0001209191-15-025359.txt : 20150311
0001209191-15-025359.hdr.sgml : 20150311
20150311190141
ACCESSION NUMBER: 0001209191-15-025359
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150311
FILED AS OF DATE: 20150311
DATE AS OF CHANGE: 20150311
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: MaxPoint Interactive, Inc.
CENTRAL INDEX KEY: 0001611231
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ADVERTISING [7310]
IRS NUMBER: 205530657
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3020 CARRINGTON MILL BLVD.
STREET 2: SUITE 300
CITY: MORRISVILLE
STATE: NC
ZIP: 27560
BUSINESS PHONE: 800-916-9960
MAIL ADDRESS:
STREET 1: 3020 CARRINGTON MILL BLVD.
STREET 2: SUITE 300
CITY: MORRISVILLE
STATE: NC
ZIP: 27560
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jordan Len
CENTRAL INDEX KEY: 0001582456
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36864
FILM NUMBER: 15694029
MAIL ADDRESS:
STREET 1: C/O CONTROL4 CORPORATION
STREET 2: 11734 S. ELECTION ROAD
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84020
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-03-11
0
0001611231
MaxPoint Interactive, Inc.
MXPT
0001582456
Jordan Len
999 THIRD AVE.
34TH FLOOR
SEATTLE
WA
98104
1
0
1
0
Common Stock
2015-03-11
4
C
0
4393356
A
4393356
I
By Madrona Venture Fund IV, L.P.
Common Stock
2015-03-11
4
C
0
111970
A
111970
I
By Madrona Venture Fund IV-A, L.P.
Series C Preferred Stock
2015-03-11
4
C
0
3690493
0.00
D
Common Stock
3690493
0
I
By Madrona Venture Fund IV, L.P.
Series C Preferred Stock
2015-03-11
4
C
0
94057
0.00
D
Common Stock
94057
0
I
By Madrona Venture Fund IV-A, L.P.
Series D Preferred Stock
2015-03-11
4
C
0
702863
0.00
D
Common Stock
702863
0
I
By Madrona Venture Fund IV, L.P.
Series D Preferred Stock
2015-03-11
4
C
0
17913
0.00
D
Common Stock
17913
0
I
By Madrona Venture Fund IV-A, L.P.
Each share of convertible preferred stock automatically converted into one (1) share of Common Stock in connection with the consummation of Issuer's initial public offering and had no expiration date.
Shares held directly by Madrona Venture Fund IV, L.P. ("Madrona Fund IV"). The Reporting Person is a managing director of Madrona IV General Partner, LLC, the general partner of Madrona Investment Partners IV, L.P., itself the general partner of Madrona Venture Fund IV and Madrona Venture Fund IV A, L.P. ("Madrona Fund IV A", and together with "Madrona Fund IV", the "Madrona Venture Funds"), and has shared voting and dispositive power with regard to the shares directly held by the Madrona Venture Funds. Mr. Jordan disclaims beneficial ownership of the securities except to the extent of his pecuniary interest therein. The Reporting Person serves as the representative of the Madrona Venture Funds on the Issuer's board of directors.
Shares held directly by Madrona Venture Fund IV-A. The Reporting Person is a managing director of Madrona IV General Partner, LLC, the general partner of Madrona Investment Partners IV, L.P., itself the general partner of Madrona Venture Fund IV and Madrona Venture Fund IV-A, and has shared voting and dispositive power with regard to the shares directly held by the Madrona Venture Funds. Mr. Jordan disclaims beneficial ownership of the securities except to the extent of his pecuniary interest therein. The Reporting Person serves as the representative of the Madrona Venture Funds on the Issuer's board of directors.
/s/ Meaghan S. Nelson, Attorney-in-fact
2015-03-11