SEC Form 4 · accession 0001209191-15-025359

MaxPoint Interactive, Inc. · MXPT

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

Reporting owner

Len Jordan

Director · 10% Owner

Period of report

Mar 11, 2015

Accepted (ET)

Mar 11, 2015 · 7:01 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001611231

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1,F2	Mar 11, 2015	C	4,393,356	—	A	4,393,356	I	By Madrona Venture Fund IV, L.P.
Common Stock^F1,F3	Mar 11, 2015	C	111,970	—	A	111,970	I	By Madrona Venture Fund IV-A, L.P.

Table II — derivative securities

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	D/I
Series C Preferred Stock^F2,F1	—	Mar 11, 2015	C	3,690,493	D	—	—	Common Stock	3,690,493	I
Series C Preferred Stock^F3,F1	—	Mar 11, 2015	C	94,057	D	—	—	Common Stock	94,057	I
Series D Preferred Stock^F2,F1	—	Mar 11, 2015	C	702,863	D	—	—	Common Stock	702,863	I
Series D Preferred Stock^F3,F1	—	Mar 11, 2015	C	17,913	D	—	—	Common Stock	17,913	I

Explanation of responses

F1Each share of convertible preferred stock automatically converted into one (1) share of Common Stock in connection with the consummation of Issuer's initial public offering and had no expiration date.
F2Shares held directly by Madrona Venture Fund IV, L.P. ("Madrona Fund IV"). The Reporting Person is a managing director of Madrona IV General Partner, LLC, the general partner of Madrona Investment Partners IV, L.P., itself the general partner of Madrona Venture Fund IV and Madrona Venture Fund IV A, L.P. ("Madrona Fund IV A", and together with "Madrona Fund IV", the "Madrona Venture Funds"), and has shared voting and dispositive power with regard to the shares directly held by the Madrona Venture Funds. Mr. Jordan disclaims beneficial ownership of the securities except to the extent of his pecuniary interest therein. The Reporting Person serves as the representative of the Madrona Venture Funds on the Issuer's board of directors.
F3Shares held directly by Madrona Venture Fund IV-A. The Reporting Person is a managing director of Madrona IV General Partner, LLC, the general partner of Madrona Investment Partners IV, L.P., itself the general partner of Madrona Venture Fund IV and Madrona Venture Fund IV-A, and has shared voting and dispositive power with regard to the shares directly held by the Madrona Venture Funds. Mr. Jordan disclaims beneficial ownership of the securities except to the extent of his pecuniary interest therein. The Reporting Person serves as the representative of the Madrona Venture Funds on the Issuer's board of directors.