SEC Form 4 · accession 0001209191-15-048489
XOOM Corp · XOOM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Roelof Botha
Director
Period of report
May 28, 2015
Accepted (ET)
Jun 1, 2015 · 6:50 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001315657
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | May 28, 2015 | A | 3,666 | $0.00 | A | 8,445 | D | |
| Common StockF2 | May 28, 2015 | A | 3,924 | $0.00 | A | 12,369 | D | |
| Common StockF3 | holding | — | — | — | 5,036,306 | I | By Sequoia Capital XI, LP | |
| Common StockF3 | holding | — | — | — | 545,439 | I | By Sequoia Capital XI Principals Fund, LLC | |
| Common StockF3 | holding | — | — | — | 159,807 | I | By Sequoia Technology Partners XI, LP | |
| Common StockF4 | holding | — | — | — | 70,000 | I | Shares held by BV 369 Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F5 | $19.11 | May 28, 2015 | A | 9,179 | A | — | May 28, 2025 | Common Stock | 9,179 | 9,179 | D |
Explanation of responses
- F1The Common Stock was issued under the Xoom Corporation Non-Employee Director's Compensation Policy approved by the Board of Directors.
- F2The Reporting Person was issued Restricted Stock Units (RSU) under the Xoom Corporation Non-Employee Director's Compensation Policy approved by the Board of Directors. The RSUs vest on the one year anniversary of the vesting commencement date of May 28, 2015, subject to the Reporting Person's continuous service to the Issuer on such date.
- F3Roelof Frederik Botha is an indirect non-managing member of SC XI Management, LLC ("SC XI Management"). SC XI Management is the general partner of Sequoia Capital XI, LP and Sequoia Technology Partners XI, LP and is the managing member of Sequoia Capital XI Principals Fund, LLC. In addition, Mr. Botha is an indirect member of Sequoia Capital XI Principals Fund, LLC. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purpose.
- F4Shares held by BV 369 Trust. The Reporting Person may be deemed to beneficially own the shares held by BV 369 Trust. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities on this report shall not be deemed an admission that the Reporting Person is the beneficial owner of the reported securities for purposes of Section 16 or for any other purpose.
- F5This stock option was issued under the Xoom Corporation Non-Employee Director's Compensation Policy approved by the Board of Directors. The shares subject to the option vest on the one year anniversary of the vesting commencement date of May 28, 2015, subject to the Reporting Person's continuous service to the Issuer on such date.