SEC Form 4 · accession 0000899243-15-006641

Everpure, Inc. · P

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

Reporting owners

Greylock XIII Limited Partnership

10% Owner

Greylock XIII-A Limited Partnership

10% Owner

Greylock XIII GP LLC

10% Owner

Period of report

Oct 13, 2015

Accepted (ET)

Oct 13, 2015 · 5:48 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001474432

Table I — non-derivative securities

No Table I lines on this filing.

Table II — derivative securities

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Series B Preferred Stock^F2,F1	—	Oct 13, 2015	C	16,383,768	D	—	—	Class B Common Stock	16,383,768	0	I
Series C Preferred Stock^F2,F1	—	Oct 13, 2015	C	2,325,304	D	—	—	Class B Common Stock	2,325,304	0	I
Series D Preferred Stock^F2,F1	—	Oct 13, 2015	C	1,639,614	D	—	—	Class B Common Stock	1,639,614	0	I
Series E Preferred Stock^F2,F1	—	Oct 13, 2015	C	2,856,376	D	—	—	Class B Common Stock	2,856,376	0	I
Series F Preferred Stock^F2,F1	—	Oct 13, 2015	C	1,416,867	D	—	—	Class B Common Stock	1,416,867	0	I
Series B Preferred Stock^F3,F1	—	Oct 13, 2015	C	1,475,028	D	—	—	Class B Common Stock	1,475,028	0	I
Series C Preferred Stock^F3,F1	—	Oct 13, 2015	C	209,348	D	—	—	Class B Common Stock	209,348	0	I
Series D Preferred Stock^F3,F1	—	Oct 13, 2015	C	147,612	D	—	—	Class B Common Stock	147,612	0	I
Series E Preferred Stock^F3,F1	—	Oct 13, 2015	C	257,158	D	—	—	Class B Common Stock	257,158	0	I
Series F Preferred Stock^F3,F1	—	Oct 13, 2015	C	127,560	D	—	—	Class B Common Stock	127,560	0	I
Class B Common Stock^F2,F4	—	Oct 13, 2015	C	24,621,929	A	—	—	Class A Common Stock	24,621,929	24,621,929	I
Class B Common Stock^F3,F4	—	Oct 13, 2015	C	2,216,706	A	—	—	Class A Common Stock	2,216,706	2,216,706	I

Explanation of responses

F1The preferred stock will automatically convert into Class B common stock on a 1-to-1 basis immediately upon closing of the initial public offering of the Issuer and has no expiration date.
F2The shares are held directly by Greylock XIII Limited Partnership ("Greylock XIII LP"). Greylock XIII GP LLC ("Greylock XIII GP") is the general partner of Greylock XIII LP. As a result, Greylock XIII GP may be deemed to share voting and dispositive power with regard to the shares held directly by Greylock XIII LP. Greylock XIII GP disclaims beneficial ownership of the securities held by Greylock XIII LP except to the extent of any pecuniary interest therein and the inclusion of these securities in this report shall not be deemed an admission by Greylock XIII GP of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
F3The shares are held directly by Greylock XIII-A Limited Partnership ("Greylock XIII-A LP"). Greylock XIII GP is the general partner of Greylock XIII-A LP. As a result, Greylock XIII GP may be deemed to share voting and dispositive power with regard to the shares held directly by Greylock XIII-A LP. Greylock XIII GP disclaims beneficial ownership of the securities held by Greylock XIII-A LP except to the extent of any pecuniary interest therein and the inclusion of these securities in this report shall not be deemed an admission by Greylock XIII GP of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
F4Each share of Class B Common Stock is convertible at any time at the option of the Reporting Person into one share of Class A Common Stock and has no expiration date. Upon the closing of the issuer's sale of its Class A Common Stock in its firm commitment underwritten initial public offering pursuant to a registration statement on Form S-1 (File No. 333-206312) under the Securities Act of 1933, as amended, the Class B Common Stock will convert automatically into Class A Common Stock on the same basis upon the earlier of: (i) any transfer, whether or not for value, except for certain "Permitted Transfers" as defined in the Issuer's restated certificate of incorporation in effect as of the date hereof, (ii) the affirmative vote of the holders of Class B Common Stock representing not less than a majority of the outstanding shares of Class B Common Stock, or (iii) October 6, 2025.