4//SEC Filing
COLLINS SCOTT C 4
Accession 0001179110-05-001733
CIK 0001267201other
Filed
Jan 25, 7:00 PM ET
Accepted
Jan 26, 5:59 PM ET
Size
15.5 KB
Accession
0001179110-05-001733
Insider Transaction Report
Form 4
SUMMIT PARTNERS V LP
Other
Transactions
- Conversion
Common Stock
2005-01-26+2,549,931→ 2,549,931 total(indirect: Indirect GP of 10% Owner) - Conversion
Series A Preferred Stock
2005-01-26−166,666→ 0 total(indirect: Indirect GP of 10% Owner)→ Common Stock (2,549,931 underlying)
SUMMIT PARTNERS LLC
Other
Transactions
- Conversion
Common Stock
2005-01-26+2,549,931→ 2,549,931 total(indirect: Indirect GP of 10% Owner) - Conversion
Series A Preferred Stock
2005-01-26−166,666→ 0 total(indirect: Indirect GP of 10% Owner)→ Common Stock (2,549,931 underlying)
COLLINS SCOTT C
Other
Transactions
- Conversion
Series A Preferred Stock
2005-01-26−166,666→ 0 total(indirect: Indirect GP of 10% Owner)→ Common Stock (2,549,931 underlying) - Conversion
Common Stock
2005-01-26+2,549,931→ 2,549,931 total(indirect: Indirect GP of 10% Owner)
MOHAN KEVIN P
Other
Transactions
- Conversion
Series A Preferred Stock
2005-01-26−166,666→ 0 total(indirect: Indirect GP of 10% Owner)→ Common Stock (2,549,931 underlying) - Conversion
Common Stock
2005-01-26+2,549,931→ 2,549,931 total(indirect: Indirect GP of 10% Owner)
WALSH ROBERT V
Other
Transactions
- Conversion
Common Stock
2005-01-26+2,549,931→ 2,549,931 total(indirect: Indirect GP of 10% Owner) - Conversion
Series A Preferred Stock
2005-01-26−166,666→ 0 total(indirect: Indirect GP of 10% Owner)→ Common Stock (2,549,931 underlying)
Footnotes (3)
- [F1]Shares of Common Stock are held as follows: 2,032,560 shares in the name of Summit Ventures V, L.P.; 339,866 in the name of Summit V Companion Fund, L.P.; 41,553 in the name of Summit V Advisors Fund, L.P.; and 135,952 in the name of Summit V Advisors Fund (QP), L.P.
- [F2]Each share of Series A Preferred Stock was converted into 15.299664 shares of Common Stock upon the completion of SeaBright's initial public offering. There was no expiration date.
- [F3]Prior to conversion, shares of Series A Preferred Stock were held as follows: 132,850 shares in the name of Summit Ventures V, L.P.; 22,214 in the name of Summit V Companion Fund, L.P.; 2,716 in the name of Summit V Advisors Fund, L.P.; and 8,886 in the name of Summit V Advisors Fund (QP), L.P.
Documents
Issuer
SEABRIGHT INSURANCE HOLDINGS INC
CIK 0001267201
Entity typeother
Related Parties
1- filerCIK 0001255670
Filing Metadata
- Form type
- 4
- Filed
- Jan 25, 7:00 PM ET
- Accepted
- Jan 26, 5:59 PM ET
- Size
- 15.5 KB