD SUITE 232
CITY: LEXINGTON
STATE: MA
ZIP: 02421
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: General Catalyst GP II, LLC
CENTRAL INDEX KEY: 0001550974
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36516
FILM NUMBER: 14938464
BUSINESS ADDRESS:
STREET 1: GENERAL CATALYST PARTNERS
STREET 2: 20 UNIVERSITY ROAD, SUITE 450
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
BUSINESS PHONE: 617-234-7000
MAIL ADDRESS:
STREET 1: GENERAL CATALYST PARTNERS
STREET 2: 20 UNIVERSITY ROAD, SUITE 450
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: General Catalyst Group II, L.P.
CENTRAL INDEX KEY: 0001549856
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36516
FILM NUMBER: 14938465
BUSINESS ADDRESS:
STREET 1: GENERAL CATALYST PARTNERS
STREET 2: 20 UNIVERSITY ROAD; SUITE 450
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
BUSINESS PHONE: 617-234-7000
MAIL ADDRESS:
STREET 1: GENERAL CATALYST PARTNERS
STREET 2: 20 UNIVERSITY ROAD; SUITE 450
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cutler Joel E
CENTRAL INDEX KEY: 0001337122
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36516
FILM NUMBER: 14938466
MAIL ADDRESS:
STREET 1: C/O GENERAL CATALYST PARTNERS
STREET 2: 20 UNIVERSITY ROAD, SUITE 450
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Fialkow David P
CENTRAL INDEX KEY: 0001337220
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36516
FILM NUMBER: 14938467
MAIL ADDRESS:
STREET 1: C/O GENERAL CATALYST PARTNERS
STREET 2: 20 UNIVERSITY ROAD, SUITE 450
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: General Catalyst Partners II, L.P.
CENTRAL INDEX KEY: 0001554486
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36516
FILM NUMBER: 14938469
BUSINESS ADDRESS:
STREET 1: GENERAL CATALYST PARTNERS
STREET 2: 20 UNIVERSITY ROAD; SUITE 450
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
BUSINESS PHONE: 617-234-7000
MAIL ADDRESS:
STREET 1: GENERAL CATALYST PARTNERS
STREET 2: 20 UNIVERSITY ROAD; SUITE 450
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GC Entrepreneurs Fund II, L.P.
CENTRAL INDEX KEY: 0001549855
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36516
FILM NUMBER: 14938468
BUSINESS ADDRESS:
STREET 1: GENERAL CATALYST PARTNERS
STREET 2: 20 UNIVERSITY ROAD; SUITE 450
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
BUSINESS PHONE: 617-234-7000
MAIL ADDRESS:
STREET 1: GENERAL CATALYST PARTNERS
STREET 2: 20 UNIVERSITY ROAD; SUITE 450
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2014-06-24
0
0001328015
Imprivata Inc
IMPR
0001549856
General Catalyst Group II, L.P.
C/O GENERAL CATALYST PARTNERS
20 CAMBRIDGE ROAD, 4TH FLOOR
CAMBRIDGE
MA
02138
0
0
1
0
0001550974
General Catalyst GP II, LLC
C/O GENERAL CATALYST PARTNERS
20 CAMBRIDGE ROAD, 4TH FLOOR
CAMBRIDGE
MA
02138
0
0
1
0
0001554486
General Catalyst Partners II, L.P.
C/O GENERAL CATALYST PARTNERS
20 CAMBRIDGE ROAD, 4TH FLOOR
CAMBRIDGE
MA
02138
0
0
1
0
0001549855
GC Entrepreneurs Fund II, L.P.
C/O GENERAL CATALYST PARTNERS
20 CAMBRIDGE ROAD, 4TH FLOOR
CAMBRIDGE
MA
02138
0
0
1
0
0001337220
Fialkow David P
C/O GENERAL CATALYST PARTNERS
20 CAMBRIDGE ROAD, 4TH FLOOR
CAMBRIDGE
MA
02138
0
0
1
0
0001337122
Cutler Joel E
C/O GENERAL CATALYST PARTNERS
20 CAMBRIDGE ROAD, 4TH FLOOR
CAMBRIDGE
MA
02138
0
0
1
0
Series A Convertible Preferred Stock
Common Stock
2400642
D
Series B Convertible Preferred Stock
Common Stock
1164614
D
Series C Convertible Preferred Stock
Common Stock
739701
D
Series A Convertible Preferred Stock
Common Stock
88279
D
Series B Convertible Preferred Stock
Common Stock
43936
D
Series C Convertible Preferred Stock
Common Stock
27906
D
The Series A, B and C Convertible Preferred Stock is convertible at any time at the option of the holder, and will automatically convert into shares of Common Stock on a 1.5-for-1 basis upon the closing of the Issuer's initial public offering. The securities have no expiration date.
The shares are held by General Catalyst Group II, L.P. ("GCG II"). General Catalyst GP II, LLC ("GC II LLC") is the general partner of General Catalyst Partners II, L.P. ("GC II LP"), which is the general partner of GCG II. Each of GC II LLC and GC II LP disclaims beneficial ownership of the shares and this report shall not be deemed an admission that such reporting person is the beneficial owner of such shares, except to the extent of its pecuniary interest, if any, in the shares. Each of David Fialkow, David Orfao, and Joel Cutler is a Managing Director of GC II LLC and may be deemed to share voting and dispositive power of the shares held by GCG II. Each of the Managing Directors disclaims beneficial ownership of such shares and this report shall not be deemed an admission that such reporting person is the beneficial owner of such shares, except to the extent of his pecuniary interest, if any, in the shares.
The shares are held by GC Entrepreneurs Fund II, L.P. ("GC EF II"). GC II LLC is the general partner of GC II LP, which is the general partner of GC EF II. Each of GC II LLC and GC II LP disclaims beneficial ownership of the shares and this report shall not be deemed an admission that such reporting person is the beneficial owner of such shares, except to the extent of its pecuniary interest, if any, in the shares. Each of David Fialkow, David Orfao, and Joel Cutler is a Managing Director of GC II LLC and may be deemed to share voting and dispositive power of the shares held by GC EF II. Each of the Managing Directors disclaims beneficial ownership of such shares and this report shall not be deemed an admission that such reporting person is the beneficial owner of such shares, except to the extent of his pecuniary interest, if any, in the shares.
General Catalyst Group II, L.P., By: General Catalyst Partners II, L.P., its General Partner, By: General Catalyst GP II, LLC, its General Partner, /s/ William J. Fitzgerald, CFO/COO & Managing Director
2014-06-24
General Catalyst GP II, LLC, /s/ William J. Fitzgerald, CFO/COO & Managing Director
2014-06-24
General Catalyst Partners II, L.P., By: General Catalyst GP II, LLC, its General Partner, /s/ William J. Fitzgerald, CFO/COO & Managing Director
2014-06-24
GC Entrepreneurs Fund II, L.P., By: General Catalyst Partners II, L.P., its General Partner, By: General Catalyst GP II, LLC, its General Partner, /s/ William J. Fitzgerald, CFO/COO & Managing Director
2014-06-24
/s/ David Fialkow
2014-06-24
/s/ Joel Cutler
2014-06-24