Amended Statement of Beneficial Ownership (sc 13d/a)
February 15 2017 - 7:09AM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13D
Under the Securities Exchange Act of 1934
(Amendment No. 2)*
MaxPoint
Interactive, Inc.
(Name of Issuer)
Common Stock
(Title of
Class of Securities)
57777M 102
(CUSIP Number)
Madrona
IV General Partner, LLC
999 Third Avenue, Suite 3400
Seattle, Washington 98104
(206) 674-3000
Attn:
Troy Cichos
(Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications)
December 31, 2016
(Date
of Event which Requires Filing of this Statement)
If the filing
person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of 240.13d-1(e), 240.13d-1(f) or 240.13d-1(g), check the following
box ☐.
Note:
Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See 240.13d-7(b) for
other parties to whom copies are to be sent.
*
|
The remainder of this cover page shall be filled out for a reporting persons initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information
which would alter disclosures provided in a prior cover page.
|
The information required on the remainder of this cover page
shall not be deemed to be filed for the purpose of Section 18 of the Securities Exchange Act of 1934 (Act) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the
Act (however, see the Notes).
SCHEDULE 13D
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1
|
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NAMES OF
REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Madrona Venture Fund IV, L.P.
|
2
|
|
CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP*
(a) ☐ (b) ☐
|
3
|
|
SEC USE ONLY
|
4
|
|
SOURCE OF FUNDS (See Instructions)
WC
|
5
|
|
CHECK IF DISCLOSURE OF LEGAL
PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(D) OR 2(E) ☐
|
6
|
|
CITIZENSHIP OR PLACE OF
ORGANIZATION
Delaware
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
|
7
|
|
SOLE VOTING POWER
0
|
|
8
|
|
SHARED VOTING POWER
1,266,030
|
|
9
|
|
SOLE DISPOSITIVE POWER
0
|
|
10
|
|
SHARED DISPOSITIVE POWER
1,266,030
|
11
|
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,266,030
|
12
|
|
CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) ☐
|
13
|
|
PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW (11)
19.09%*
|
14
|
|
TYPE OF REPORTING PERSON (See
Instructions)
PN
|
*
|
Based on 6,631,639 shares of common stock outstanding as of November 4, 2016, as reported in the Issuers Quarterly Report on Form 10-Q for the period ended September 30, 2016.
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1
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NAMES OF
REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Madrona Venture Fund IV-A, L.P.
|
2
|
|
CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP*
(a) ☐ (b) ☐
|
3
|
|
SEC USE ONLY
|
4
|
|
SOURCE OF FUNDS (See Instructions)
WC
|
5
|
|
CHECK IF DISCLOSURE OF LEGAL
PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(D) OR 2(E) ☐
|
6
|
|
CITIZENSHIP OR PLACE OF
ORGANIZATION
Delaware
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
|
7
|
|
SOLE VOTING POWER
0
|
|
8
|
|
SHARED VOTING POWER
1,266,030
|
|
9
|
|
SOLE DISPOSITIVE POWER
0
|
|
10
|
|
SHARED DISPOSITIVE POWER
1,266,030
|
11
|
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,266,030
|
12
|
|
CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) ☐
|
13
|
|
PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW (11)
19.09%*
|
14
|
|
TYPE OF REPORTING PERSON (See
Instructions)
PN
|
*
|
Based on 6,631,639 shares of common stock outstanding as of November 4, 2016, as reported in the Issuers Quarterly Report on Form 10-Q for the period ended September 30, 2016.
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Page 2
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1
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NAMES OF
REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Madrona Investment Partners IV, L.P.
|
2
|
|
CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP*
(a) ☐ (b) ☐
|
3
|
|
SEC USE ONLY
|
4
|
|
SOURCE OF FUNDS (See Instructions)
WC
|
5
|
|
CHECK IF DISCLOSURE OF LEGAL
PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(D) OR 2(E) ☐
|
6
|
|
CITIZENSHIP OR PLACE OF
ORGANIZATION
Delaware
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
|
7
|
|
SOLE VOTING POWER
0
|
|
8
|
|
SHARED VOTING POWER
1,266,030
|
|
9
|
|
SOLE DISPOSITIVE POWER
0
|
|
10
|
|
SHARED DISPOSITIVE POWER
1,266,030
|
11
|
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,266,030
|
12
|
|
CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) ☐
|
13
|
|
PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW (11)
19.09%*
|
14
|
|
TYPE OF REPORTING PERSON (See
Instructions)
PN
|
*
|
Based on 6,631,639 shares of common stock outstanding as of November 4, 2016, as reported in the Issuers Quarterly Report on Form 10-Q for the period ended September 30, 2016.
