0001144204-16-106008.txt : 20160531
0001144204-16-106008.hdr.sgml : 20160531
20160531184923
ACCESSION NUMBER: 0001144204-16-106008
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160526
FILED AS OF DATE: 20160531
DATE AS OF CHANGE: 20160531
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: TRUPANION INC.
CENTRAL INDEX KEY: 0001371285
STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 907 NW BALLARD WAY
CITY: SEATTLE
STATE: WA
ZIP: 98107
BUSINESS PHONE: 888-738-7478
MAIL ADDRESS:
STREET 1: 907 NW BALLARD WAY
CITY: SEATTLE
STATE: WA
ZIP: 98107
FORMER COMPANY:
FORMER CONFORMED NAME: VETINSURANCE INTERNATIONAL INC
DATE OF NAME CHANGE: 20060802
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Maveron LLC
CENTRAL INDEX KEY: 0001587953
STATE OF INCORPORATION: WA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36537
FILM NUMBER: 161687441
BUSINESS ADDRESS:
STREET 1: 411 1ST AVENUE SOUTH, SUITE 600
CITY: SEATTLE
STATE: WA
ZIP: 98104
BUSINESS PHONE: (206)288-1700
MAIL ADDRESS:
STREET 1: 411 1ST AVENUE SOUTH, SUITE 600
CITY: SEATTLE
STATE: WA
ZIP: 98104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MEP Associates III, L.P.
CENTRAL INDEX KEY: 0001587647
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36537
FILM NUMBER: 161687442
BUSINESS ADDRESS:
STREET 1: 411 1ST AVENUE SOUTH, SUITE 600
CITY: SEATTLE
STATE: WA
ZIP: 98104
BUSINESS PHONE: (206)288-1700
MAIL ADDRESS:
STREET 1: 411 1ST AVENUE SOUTH, SUITE 600
CITY: SEATTLE
STATE: WA
ZIP: 98104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Maveron III Entrepreneurs Fund, L.P.
CENTRAL INDEX KEY: 0001587646
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36537
FILM NUMBER: 161687443
BUSINESS ADDRESS:
STREET 1: 411 1ST AVENUE SOUTH, SUITE 600
CITY: SEATTLE
STATE: WA
ZIP: 98104
BUSINESS PHONE: (206)288-1700
MAIL ADDRESS:
STREET 1: 411 1ST AVENUE SOUTH, SUITE 600
CITY: SEATTLE
STATE: WA
ZIP: 98104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Maveron Equity Partners III, L.P.
CENTRAL INDEX KEY: 0001587648
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36537
FILM NUMBER: 161687444
BUSINESS ADDRESS:
STREET 1: 411 1ST AVENUE SOUTH, SUITE 600
CITY: SEATTLE
STATE: WA
ZIP: 98104
BUSINESS PHONE: (206)288-1700
MAIL ADDRESS:
STREET 1: 411 1ST AVENUE SOUTH, SUITE 600
CITY: SEATTLE
STATE: WA
ZIP: 98104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Maveron General Partner III LLC
CENTRAL INDEX KEY: 0001587645
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36537
FILM NUMBER: 161687445
BUSINESS ADDRESS:
STREET 1: 411 1ST AVENUE SOUTH, SUITE 600
CITY: SEATTLE
STATE: WA
ZIP: 98104
BUSINESS PHONE: (206)288-1700
MAIL ADDRESS:
STREET 1: 411 1ST AVENUE SOUTH, SUITE 600
CITY: SEATTLE
STATE: WA
ZIP: 98104
4
1
v441390_4.xml
OWNERSHIP DOCUMENT
X0306
4
2016-05-26
1
0001371285
TRUPANION INC.
TRUP
0001587645
Maveron General Partner III LLC
411 1ST AVENUE SOUTH, SUITE 600
SEATTLE
WA
98104
0
0
1
0
0001587648
Maveron Equity Partners III, L.P.
411 1ST AVENUE SOUTH, SUITE 600
SEATTLE
WA
98104
0
0
1
0
0001587646
Maveron III Entrepreneurs Fund, L.P.
411 1ST AVENUE SOUTH, SUITE 600
SEATTLE
WA
98104
0
0
1
0
0001587647
MEP Associates III, L.P.
