0001209191-21-050805.txt : 20210811 0001209191-21-050805.hdr.sgml : 20210811 20210811155042 ACCESSION NUMBER: 0001209191-21-050805 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210726 FILED AS OF DATE: 20210811 DATE AS OF CHANGE: 20210811 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SORENSON CAPITAL PARTNERS III, LP CENTRAL INDEX KEY: 0001593258 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40601 FILM NUMBER: 211163274 BUSINESS ADDRESS: STREET 1: 3400 N. ASHTON BOULEVARD, SUITE 400 CITY: LEHI STATE: UT ZIP: 84043 BUSINESS PHONE: 801-407-8400 MAIL ADDRESS: STREET 1: 3400 N. ASHTON BOULEVARD, SUITE 400 CITY: LEHI STATE: UT ZIP: 84043 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SORENSON CAPITAL PARTNERS III-A, LP CENTRAL INDEX KEY: 0001593259 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40601 FILM NUMBER: 211163273 BUSINESS ADDRESS: STREET 1: 3400 N. ASHTON BOULEVARD, SUITE 400 CITY: LEHI STATE: UT ZIP: 84043 BUSINESS PHONE: 801-407-8400 MAIL ADDRESS: STREET 1: 3400 N. ASHTON BOULEVARD, SUITE 400 CITY: LEHI STATE: UT ZIP: 84043 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SORENSON CAPITAL PARTNERS III-B, LP CENTRAL INDEX KEY: 0001593261 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40601 FILM NUMBER: 211163272 BUSINESS ADDRESS: STREET 1: 3400 N. ASHTON BOULEVARD, SUITE 400 CITY: LEHI STATE: UT ZIP: 84043 BUSINESS PHONE: 801-407-8400 MAIL ADDRESS: STREET 1: 3400 N. ASHTON BOULEVARD, SUITE 400 CITY: LEHI STATE: UT ZIP: 84043 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCP COUCHBASE ACQUISITION L.L.C. CENTRAL INDEX KEY: 0001876415 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40601 FILM NUMBER: 211163267 BUSINESS ADDRESS: STREET 1: 3400 N. ASHTON BOULEVARD, SUITE 400 CITY: LEHI STATE: UT ZIP: 84043 BUSINESS PHONE: (801) 407-8400 MAIL ADDRESS: STREET 1: 3400 N. ASHTON BOULEVARD, SUITE 400 CITY: LEHI STATE: UT ZIP: 84043 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SORENSON CAPITAL INVESTMENT PARTNERS III, LP CENTRAL INDEX KEY: 0001876473 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40601 FILM NUMBER: 211163271 BUSINESS ADDRESS: STREET 1: 3400 N. ASHTON BOULEVARD, SUITE 400 CITY: LEHI STATE: UT ZIP: 84043 BUSINESS PHONE: (801) 407-8400 MAIL ADDRESS: STREET 1: 3400 N. ASHTON BOULEVARD, SUITE 400 CITY: LEHI STATE: UT ZIP: 84043 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WEST RIM CAPITAL ADVISORS LLC CENTRAL INDEX KEY: 0001876420 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40601 FILM NUMBER: 211163268 BUSINESS ADDRESS: STREET 1: 3400 N. ASHTON BOULEVARD, SUITE 400 CITY: LEHI STATE: UT ZIP: 84043 BUSINESS PHONE: (801) 407-8400 MAIL ADDRESS: STREET 1: 3400 N. ASHTON BOULEVARD, SUITE 400 CITY: LEHI STATE: UT ZIP: 84043 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WEST RIM CAPITAL ADVISORS LP CENTRAL INDEX KEY: 0001876421 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40601 FILM NUMBER: 211163269 BUSINESS ADDRESS: STREET 1: 3400 N. ASHTON BOULEVARD, SUITE 400 CITY: LEHI STATE: UT ZIP: 84043 BUSINESS PHONE: (801) 407-8400 MAIL ADDRESS: STREET 1: 3400 N. ASHTON BOULEVARD, SUITE 400 CITY: LEHI STATE: UT ZIP: 84043 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SORENSON CAPITAL ASSOCIATES III, LP CENTRAL INDEX KEY: 0001876472 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40601 FILM NUMBER: 211163270 BUSINESS ADDRESS: STREET 1: 3400 N. ASHTON BOULEVARD, SUITE 400 CITY: LEHI STATE: UT ZIP: 84043 BUSINESS PHONE: (801) 407-8400 MAIL ADDRESS: STREET 1: 3400 N. ASHTON BOULEVARD, SUITE 400 CITY: LEHI STATE: UT ZIP: 84043 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Couchbase, Inc. CENTRAL INDEX KEY: 0001845022 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 263576987 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 3250 OLCOTT STREET CITY: SANTA CLARA STATE: CA ZIP: 95054 BUSINESS PHONE: 6504177500 MAIL ADDRESS: STREET 1: 3250 OLCOTT STREET CITY: SANTA CLARA STATE: CA ZIP: 95054 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2021-07-26 2021-07-26 0 0001845022 Couchbase, Inc. BASE 0001593258 SORENSON CAPITAL PARTNERS III, LP 