SEC Form 4 · accession 0001140361-15-042409
INSTRUCTURE INC · INST
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owners
Period of report
Nov 18, 2015
Accepted (ET)
Nov 19, 2015 · 9:53 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001355754
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.0001 per shareF1,F2 | Nov 18, 2015 | C | 1,044,968 | — | A | 1,297,975 | I | See footnote |
| Common Stock, par value $0.0001 per shareF1,F2 | Nov 18, 2015 | C | 1,044,968 | — | A | 1,297,975 | I | See footnote |
| Common Stock, par value $0.0001 per shareF1,F2 | Nov 18, 2015 | C | 1,044,969 | — | A | 1,297,977 | I | See footnote |
| Common Stock, par value $0.0001 per shareF1,F2 | Nov 18, 2015 | C | 1,044,969 | — | A | 1,297,977 | 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 A Preferred StockF1,F3 | — | Nov 18, 2015 | C | 107,472 | D | — | — | Common Stock | 107,472 | 0 | I |
| Series A Preferred StockF1,F3 | — | Nov 18, 2015 | C | 107,472 | D | — | — | Common Stock | 107,472 | 0 | I |
| Series A Preferred StockF1,F3 | — | Nov 18, 2015 | C | 107,471 | D | — | — | Common Stock | 107,471 | 0 | I |
| Series A Preferred StockF1,F3 | — | Nov 18, 2015 | C | 107,471 | D | — | — | Common Stock | 107,471 | 0 | I |
| Series E Preferred StockF1,F4 | — | Nov 18, 2015 | C | 684,275 | D | — | — | Common Stock | 937,496 | 0 | I |
| Series E Preferred StockF1,F4 | — | Nov 18, 2015 | C | 684,275 | D | — | — | Common Stock | 937,496 | 0 | I |
| Series E Preferred StockF1,F4 | — | Nov 18, 2015 | C | 684,275 | D | — | — | Common Stock | 937,498 | 0 | I |
| Series E Preferred StockF1,F4 | — | Nov 18, 2015 | C | 684,275 | D | — | — | Common Stock | 937,498 | 0 | I |
Explanation of responses
- F1See Exhibit 99.1
- F2See Exhibit 99.1
- F3See Exhibit 99.1
- F4See Exhibit 99.1
Remarks
Due to the limitations of the electronic filing system, Insight Venture Partners VIII, L.P., Insight Venture Partners (Cayman) VIII, L.P., Insight Venture Partners VIII (Co-Investors), L.P., Insight Venture Partners (Delaware) VIII, L.P., Insight Venture Partners Coinvestment Fund III, L.P., Insight Venture Partners Coinvestment Fund (Delaware) III, L.P and Insight Holdings Group, LLC are filing a separate Form 4. Exhibit List: Exhibit 99.1 - Explanation of Responses Exhibit 99.2 - Joint Filers' Names and Addresses Exhibit 99.3 - Joint Filers' Signatures