411 1ST AVENUE SOUTH, SUITE 600
SEATTLE
WA
98104
0
0
1
0
0001587953
Maveron LLC
411 1ST AVENUE SOUTH, SUITE 600
SEATTLE
WA
98104
0
0
1
0
Common Stock
2016-05-26
4
J
0
847787
0
D
4708259
I
see footnote
Common Stock
2016-05-26
4
J
0
8478
0
A
8478
D
Common Stock
2016-05-26
4
J
0
116243
0
D
645566
I
see footnote
Common Stock
2016-05-26
4
J
0
35970
0
D
199761
I
see footnote
Common Stock
2016-05-26
4
J
0
359
0
A
8837
D
Common Stock
2016-05-26
4
J
0
8837
0
D
0
D
Common Stock
2016-05-26
4
J
0
1033
0
A
1033
I
see footnote
Maveron Equity Partners III, L.P. ("Maveron Equity") made pro rata distributions for no consideration of 847,787 shares of common stock of the issuer to its partners on May 26, 2016.
Shares are owned directly by Maveron Equity. Maveron General Partner III LLC ("Maveron GP"), which is the general partner of Maveron Equity, has sole voting and investment power over the securities held by Maveron Equity. Maveron GP disclaims beneficial ownership over such securities except to the extent of its pecuniary interest therein. In addition, Dan Levitan, who is a Director of the issuer, and certain other individuals are managing members of Maveron GP and may be deemed to share voting and investment power over the shares held of record by Maveron Equity. Each of such individuals disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. The inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
Shares acquired by Maveron GP in connection with the distribution of such shares to the partners of Maveron Equity.
MEP Associates III, L.P. ("Maveron Associates") made pro rata distributions for no consideration of 116,243 shares of common stock of the issuer to its partners on May 26, 2016.
Shares are owned directly by Maveron Associates. Maveron GP, which is the general partner of Maveron Associates, has sole voting and investment power over the securities held by Maveron Associates. Maveron GP disclaims beneficial ownership over such securities except to the extent of its pecuniary interest therein. In addition, Dan Levitan, who is a Director of the issuer, and certain other individuals are managing members of Maveron GP and may be deemed to share voting and investment power over the shares held of record by Maveron Associates. Each of such individuals disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. The inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
Maveron III Entrepreneurs Fund, L.P. ("Maveron Entrepreneurs") made pro rata distributions for no consideration of 35,970 shares of common stock of the issuer to its partners on May 26, 2016.
Shares are owned directly by Maveron Entrepreneurs. Maveron GP, which is the general partner of Maveron Entrepreneurs, has sole voting and investment power over the securities held by Maveron Entrepreneurs. Maveron GP disclaims beneficial ownership over such securities except to the extent of its pecuniary interest therein. In addition, Dan Levitan, who is a Director of the issuer, and certain other individuals are managing members of Maveron GP and may be deemed to share voting and investment power over the shares held of record by Maveron Entrepreneurs. Each of such individuals disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. The inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
Shares acquired by Maveron GP in connection with the distribution of such shares to the partners of Maveron Entrepreneurs.
Maveron GP made pro rata distributions for no consideration of 8,837 shares of common stock of the issuer to its members on May 26, 2016.
Shares acquired by Maveron LLC in connection with the distribution of such shares to the partners of Maveron Equity and Maveron Entrepreneurs.
Shares are owned directly by Maveron LLC. Maveron LLC disclaims beneficial ownership over such securities except to the extent of its pecuniary interest therein. In addition, Dan Levitan, who is a Director of the issuer, and certain other individuals are managing members of Maveron LLC and may be deemed to share voting and investment power over the shares held of record by Maveron LLC. Each of such individuals disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. The inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
Each reporting person disclaims the existence of a "group" and disclaims beneficial ownership of any securities except to the extent of such reporting persons' pecuniary interest in such securities.
/s/ Pete McCormick, as managing member of Maveron General Partner III, LLC
2016-05-31
/s/ Pete McCormick, as managing member of the GP of Maveron Equity Partners III, L.P.
2016-05-31
/s/ Pete McCormick, as managing member of the GP of Maveron III Entrepreneurs Fund LP
2016-05-31
/s/ Pete McCormick, as managing member of the GP of MEP Associates III, L.P.
2016-05-31
/s/ Pete McCormick, as Attorney-in-Fact for Maveron LLC
2016-05-31