SEC Form 4 · accession 0001140361-15-019195

CapForce Inc. · CFOR

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owners

Versant Side Fund III, L.P.

10% Owner

Versant Venture Capital III, L.P.

10% Owner

Versant Ventures III, LLC

10% Owner

Period of report

May 8, 2015

Accepted (ET)

May 12, 2015 · 6:54 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001293818

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F4	May 8, 2015	P	410,906	$6.00	A	483,072	I	By Versant Venture Capital III, L.P.
Common Stock^F1,F4	May 8, 2015	C	1,153,229	—	A	1,636,301	I	By Versant Venture Capital III, L.P.
Common Stock^F2,F4	May 8, 2015	C	402,348	—	A	2,038,649	I	By Versant Venture Capital III, L.P.
Common Stock^F3,F4	May 8, 2015	C	500,565	—	A	2,539,214	I	By Versant Venture Capital III, L.P.
Common Stock^F4	May 8, 2015	P	2,426	$6.00	A	2,853	I	By Versant Side Fund III, L.P.
Common Stock^F1,F4	May 8, 2015	C	6,810	—	A	9,663	I	By Versant Side Fund III, L.P.
Common Stock^F2,F4	May 8, 2015	C	2,377	—	A	12,040	I	By Versant Side Fund III, L.P.
Common Stock^F3,F4	May 8, 2015	C	2,957	—	A	14,997	I	By Versant Side Fund III, L.P.

Table II — derivative securities

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Series A Redeemable Convertible Preferred Stock^F4,F1	—	May 8, 2015	C	1,153,229	D	—	—	Common Stock	1,153,229	0	I
Series A Redeemable Convertible Preferred Stock^F4,F1	—	May 8, 2015	C	6,810	D	—	—	Common Stock	6,810	0	I
2014 Convertible Notes^F2	—	May 8, 2015	C	402,348	D	—	—	Common Stock	402,348	0	I
2014 Convertible Notes^F4,F2	—	May 8, 2015	C	2,377	D	—	—	Common Stock	2,377	0	I
2015 Convertible Notes^F4,F3	—	May 8, 2015	C	500,565	D	—	—	Common Stock	500,565	0	I
2015 Convertible Notes^F3	—	May 8, 2015	C	2,957	D	—	—	Common Stock	2,957	0	I
Warrants^F4	$6.60	May 8, 2015	P	410,906	A	May 8, 2015	May 8, 2020	Common Stock	410,906	410,906	I
Warrants	$6.60	May 8, 2015	P	2,426	A	May 8, 2015	May 8, 2020	Common Stock	2,426	2,426	I

Explanation of responses

F1Series A Redeemable Convertible Preferred Stock automatically converted into common stock on a 1-to-1 basis upon the consummation of the Company's initial public offering.
F2The 2014 Convertible Notes automatically converted into shares of Series A Preferred Stock upon the consummation of the Company's initial public offering at a conversion rate of one share of Series A Preferred Stock for every $1.00 of principal converted. Each share of Series A Preferred Stock automatically converted into one share of common stock upon the consummation of the Company's initial public offering.
F3The 2015 Convertible Notes converted into Series A Preferred Stock upon the consummation of the Company's initial public offering at a conversion rate of 1.25 shares of Series A Preferred Stock for each $1.00 of principal converted. Each share of Series A Preferred stock automatically converted into one share of common stock upon the consummation of the Company's initial public offering.
F4Versant Ventures III, LLC is the sole general partner of Versant Venture Capital III, L.P. and Versant Side Fund III, L.P. and has voting and dispositive power with respect to these shares. The individual managing members of Versant Ventures III, LLC are Brian G. Atwood, Bradley J. Bolzon, Samuel D. Colella, Ross A. Jaffe, William J. Link, Barbara N. Lubash, Donald B. Milder, Rebecca B. Robertson, Robin L. Praeger and Charles M. Warden (collectively, the "Managing Members"), all of whom share voting and investment power with respect to these shares. Each individual Managing Member disclaims beneficial ownership of these shares, except to the extent of their pecuniary interest in such shares.