SEC Form 4 · accession 0000899243-15-009645
Everpure, Inc. · P
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Aneel Bhusri
Director · 10% Owner
Period of report
Dec 9, 2015
Accepted (ET)
Dec 10, 2015 · 7:27 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001474432
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1,F3,F2 | Dec 9, 2015 | P | 206,887 | $17.95 | A | 1,382,012 | I | See Footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Mr. Bhusri does not own shares in his individual capacity. Mr. Bhusri is a senior managing member of Greylock XIV GP LLC, the sole general partner of Greylock XIV Limited Partnership ("Greylock XIV") and Greylock XIV-A Limited Partnership ("Greylock XIV-A"), and as a result may be deemed to share voting and investment power over the shares held by Greylock XIV and Greylock XIV-A. Mr. Bhusri disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein and the inclusion of these securities in this report shall not be deemed an admission by Mr. Bhusri of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
- F2These shares consist of (i) 195,998 shares held by Greylock XIV and (ii) 10,889 shares held by Greylock XIV-A.
- F3These shares consist of (i) 1,309,275 shares held by Greylock XIV and (ii) 72,737 shares held by Greylock XIV-A.