0001209191-16-115257.txt : 20160421
0001209191-16-115257.hdr.sgml : 20160421
20160421205811
ACCESSION NUMBER: 0001209191-16-115257
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160419
FILED AS OF DATE: 20160421
DATE AS OF CHANGE: 20160421
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: TUBEMOGUL INC
CENTRAL INDEX KEY: 0001449278
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 510633881
STATE OF INCORPORATION: CA
BUSINESS ADDRESS:
STREET 1: 1250 53RD STREET, SUITE 6
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
BUSINESS PHONE: 510-653-0677
MAIL ADDRESS:
STREET 1: 1250 53RD STREET, SUITE 6
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Nakache Patricia
CENTRAL INDEX KEY: 0001597755
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36543
FILM NUMBER: 161585125
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 160
CITY: MENLO PARK
STATE: CA
ZIP: 94025
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-04-19
0
0001449278
TUBEMOGUL INC
TUBE
0001597755
Nakache Patricia
2480 SAND HILL ROAD, SUITE 200
MENLO PARK
CA
94025
0
0
1
0
Common Stock
2016-04-19
4
J
0
292250
0.00
D
4968249
I
By Trinity Ventures X, L.P.
Common Stock
2016-04-19
4
J
0
2826
0.00
D
48044
I
By Trinity X Entrepreneurs' Fund, L.P.
Common Stock
2016-04-19
4
J
0
1655
0.00
D
28134
I
By Trinity X Side-By-Side Fund, L.P.
Common Stock
2016-04-19
4
J
0
2922
0.00
A
2922
I
By Trinity TVL X, LLC
Common Stock
2016-04-19
4
J
0
2922
0.00
D
0
I
By Trinity TVL X, LLC
Common Stock
2016-04-19
4
J
0
110
0.00
A
2528
I
By TVL Management Corporation
Common Stock
2016-04-19
4
J
0
522
0.00
A
522
I
By Gordon/Nakache Family Trust
Represents a pro-rata in-kind distribution of Common Stock of the Issuer by Trinity Ventures X, L.P. without consideration to its limited partners and its general partner, Trinity TVL X, LLC.
The transactions being reported were effected pursuant to a Rule 10b5-1 plan adopted on September 14, 2015.
Trinity TVL X, LLC is the general partner of Trinity Ventures X, L.P., Trinity X Side-By-Side Fund, L.P. and Trinity X Entrepreneurs' Fund, L.P. and has sole voting and investment power with respect to the shares held by Trinity Ventures X, L.P., Trinity X Side-By-Side Fund, L.P. and Trinity X Entrepreneurs' Fund, L.P.
Ms. Nakache is a management member of Trinity TVL X, LLC, and may be deemed to share voting and investment power over the shares owned by Trinity Ventures X, L.P., Trinity X Side-By-Side Fund, L.P. and Trinity X Entrepreneurs' Fund, L.P. Ms. Nakache serves as an officer of Trinity TVL Management Corporation. Ms. Nakache disclaims beneficial ownership of the shares held by the aforementioned entities except to the extent of her pecuniary interest therein.
Represents a pro-rata in-kind distribution of Common Stock of the Issuer by Trinity X Entrepreneurs' Fund, L.P. without consideration to its limited partners.
Represents a pro-rata in-kind distribution of Common Stock of the Issuer by Trinity X Side-By-Side Fund, L.P. without consideration to its limited partners.
Represents a change in the form of ownership from indirect to direct by virtue of the receipt of shares in the pro-rata in-kind distribution of Common Stock of the Issuer by Trinity Ventures X, L.P. described in footnote 1.
Represents a pro-rata in-kind distribution of Common Stock of the Issuer by Trinity TVL X, LLC without consideration to its members.
The shares are held by Trinity TVL Management Corporation.
The shares are held by the Gordon/Nakache Family Trust (the "Nakache Family Trust"). Ms. Nakache is a trustee of the Nakache Family Trust. Ms. Nakache disclaims beneficial ownership of the shares held by the Nakache Family Trust except to the extent of her proportionate pecuniary interest therein.
/s/ Patricia E. Nakache
2016-04-21