0001635209-15-000002.txt : 20150311
0001635209-15-000002.hdr.sgml : 20150311
20150311181018
ACCESSION NUMBER: 0001635209-15-000002
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: Madrona IV General Partner, LLC
CENTRAL INDEX KEY: 0001635683
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36864
FILM NUMBER: 15693882
BUSINESS ADDRESS:
STREET 1: 999 THIRD AVE.
STREET 2: SUITE 3400
CITY: SEATTLE
STATE: WA
ZIP: 98104
BUSINESS PHONE: 2066743000
MAIL ADDRESS:
STREET 1: 999 THIRD AVE.
STREET 2: SUITE 3400
CITY: SEATTLE
STATE: WA
ZIP: 98104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Madrona Investment Partners IV, LP
CENTRAL INDEX KEY: 0001635161
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36864
FILM NUMBER: 15693883
BUSINESS ADDRESS:
STREET 1: 999 THIRD AVE
STREET 2: SUITE 3400
CITY: SEATTLE
STATE: WA
ZIP: 98104
BUSINESS PHONE: 2066743000
MAIL ADDRESS:
STREET 1: 999 THIRD AVE
STREET 2: SUITE 3400
CITY: SEATTLE
STATE: WA
ZIP: 98104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Madrona Venture Fund IV-A, LP
CENTRAL INDEX KEY: 0001635160
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36864
FILM NUMBER: 15693884
BUSINESS ADDRESS:
STREET 1: 999 THIRD AVE
STREET 2: SUITE 3400
CITY: SEATTLE
STATE: WA
ZIP: 98104
BUSINESS PHONE: 2066743000
MAIL ADDRESS:
STREET 1: 999 THIRD AVE
STREET 2: SUITE 3400
CITY: SEATTLE
STATE: WA
ZIP: 98104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Madrona Venture Fund IV, LP
CENTRAL INDEX KEY: 0001635209
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36864
FILM NUMBER: 15693885
BUSINESS ADDRESS:
STREET 1: 999 THIRD AVE
STREET 2: SUITE 3400
CITY: SEATTLE
STATE: WA
ZIP: 98104
BUSINESS PHONE: 2066743000
MAIL ADDRESS:
STREET 1: 999 THIRD AVE
STREET 2: SUITE 3400
CITY: SEATTLE
STATE: WA
ZIP: 98104
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2015-03-11
0
0001611231
MaxPoint Interactive, Inc.
MXPT
0001635209
Madrona Venture Fund IV, LP
999 THIRD AVE
SUITE 3400
SEATTLE
WA
98104
0
0
1
0
0001635160
Madrona Venture Fund IV-A, LP
999 THIRD AVE
SUITE 3400
SEATTLE
WA
98104
0
0
1
0
0001635161
Madrona Investment Partners IV, LP
999 THIRD AVE
SUITE 3400
SEATTLE
WA
98104
0
0
1
0
0001635683
Madrona IV General Partner, LLC
999 THIRD AVE.
SUITE 3400
SEATTLE
WA
98104
0
0
1
0
Common Stock
2015-03-11
4
C
0
4393356
A
4393356
D
Common Stock
2015-03-11
4
C
0
111970
A
111970
D
Series C Preferred Stock
2015-03-11
4
C
0
3690493
D
Common Stock
3690493
0
D
Series C Preferred Stock
2015-03-11
4
C
0
94057
D
Common Stock
94057
0
D
Series D Preferred Stock
2015-03-11
4
C
0
702863
D
Common Stock
702863
0
D
Series D Preferred Stock
2015-03-11
4
C
0
17913
D
Common Stock
17913
0
D
Each share of preferred stock converted automatically into one share of the Issuer's common stock immediately prior to the closing of the Issuer's initial public offering of common stock and had no expiration date.
Shares held directly by Madrona Venture Fund IV, L.P. Madrona Investment Partners IV, L.P., the general partner of Madrona Venture Fund IV, L.P., may be deemed an indirect beneficial owner of the reported securities. Madrona IV General Partner, LLC is the general partner of Madrona Investment Partners IV, L.P. Each of the reporting persons disclaims beneficial ownership of the reported securities except to the extent of the reporting person's pecuniary interest therein.
Shares held directly by Madrona Venture Fund IV-A, L.P. Madrona Investment Partners IV, L.P., the general partner of Madrona Venture Fund IV-A, L.P., may be deemed an indirect beneficial owner of the reported securities. Madrona IV General Partner, LLC is the general partner of Madrona Investment Partners IV, L.P. Each of the reporting persons disclaims beneficial ownership of the reported securities except to the extent of the reporting person's pecuniary interest therein.
/s/ Madrona Venture Fund IV, L.P. by Madrona Investment Partners IV, L.P., General Partner by Madrona IV General Partner, LLC, General Partner by Troy Cichos, Authorized Signatory
2015-03-11
/s/ Madrona Venture Fund IV-A, L.P. by Madrona Investment Partners IV, L.P., General Partner by Madrona IV General Partner, LLC, General Partner by Troy Cichos, Authorized Signatory
2015-03-11
/s/ Madrona Investment Partners IV, L.P. by Madrona IV General Partner, LLC, General Partner by Troy Cichos, Authorized Signatory
2015-03-11
/s/ Madrona IV General Partner, LLC by Troy Cichos, Authorized Signatory
2015-03-11