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Page 3
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1
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NAMES OF
REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Madrona IV General Partner, LLC
|
2
|
|
CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP*
(a) ☐ (b) ☐
|
3
|
|
SEC USE ONLY
|
4
|
|
SOURCE OF FUNDS (See Instructions)
WC
|
5
|
|
CHECK IF DISCLOSURE OF LEGAL
PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(D) OR 2(E) ☐
|
6
|
|
CITIZENSHIP OR PLACE OF
ORGANIZATION
Delaware
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
|
7
|
|
SOLE VOTING POWER
0
|
|
8
|
|
SHARED VOTING POWER
1,266,030
|
|
9
|
|
SOLE DISPOSITIVE POWER
0
|
|
10
|
|
SHARED DISPOSITIVE POWER
1,266,030
|
11
|
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,266,030
|
12
|
|
CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) ☐
|
13
|
|
PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW (11)
19.09%*
|
14
|
|
TYPE OF REPORTING PERSON (See
Instructions)
PN
|
*
|
Based on 6,631,639 shares of common stock outstanding as of November 4, 2016, as reported in the Issuers Quarterly Report on Form 10-Q for the period ended September 30, 2016.
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Page 4
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1
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NAMES OF
REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Alberg, Tom A.
|
2
|
|
CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP*
(a) ☐ (b) ☐
|
3
|
|
SEC USE ONLY
|
4
|
|
SOURCE OF FUNDS (See Instructions)
AF
|
5
|
|
CHECK IF DISCLOSURE OF LEGAL
PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(D) OR 2(E) ☐
|
6
|
|
CITIZENSHIP OR PLACE OF
ORGANIZATION
United States
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
|
7
|
|
SOLE VOTING POWER
0
|
|
8
|
|
SHARED VOTING POWER
1,266,030
|
|
9
|
|
SOLE DISPOSITIVE POWER
0
|
|
10
|
|
SHARED DISPOSITIVE POWER
1,266,030
|
11
|
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,266,030
|
12
|
|
CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) ☐
|
13
|
|
PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW (11)
19.09%*
|
14
|
|
TYPE OF REPORTING PERSON (See
Instructions)
IN
|
*
|
Based on 6,631,639 shares of common stock outstanding as of November 4, 2016, as reported in the Issuers Quarterly Report on Form 10-Q for the period ended September 30, 2016.
|
Page 5
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1
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|
NAMES OF
REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Goodrich, Paul B.
|
2
|
|
CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP*
(a) ☐ (b) ☐
|
3
|
|
SEC USE ONLY
|
4
|
|
SOURCE OF FUNDS (See Instructions)
AF
|
5
|
|
CHECK IF DISCLOSURE OF LEGAL
PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(D) OR 2(E) ☐
|
6
|
|
CITIZENSHIP OR PLACE OF
ORGANIZATION
United States
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
|
7
|
|
SOLE VOTING POWER
0
|
|
8
|
|
SHARED VOTING POWER
1,266,030
|
|
9
|
|
SOLE DISPOSITIVE POWER
0
|
|
10
|
|
SHARED DISPOSITIVE POWER
1,266,030
|
11
|
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,266,030
|
12
|
|
CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) ☐
|
13
|
|
PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW (11)
19.09%*
|
14
|
|
TYPE OF REPORTING PERSON (See
Instructions)
IN
|
*
|
Based on 6,631,639 shares of common stock outstanding as of November 4, 2016, as reported in the Issuers Quarterly Report on Form 10-Q for the period ended September 30, 2016.
