FAVRILLE INC 4
4 · FAVRILLE INC · Filed Feb 10, 2005
Insider Transaction Report
Form 4
FAVRILLE INCFVRL
KELLY DOUGLAS E
Director10% Owner
Transactions
- Conversion
Common Stock
2005-02-07+2,070,048→ 2,118,239 total(indirect: See footnote) - Purchase
Common Stock
2005-02-07$7.00/sh+714,285$4,999,995→ 2,832,524 total(indirect: See footnote) - Purchase
Common Stock
2005-02-07$7.00/sh+21,500$150,500→ 21,500 total - Conversion
Series A Convertible Preferred Stock
2005-02-07−481,926→ 0 total(indirect: See footnote)Exercise: $0.00From: 2005-02-04→ Common Stock (481,926 underlying) - Conversion
Series B Convertible Preferred Stock
2005-02-07−553,029→ 0 total(indirect: See footnote)Exercise: $0.00From: 2005-02-07→ Common Stock (553,029 underlying) - Conversion
Series B-2 Convertible Preferred Stock
2005-02-07−427,945→ 0 total(indirect: See footnote)Exercise: $0.00From: 2005-02-07→ Common Stock (427,945 underlying) - Conversion
Series C Convertible Preferred Stock
2005-02-07−558,754→ 0 total(indirect: See footnote)Exercise: $0.00From: 2005-02-07→ Common Stock (607,148 underlying)
Footnotes (4)
- [F1]The shares are held of record by Alloy Partners 2000, L.P., Alloy Ventures 2000, L.P., Alloy Corporate 2000, L.P. and Alloy Investors 2000, L.P. The Reporting Person is a managing member of Alloy Ventures 2000, LLC, the general partner of Alloy Partners 2000, L.P., Alloy Ventures 2000, L.P., Alloy Corporate 2000, L.P. and Alloy Investors 2000, L.P. The reporting person disclaims beneficial ownership of the shares owned by such entities except to the extent of his pecuniary interest in such entities, if any.
- [F2]1-for-1
- [F3]Not applicable.
- [F4]1.086614-for-1