3400 ASHTON BOULEVARD, #400 LEHI UT 84043 0 0 1 0 0001593259 SORENSON CAPITAL PARTNERS III-A, LP 3400 ASHTON BOULEVARD, #400 LEHI UT 84043 0 0 1 0 0001593261 SORENSON CAPITAL PARTNERS III-B, LP 3400 ASHTON BOULEVARD, #400 LEHI UT 84043 0 0 1 0 0001876473 SORENSON CAPITAL INVESTMENT PARTNERS III, LP 3400 ASHTON BOULEVARD, #400 LEHI UT 84043 0 0 1 0 0001876472 SORENSON CAPITAL ASSOCIATES III, LP 3400 ASHTON BOULEVARD, #400 LEHI UT 84043 0 0 1 0 0001876421 WEST RIM CAPITAL ADVISORS LP 3400 ASHTON BOULEVARD, #400 LEHI UT 84043 0 0 1 0 0001876420 WEST RIM CAPITAL ADVISORS LLC 3400 ASHTON BOULEVARD, #400 LEHI UT 84043 0 0 1 0 0001876415 SCP COUCHBASE ACQUISITION L.L.C. 3400 ASHTON BOULEVARD, #400 LEHI UT 84043 0 0 1 0 Common Stock 2021-07-26 4 C 0 3248392 A 3406128 I By: SCP Couchbase Acquisition, L.L.C. Series F Preferred Stock 2021-07-26 4 C 0 2156007 0.00 D Common Stock 2156007 0 I By: SCP Couchbase Acquisition, L.L.C. Series G Preferred Stock 2021-07-26 4 C 0 1024048 0.00 D Common Stock 1092385 0 I By: SCP Couchbase Acquisition, L.L.C. Immediately prior to the completion of the Issuer's initial public offering, each share of Series F Preferred Stock is convertible into shares of the Issuer's Common Stock, par value $0.00001 per share, on a one-for-one basis and has no expiration date. Immediately prior to the completion of the Issuer's initial public offering, each share of Series G Preferred Stock is convertible into shares of the Issuer's Common Stock, par value $0.00001 per share, on a 1.06673317089756-for-one basis and has no expiration date. Sorenson Capital Partners III, LP ("SCP III"), Sorenson Capital Partners III-A, LP ("SCP III-A"), Sorenson Capital Partners III-B, LP ("SCP III-B") and Sorensen Capital Investment Partner III, LP ("SCIP III") are the members of SCP Couchbase Acquisition L.L.C. Sorenson Capital Associates III, LP ("SCA III") is the general partner of each of SCP III, SCP III-A and SCP III-B. West Rim Capital Advisors, LP ("West Rim Capital LP") is the general partner of SCIP III. West Rim Capital Advisors, LLC ("West Rim Capital") is the general partner of each of SCA III and West Rim Capital LP. Rob Rueckert is a member of the Issuer's board of directors and the president of SCP Couchbase Acquisition, L.L.C. Each of Mark Ludwig, Ron Mika, Rob Rueckert and Luke Sorenson are partners of West Rim Capital and therefore may be deemed to have shared voting and dispositive power with respect to the shares held by SCP Couchbase Acquisition L.L.C. (continuation of FN 2): Each of the foregoing entities and individuals disclaim beneficial ownership of such shares except to the extent of their pecuniary interest therein. The address for each of the Sorenson entities listed above is 3400 Ashton Boulevard #400, Lehi, Utah 84043. On July 26, 2021, SCP III, SCP III-A and SCP III-B filed a Form 4 (the "Original Form 4") with respect to shares of Common Stock, Series F Preferred Stock and Series G Preferred Stock held by SCP Couchbase Acquisition L.L.C., of which SCP III, SCP III-A, SCP III-B and SCIP III are members and for which Rob Rueckert serves as president. The purpose of this amendment is solely to ensure that the Central Index Keys for SCIP III, SCA III, West Rim Capital LP, West Rim Capital and SCP Couchbase Acquisition L.L.C. are included with respect to the Original Form 4 filing. No substantial amendments are being made to the contents of the Original Form 4. Sorenson Capital Partners III, LP, /s/ Rob Rueckert, Authorized Signatory 2021-08-11 Sorenson Capital Partners III-A, LP, /s/ Rob Rueckert, Authorized Signatory 2021-08-11 Sorenson Capital Partners III-B, LP, /s/ Rob Rueckert, Authorized Signatory 2021-08-11 Sorenson Capital Investment Partners III, LP, /s/ Rob Rueckert, Authorized Signatory 2021-08-11 Sorenson Capital Associates III, LP, /s/ Rob Rueckert, Authorized Signatory 2021-08-11 West Rim Capital Advisors, LP, /s/ Rob Rueckert, Authorized Signatory 2021-08-11 West Rim Capital Advisors, LLC, /s/ Rob Rueckert, Authorized Signatory 2021-08-11 SCP Couchbase Acquisition L.L.C., /s/ Rob Rueckert, Authorized Signatory 2021-08-11