COUPONS.com Inc 4

4 · COUPONS.com Inc · Filed Mar 14, 2014

Form 4

Period: 2014-03-12

10% Owner

Transactions

Conversion
Common Stock
2014-03-12+11,790,594→ 11,790,594 total(indirect: See Footnote)
Conversion
Series 1 Preferred Stock (Convertible)
2014-03-12−1,916,509→ 0 total(indirect: See footnote)
→ Common Stock (1,916,509 underlying)
Conversion
Series A-2 Preferred Stock (Convertible)
2014-03-12−302,679→ 0 total(indirect: See footnote)
→ Common Stock (302,679 underlying)
Conversion
Series A-3 Preferred Stock (Convertible)
2014-03-12−2,599,858→ 0 total(indirect: See footnote)
→ Common Stock (2,599,858 underlying)
Conversion
Series A-4 Preferred Stock (Convertible)
2014-03-12−1,629,035→ 0 total(indirect: See footnote)
→ Common Stock (1,629,035 underlying)
Conversion
Series A-5 Preferred Stock (Convertible)
2014-03-12−5,342,513→ 0 total(indirect: See footnote)
→ Common Stock (5,342,513 underlying)

Holdings

Footnotes (4)

[F1]Each share of Preferred Stock automatically converted into one share of Common Stock immediately prior to the closing of the Issuer's initial public offering.
[F2]The shares of this series of Preferred Stock have no expiration date.
[F3]Shares held directly by JHB Ventures, LLC. John H. Burbank III serves as the managing member of JHB Ventures, LLC and, in such capacity, has sole voting and investment power over the shares held by JHB Ventures, LLC.
[F4]Shares held directly by Passport Ventures II, LLC. John H. Burbank III serves as the managing member of Passport Ventures II, LLC and in such capacity, has sole voting and investment power over the shares held by Passport Ventures II, LLC. Mr. Burbank disclaims beneficial ownership of the shares held directly by Passport Ventures II, LLC except to the extent of his pecuniary interest therein.

Documents

1 file