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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series A Convertible Preferred Stock | (1) | 02/18/2014 | C | 1,927,986 (6) | (1) | (7) | Common Stock | 1,927,986 (6) | (1) | 0 | I | By ProQuest Investments IV, L.P. (2) | |||
Series B Convertible Preferred Stock | (1) | 02/18/2014 | C | 1,028,613 (6) | (1) | (7) | Common Stock | 1,028,613 (6) | (1) | 0 | I | By ProQuest Investments IV, L.P. (2) | |||
Series B-1 Convertible Preferred Stock | (1) | 02/18/2014 | C | 850,520 (6) | (1) | (7) | Common Stock | 850,520 (6) | (1) | 0 | I | By ProQuest Investments IV, L.P. (2) | |||
Series C Convertible Preferred Stock | (1) | 02/18/2014 | C | 569,538 (6) | (1) | (7) | Common Stock | 569,538 (6) | (1) | 0 | I | By ProQuest Investments IV, L.P. (2) | |||
Series C Warrants | (8) | 02/18/2014 | X | 98,368 (4) | (8) | (8) | Common Stock | 98,368 (8) | (8) | 0 | I | By ProQuest Investments IV, L.P. (2) | |||
Series B-1 Convertible Preferred Stock | (1) | 02/18/2014 | C | 62,575 (6) | (1) | (7) | Common Stock | 62,575 (6) | (1) | 0 | I | By ProQuest Management LLC Plans (3) | |||
Series C Convertible Preferred Stock | (1) | 02/18/2014 | C | 9,359 (6) | (1) | (7) | Common Stock | 9,359 (6) | (1) | 0 | I | By ProQuest Management LLC Plans (3) | |||
Series C Warrants | (8) | 02/18/2014 | X | 1,614 (8) | (8) | (8) | Common Stock | 1,614 (8) | (8) | 0 | I | By ProQuest Management LLC Plans (3) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SCHREIBER ALAIN C/O PROQUEST INVESTMENTS, L.P. 2430 VANDERBILT BEACH ROAD, 108-190 NAPLES, FL 34109 |
X | X |
/s/ Scott Tarriff, Attorney-in-Fact | 02/20/2014 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Each share of Series A Convertible Preferred Stock, Series B Convertible Preferred Stock, Series B-1 Convertible Preferred Stock and Series C Convertible Preferred stock automatically converted into one share of the Issuer's Common Stock on a 6.41-for-1 basis immediately prior to the consummation of the Issuer's initial public offering. |
(2) | The shares are owned by ProQuest Investments IV, L.P. ("Investments IV"), of which ProQuest Associates IV LLC ("Associates IV") is the general partner. Jay Moorin and Alain Schreiber are managing members of Associates IV. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his pecuniary interest in such securities. |
(3) | The shares are held in a ProQuest Management LLC Defined Benefit Pension Plan ("DBPP") FBO Jay Moorin and a ProQuest Management LLC Salary Savings Plan FBO Jay Moorin and for the benefit of certain other individuals. Jay Moorin and Alain Schreiber are trustees of the ProQuest Management LLC DBPP FBO Jay Moorin and the ProQuest Management LLC Salary Savings Plan FB0 Jay Moorin and for the benefit of certain other individuals. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his pecuniary interest in such securities. |
(4) | In accordance with their terms, the Series C Warrants (the "Warrants") were net exercised immediately prior to consummation of the Issuer's initial public offering into shares of Common Stock on a 6.41-for-1 basis. |
(5) | The shares are owned by ProQuest Management LLC ("ProQuest Management"). The Reporting Person is a managing member of ProQuest Management. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his pecuniary interest in such securities |
(6) | Reflects a 1-for-6.41 reverse stock split, pursuant to which each share of preferred stock became convertible into 1/6.41 of a share of common stock. |
(7) | The expiration date is not relevant to the conversion of these securities. |
(8) | In accordance with their terms, the Series C Warrants (the "Warrants") were net exercised at an exercise price of $11.67 immediately prior to closing of the Issuer's initial public offering into shares of common stock. |