SEC Form 4 · accession 0001140361-15-042410
INSTRUCTURE INC · INST
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Period of report
Nov 18, 2015
Accepted (ET)
Nov 19, 2015 · 9:55 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 | Nov 18, 2015 | C | 648,434 | — | A | 805,433 | D | |
| Common Stock, par value $0.0001 per shareF1 | Nov 18, 2015 | C | 167,730 | — | A | 208,341 | D | |
| Common Stock, par value $0.0001 per shareF1 | Nov 18, 2015 | C | 23,141 | — | A | 28,743 | D | |
| Common Stock, par value $0.0001 per shareF1 | Nov 18, 2015 | C | 205,663 | — | A | 255,458 | D | |
| Common Stock, par value $0.0001 per shareF1 | Nov 18, 2015 | C | 606,225 | — | A | 753,005 | D | |
| Common Stock, par value $0.0001 per shareF1 | Nov 18, 2015 | C | 438,744 | — | A | 544,972 | D | |
| Common Stock, par value $0.0001 per shareF1,F2 | Nov 18, 2015 | C | 2,089,937 | — | A | 2,595,952 | 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 | — | Nov 18, 2015 | C | 66,690 | D | — | — | Common Stock | 66,690 | 0 | D |
| Series A Preferred StockF1 | — | Nov 18, 2015 | C | 17,250 | D | — | — | Common Stock | 17,250 | 0 | D |
| Series A Preferred StockF1 | — | Nov 18, 2015 | C | 2,380 | D | — | — | Common Stock | 2,380 | 0 | D |
| Series A Preferred StockF1 | — | Nov 18, 2015 | C | 21,152 | D | — | — | Common Stock | 21,152 | 0 | D |
| Series A Preferred StockF1 | — | Nov 18, 2015 | C | 62,348 | D | — | — | Common Stock | 62,348 | 0 | D |
| Series A Preferred StockF1 | — | Nov 18, 2015 | C | 45,123 | D | — | — | Common Stock | 45,123 | 0 | D |
| Series A Preferred StockF1,F3 | — | Nov 18, 2015 | C | 214,943 | D | — | — | Common Stock | 214,943 | 0 | I |
| Series E Preferred StockF1 | — | Nov 18, 2015 | C | 424,612 | D | — | — | Common Stock | 581,744 | 0 | D |
| Series E Preferred StockF1 | — | Nov 18, 2015 | C | 109,835 | D | — | — | Common Stock | 150,480 | 0 | D |
| Series E Preferred StockF1 | — | Nov 18, 2015 | C | 15,154 | D | — | — | Common Stock | 20,761 | 0 | D |
| Series E Preferred StockF1 | — | Nov 18, 2015 | C | 134,674 | D | — | — | Common Stock | 184,511 | 0 | D |
| Series E Preferred StockF1 | — | Nov 18, 2015 | C | 396,973 | D | — | — | Common Stock | 543,877 | 0 | D |
| Series E Preferred StockF1 | — | Nov 18, 2015 | C | 287,302 | D | — | — | Common Stock | 393,621 | 0 | D |
| Series E Preferred StockF1,F4 | — | Nov 18, 2015 | C | 1,368,550 | D | — | — | Common Stock | 1,874,994 | 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 Associates VIII, Ltd., Insight Venture Associates VIII, L.P., Insight Venture Associates Coinvestment III, Ltd. and Insight Venture Associates Coinvestment III, L.P. 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