0001612849-16-000034.txt : 20160914 0001612849-16-000034.hdr.sgml : 20160914 20160914204454 ACCESSION NUMBER: 0001612849-16-000034 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160912 FILED AS OF DATE: 20160914 DATE AS OF CHANGE: 20160914 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: Wilson Brett CENTRAL INDEX KEY: 0001612849 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36543 FILM NUMBER: 161886129 MAIL ADDRESS: STREET 1: C/O TUBEMOGUL, INC. STREET 2: 1250 53RD STREET, SUITE 1 CITY: EMERYVILLE STATE: CA ZIP: 94608 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2016-09-12 0001449278 TUBEMOGUL INC TUBE 0001612849 Wilson Brett 1250 53RD STREET, SUITE 2 EMERYVILLE CA 94608 1 1 0 0 President, CEO & Director Employee Stock Option (right to buy) 17.04 2016-09-12 4 D 0 308028 0 D 2024-11-12 Common Stock 308028 0 D Employee Stock Option (right to buy) 17.04 2016-09-12 4 D 0 385035 0 D 2024-11-12 Common Stock 385035 0 D On September 12, 2016, the Issuer canceled an option granted to the Reporting Person on November 12, 2014, pursuant to a stock option termination agreement providing that such option would be surrendered and returned to the Issuer for cancellation without any understanding or expectation regarding future grant of any option or other form of equity or non-equity compensation by the Issuer. The canceled option provided for vesting of 1/48th of the shares subject to the option vested on 12/12/2014, and thereafter 1/48th of the shares vested monthly, subject to the Reporting Person's continued service to the Issuer through each vesting date. The canceled option provided for vesting subject to performance conditions that provided that upon Issuer's achievement of pre-established valuations, 154,014 and 231,021 shares respectively, would vest monthly over two years at a rate of 1/24th per month, subject to Reporting Person's continued service to the Issuer through each vesting date. Eric Deeds, Attorney-in-Fact 2016-09-14