SEC Form 4 · accession 0001209191-16-122297
Acacia Communications, Inc. · ACIA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Stan J Reiss
Director
Period of report
May 18, 2016
Accepted (ET)
May 20, 2016 · 5:54 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001651235
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | May 18, 2016 | C | 12,091,554 | — | A | 12,091,554 | I | By Matrix Partners VIII, L.P. |
| Common StockF1,F3 | May 18, 2016 | C | 6,666 | — | A | 6,666 | I | By Weston & Co. VIII LLC |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Convertible Preferred StockF2,F1 | — | May 18, 2016 | C | 5,025,960 | D | — | — | Common Stock | 5,025,960 | 0 | I |
| Series B Convertible Preferred StockF2,F1 | — | May 18, 2016 | C | 5,056,301 | D | — | — | Common Stock | 5,056,301 | 0 | I |
| Series C Convertible Preferred StockF2,F1 | — | May 18, 2016 | C | 1,494,039 | D | — | — | Common Stock | 1,494,039 | 0 | I |
| Series D Convertible Preferred StockF2,F1 | — | May 18, 2016 | C | 515,254 | D | — | — | Common Stock | 515,254 | 0 | I |
| Series A Convertible Preferred StockF3,F1 | — | May 18, 2016 | C | 2,771 | D | — | — | Common Stock | 2,771 | 0 | I |
| Series B Convertible Preferred StockF3,F1 | — | May 18, 2016 | C | 2,787 | D | — | — | Common Stock | 2,787 | 0 | I |
| Series C Convertible Preferred StockF3,F1 | — | May 18, 2016 | C | 824 | D | — | — | Common Stock | 824 | 0 | I |
| Series D Convertible Preferred StockF3,F1 | — | May 18, 2016 | C | 284 | D | — | — | Common Stock | 284 | 0 | I |
Explanation of responses
- F1The Series A, B, C and D Convertible Preferred Stock converted into common stock on a one-for-one basis upon the closing of the Company's initial public offering without payment of consideration. The securities had no expiration date.
- F2Mr. Reiss is a managing member of Matrix VIII US Management Co., LLC ("Matrix VIII US MC"), which is the sole general partner of Matrix Partners VIII, L.P. ("Matrix VIII"). Mr. Reiss, by virtue of his management position in Matrix VIII US MC, has sole voting and dispositive power with respect to these shares. Mr. Reiss, a member of the board of directors of the Company, disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest therein.
- F3These shares are held by Weston & Co. VIII LLC, as nominee for Matrix VIII US MC, which is the beneficial owner of such shares. Matrix VIII US MC is the sole general partner of Matrix Partners VIII, L.P.