0001209191-16-156386.txt : 20161221 0001209191-16-156386.hdr.sgml : 20161221 20161221200332 ACCESSION NUMBER: 0001209191-16-156386 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161219 FILED AS OF DATE: 20161221 DATE AS OF CHANGE: 20161221 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BOX INC CENTRAL INDEX KEY: 0001372612 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 202714444 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 900 JEFFERSON AVE CITY: REDWOOD CITY STATE: CA ZIP: 94063 BUSINESS PHONE: 877-729-4269 MAIL ADDRESS: STREET 1: 900 JEFFERSON AVE CITY: REDWOOD CITY STATE: CA ZIP: 94063 FORMER COMPANY: FORMER CONFORMED NAME: BOX.NET INC DATE OF NAME CHANGE: 20060814 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: O'Driscoll Rory CENTRAL INDEX KEY: 0001366969 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36805 FILM NUMBER: 162064907 MAIL ADDRESS: STREET 1: 950 TOWER LANE STREET 2: SUITE 700 CITY: FOSTER CITY STATE: CA ZIP: 94404 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-12-19 0 0001372612 BOX INC BOX 0001366969 O'Driscoll Rory C/O SCALE VENTURE MANAGEMENT III, LLC 950 TOWER LANE, SUITE 700 FOSTER CITY CA 94404 1 0 0 0 Class A Common Stock 2016-12-19 4 C 0 500 A 500 I See footnote Class A Common Stock 2016-12-19 4 S 0 500 14.50 D 0 I See footnote Class A Common Stock 14284 D Class B Common Stock 2016-12-19 4 C 0 500 0.00 D Class A Common Stock 500 6667654 I See footnote Represents the conversion of Class B Common Stock into Class A Common Stock held by Scale Venture Partners III, L.P. ("SVP III"). Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date. The shares are held of record by SVP III. Scale Venture Management III, LLC ("SVM III"), the general partner of SVP III, has sole voting and dispositive power with respect to the shares held by SVP III. Stacey Bishop, Kate Mitchell, Rory O'Driscoll and Andy Vitus, the managing members of SVM III, share voting and dispositive power with respect to the shares held by SVP III. The reporting person disclaims beneficial ownership of the reported securities for purposes of Section 16 or for any other purpose. Pursuant to the policies of Scale Venture Partners III, LP ("Scale Partners") and Scale Management III, LLC ("Scale Management III") and Scale Management LLC ("Scale Management") the Reporting Person is deemed to hold the reported security for the benefit of Scale Management. Scale Management may be deemed the indirect beneficial owner of the security. The Reporting Person disclaims beneficial ownership of the security except to the extent of his pecuniary interest therein. /s/ Rory O'Driscoll 2016-12-21