0001612849-16-000039.txt : 20161216 0001612849-16-000039.hdr.sgml : 20161216 20161216171531 ACCESSION NUMBER: 0001612849-16-000039 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161214 FILED AS OF DATE: 20161216 DATE AS OF CHANGE: 20161216 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 FISCAL YEAR END: 1231 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: 162057119 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 2016-12-14 0001449278 TUBEMOGUL INC TUBE 0001612849 Wilson Brett 1250 53RD STREET, SUITE 2 EMERYVILLE CA 94608 1 1 0 0 President, CEO & Director Common Stock 2016-12-12 4 G 0 35435 0 D 1183434 D Common Stock 2016-12-14 4 M 0 50000 .70 A 1233434 D Common Stock 2016-12-14 4 M 0 34747 2.76 A 1268181 D Common Stock 18500 I by Child A Common Stock 18500 I by Child B Common Stock 18500 I by Child C Common Stock 250 I by Niece Common Stock 250 I by Nephew Employee Stock Option (right to buy) .70 2016-12-14 4 M 0 50000 0 D 2022-04-19 Common Stock 50000 0 D Employee Stock Option (right to buy) 2.76 2016-12-14 4 M 0 34747 0 D 2023-11-11 Common Stock 34747 215252 D Of the reported shares, 108,696 shares are represented by RSUs. Option was granted on 4/19/2012, is fully vested and immediately exercisable. Subject to the Reporting Person's continued service to the Issuer, 50% of the shares subject to the option vest on 11/11/2015 and 25% of the shares subject to the option vest on each of 11/11/2016 and 11/11/2017. Eric Deeds, Attorney-in-Fact 2016-12-16