0001209191-14-015017.txt : 20140227
0001209191-14-015017.hdr.sgml : 20140227
20140227181658
ACCESSION NUMBER: 0001209191-14-015017
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140227
FILED AS OF DATE: 20140227
DATE AS OF CHANGE: 20140227
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: VARONIS SYSTEMS INC
CENTRAL INDEX KEY: 0001361113
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 571222280
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1250 BROADWAY, 31ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10001
BUSINESS PHONE: 877-292-8767
MAIL ADDRESS:
STREET 1: 1250 BROADWAY, 31ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10001
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Segev-Gal Rona
CENTRAL INDEX KEY: 0001601098
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36324
FILM NUMBER: 14650744
MAIL ADDRESS:
STREET 1: C/O PITANGO VENTURE CAPITAL FUND IV L.P.
STREET 2: 540 COWPER ST., SUITE 200
CITY: PALO ALTO
STATE: CA
ZIP: 94301
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2014-02-27
0
0001361113
VARONIS SYSTEMS INC
VRNS
0001601098
Segev-Gal Rona
C/O PITANGO VENTURE CAPITAL FUND IV L.P.
540 COWPER ST., SUITE 200
PALO ALTO
CA
94301
1
0
0
0
Common Stock, par value $0.001 per share
42629
I
Directly owned by Pitango Venture Capital Fund IV, L.P. See Explanation of Responses
Common Stock, par value $0.001 per share
921
I
Directly owned by Pitango Venture Capital Principals Fund IV, L.P. See Explanation of Responses
Series B Convertible Preferred Stock
Common Stock
2459452
I
Directly owned by Pitango Venture Capital Fund IV, L.P. See Explanation of Responses
Series B Convertible Preferred Stock
Common Stock
53111
I
Directly owned by Pitango Venture Capital Principals Fund IV, L.P. See Explanation of Responses
Series C Convertible Preferred Stock
Common Stock
376499
I
Directly owned by Pitango Venture Capital Fund IV, L.P. See Explanation of Responses
Series C Convertible Preferred Stock
Common Stock
8130
I
Directly owned by Pitango Venture Capital Principals Fund IV, L.P. See Explanation of Responses
Series D Convertible Preferred Stock
Common Stock
334221
I
Directly owned by Pitango Venture Capital Fund IV, L.P. See Explanation of Responses
Series D Convertible Preferred Stock
Common Stock
7217
I
Directly owned by Pitango Venture Capital Principals Fund IV, L.P. See Explanation of Responses
Series E Convertible Preferred Stock
Common Stock
86924
I
Directly owned by Pitango Venture Capital Fund IV, L.P. See Explanation of Responses
Series E Convertible Preferred Stock
Common Stock
1877
I
Directly owned by Pitango Venture Capital Principals Fund IV, L.P. See Explanation of Responses
The Reporting Person is a General Partner at Pitango Venture Capital Fund IV, L.P. ("PVCF"). Pitango V.C. Fund IV, L.P. is the General Partner of PVCF and Pitango Venture Capital Principals Fund IV, L.P., with its own General Partner being Pitango G.P. Capital Holdings Ltd., an Israeli company, owned indirectly by six individuals. These six individuals share voting and dispositive power of the Isuer's shares but none has sole voting or dispositive power of the Issuer's shares.
The Reporting Person disclaims beneficial ownership of the shares of common stock, except to the extent of such Reporting Person's pecuniary interest therein, if any.
Each share of preferred stock of the Issuer is (i) convertible at any time into shares of the Issuer's common stock on a one-for-one basis, and have no expiration date, and (ii) will automatically convert into shares of the Issuer's common stock immediately prior to the closing of the Issuer's initial public offering.
/s/ Rona Segev-Gal
2014-02-27