SEC Form 4 · accession 0001209191-15-058185
Xactly Corp · XTLY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owners
Craig C Taylor
10% Owner
Douglas E Kelly
10% Owner
John Shoch
10% Owner
Daniel Rubin
10% Owner
Tony Di Bona
10% Owner
Ammar Hanafi
10% Owner
Michael Hunkapiller
10% Owner
ALLOY VENTURES 2005 LP
10% Owner
Alloy Ventures 2005, LLC
10% Owner
Period of report
Jul 1, 2015
Accepted (ET)
Jul 1, 2015 · 6:07 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 | 2,386,922 | — | A | 2,386,922 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Convertible Preferred StockF7,F1 | — | Jul 1, 2015 | C | 5,398 | D | — | — | Common Stock | 5,398 | 0 | I |
| Series B Convertible Preferred StockF7,F2 | — | Jul 1, 2015 | C | 2,858 | D | — | — | Common Stock | 2,858 | 0 | I |
| Series C Convertible Preferred StockF7,F3 | — | Jul 1, 2015 | C | 1,772,524 | D | — | — | Common Stock | 1,772,524 | 0 | I |
| Series D Convertible Preferred StockF7,F4 | — | Jul 1, 2015 | C | 460,281 | D | — | — | Common Stock | 460,281 | 0 | I |
| Series D-1 Convertible Preferred StockF7,F5 | — | Jul 1, 2015 | C | 105,168 | D | — | — | Common Stock | 105,168 | 0 | I |
| Series F Convertible Preferred StockF7,F6 | — | Jul 1, 2015 | C | 40,693 | D | — | — | Common Stock | 40,693 | 0 | I |
Explanation of responses
- F1The Series A Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of common stock and had no expiration date.
- F2The Series B Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of common stock and had no expiration date.
- F3The Series C Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of common stock and had no expiration date.
- F4The Series D Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of common stock and had no expiration date.
- F5The Series D-1 Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of common stock and had no expiration date.
- F6The Series F Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of common stock and had no expiration date.
- F7All shares are held of record by Alloy Ventures 2005, L.P. ("Alloy Ventures 2005"). Craig C. Taylor, Douglas E. Kelly, John F. Shoch, Tony Di Bona, Daniel Rubin, Michael W. Hunkapiller and Ammar H. Hanafi are the managing members of Alloy Ventures 2005, LLC, the general partner of Alloy Ventures 2005, and share voting and dispositive power over the shares held by Alloy Ventures 2005. Each of the Reporting Persons disclaims beneficial ownership of these shares except to the extent of any pecuniary interest therein, and the filing of this report is not an admission that any Reporting Person is the beneficial owner of these shares for purposes of Section 16 or for any other purpose.