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