SEC Form 4 · accession 0001209191-16-145965

Coupa Software Inc · COUP

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).

Reporting owner

10% Owner

Period of report

Oct 6, 2016

Accepted (ET)

Oct 14, 2016 · 6:46 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001385867

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1	Oct 6, 2016	P	1,000	$35.00	A	1,000	I	By: Michael Scott Irwin, Trustee of RVP DBP II
Common Stock	Oct 6, 2016	P	500	$36.00	A	500	D
Common Stock^F2,F3	Oct 12, 2016	C	5,057,977	—	A	5,185,993	I	By El Dorado Ventures VII L.P.
Common Stock^F2,F3	Oct 12, 2016	C	157,902	—	A	161,898	I	By El Dorado Technology '05 L.P.

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	D/I
Series C Convertible Preferred Stock^F2,F3	$1.278	Oct 12, 2016	C	2,845,440	D	—	—	Common Stock	2,845,440	I
Series D Convertible Preferred Stock^F2,F3	$1.3524	Oct 12, 2016	C	1,093,858	D	—	—	Common Stock	1,093,858	I
Series E Convertible Preferred Stock^F2,F3	$3.1148	Oct 12, 2016	C	721,407	D	—	—	Common Stock	721,407	I
Series F Convertible Preferred Preferred Stock^F2,F3	$8.09	Oct 12, 2016	C	299,668	D	—	—	Common Stock	299,668	I
Series G Convertible Preferred Stock^F2,F3	$16.7232	Oct 12, 2016	C	97,604	D	—	—	Common Stock	97,604	I
Series C Convertible Preferred Stock^F2,F3	$1.278	Oct 12, 2016	C	88,831	D	—	—	Common Stock	88,831	I
Series D Convertible Preferred Stock^F2,F3	$1.3524	Oct 12, 2016	C	34,149	D	—	—	Common Stock	34,149	I
Series E Convertible Preferred Stock^F2,F3	$3.1148	Oct 12, 2016	C	22,521	D	—	—	Common Stock	22,521	I
Series F Convertible Preferred Stock^F2,F3	$8.09	Oct 12, 2016	C	9,355	D	—	—	Common Stock	9,355	I
Series G Convertible Preferred Stock^F2,F3	$16.7232	Oct 12, 2016	C	3,046	D	—	—	Common Stock	3,046	I

F1The shares are held by Michael Scott Irwin, Trustee of RVP DEP II of which the Reporting Person is a trustee and beneficiary.
F2Each share of Series C Convertible Preferred Stock, Series D Convertible Preferred Stock, Series E Convertible Preferred Stock, Series F Convertible Preferred Stock and Series G Convertible Preferred Stock automatically converted into one share of Issuer's Common Stock for no additional consideration immediately prior to the completion of the Issuer's initial public offering. The exercisability date and expiration date are not relevant to the conversion of these securities.
F3The Reporting Person is a managing member at El Dorado Venture Partners VII, LLC ("EDVP"), the general partner of El Dorado Technology '05 L.P. ("EDT") and El Dorado Ventures VII L.P. ("EDV"). The Reporting Person is a managing member of EDVP and shares voting and investment power over the shares owned by EDT and EDV. The Reporting Person disclaims beneficial ownership in the shares held by the aforementioned entities except to the extent of his pecuniary interest therein.