SEC Form 4 · accession 0001209191-15-058151
Xactly Corp · XTLY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Pidwell
Director
Period of report
Jul 1, 2015
Accepted (ET)
Jul 1, 2015 · 5:56 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001322554
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2,F3,F4,F5,F6 | Jul 1, 2015 | C | 108,454 | — | A | 152,954 | I | See footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series B Convertible Preferred StockF6,F1 | — | Jul 1, 2015 | C | 36,999 | D | — | — | Common Stock | 36,999 | 0 | I |
| Series C Convertible Preferred StockF6,F2 | — | Jul 1, 2015 | C | 24,606 | D | — | — | Common Stock | 24,606 | 0 | I |
| Series D Convertible Preferred StockF6,F3 | — | Jul 1, 2015 | C | 26,315 | D | — | — | Common Stock | 26,315 | 0 | I |
| Series D-1 Convertible Preferred StockF6,F4 | — | Jul 1, 2015 | C | 10,361 | D | — | — | Common Stock | 10,361 | 0 | I |
| Series F Convertible Preferred StockF6,F5 | — | Jul 1, 2015 | C | 10,173 | D | — | — | Common Stock | 10,173 | 0 | I |
Explanation of responses
- F1The Series B Convertible Preferred Stock automatically converted into Common Stock on a one for one basis immediately upon the completion of the Issuer's initial public offering of common stock and had no expiration date.
- F2The Series C Convertible Preferred Stock automatically converted into Common Stock on a one for one basis immediately upon the completion of the Issuer's initial public offering of common stock and had no expiration date.
- F3The Series D Convertible Preferred Stock automatically converted into Common Stock on a one for one basis immediately upon the completion of the Issuer's initial public offering of common stock and had no expiration date.
- F4The Series D-1 Convertible Preferred Stock automatically converted into Common Stock on a one for one basis immediately upon the completion of the Issuer's initial public offering of common stock and had no expiration date.
- F5The Series F Convertible Preferred Stock automatically converted into Common Stock on a one for one basis immediately upon the completion of the Issuer's initial public offering of common stock and had no expiration date.
- F6The shares are held of record by Golden Hills Holdings, LLLP for which the Reporting Person serves as a general partner.