|
Page 6
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1
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|
NAMES OF
REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Jacobson, Scott
|
2
|
|
CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP*
(a) ☐ (b) ☐
|
3
|
|
SEC USE ONLY
|
4
|
|
SOURCE OF FUNDS (See Instructions)
AF
|
5
|
|
CHECK IF DISCLOSURE OF LEGAL
PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(D) OR 2(E) ☐
|
6
|
|
CITIZENSHIP OR PLACE OF
ORGANIZATION
United States
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
|
7
|
|
SOLE VOTING POWER
0
|
|
8
|
|
SHARED VOTING POWER
1,266,030
|
|
9
|
|
SOLE DISPOSITIVE POWER
0
|
|
10
|
|
SHARED DISPOSITIVE POWER
1,266,030
|
11
|
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,266,030
|
12
|
|
CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) ☐
|
13
|
|
PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW (11)
19.09%*
|
14
|
|
TYPE OF REPORTING PERSON (See
Instructions)
IN
|
*
|
Based on 6,631,639 shares of common stock outstanding as of November 4, 2016, as reported in the Issuers Quarterly Report on Form 10-Q for the period ended September 30, 2016.
|
Page 7
|
|
|
|
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|
|
1
|
|
NAMES OF
REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Jordan, Len
|
2
|
|
CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP*
(a) ☐ (b) ☐
|
3
|
|
SEC USE ONLY
|
4
|
|
SOURCE OF FUNDS (See Instructions)
AF
|
5
|
|
CHECK IF DISCLOSURE OF LEGAL
PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(D) OR 2(E) ☐
|
6
|
|
CITIZENSHIP OR PLACE OF
ORGANIZATION
United States
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
|
7
|
|
SOLE VOTING POWER
0
|
|
8
|
|
SHARED VOTING POWER
1,266,030
|
|
9
|
|
SOLE DISPOSITIVE POWER
0
|
|
10
|
|
SHARED DISPOSITIVE POWER
1,266,030
|
11
|
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,266,030
|
12
|
|
CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) ☐
|
13
|
|
PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW (11)
19.09%*
|
14
|
|
TYPE OF REPORTING PERSON (See
Instructions)
IN
|
*
|
Based on 6,631,639 shares of common stock outstanding as of November 4, 2016, as reported in the Issuers Quarterly Report on Form 10-Q for the period ended September 30, 2016.
|
Page 8
|
|
|
|
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|
|
1
|
|
NAMES OF
REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
McIlwain, Matt
|
2
|
|
CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP*
(a) ☐ (b) ☐
|
3
|
|
SEC USE ONLY
|
4
|
|
SOURCE OF FUNDS (See Instructions)
AF
|
5
|
|
CHECK IF DISCLOSURE OF LEGAL
PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(D) OR 2(E) ☐
|
6
|
|
CITIZENSHIP OR PLACE OF
ORGANIZATION
United States
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
|
7
|
|
SOLE VOTING POWER
0
|
|
8
|
|
SHARED VOTING POWER
1,266,030
|
|
9
|
|
SOLE DISPOSITIVE POWER
0
|
|
10
|
|
SHARED DISPOSITIVE POWER
1,266,030
|
11
|
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,266,030
|
12
|
|
CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) ☐
|
13
|
|
PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW (11)
19.09%*
|
14
|
|
TYPE OF REPORTING PERSON (See
Instructions)
IN
|
*
|
Based on 6,631,639 shares of common stock outstanding as of November 4, 2016, as reported in the Issuers Quarterly Report on Form 10-Q for the period ended September 30, 2016.
|
Page 9
|
|
|
|
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|
|
1
|
|
NAMES OF
REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Porter, Tim
|
2
|
|
CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP*
(a) ☐ (b) ☐
|
3
|
|
SEC USE ONLY
|
4
|
|
SOURCE OF FUNDS (See Instructions)
AF
|
5
|
|
CHECK IF DISCLOSURE OF LEGAL
PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(D) OR 2(E) ☐
|
6
|
|
CITIZENSHIP OR PLACE OF
ORGANIZATION
United States
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
|
7
|
|
SOLE VOTING POWER
0
|
|
8
|
|
SHARED VOTING POWER
1,266,030
|
|
9
|
|
SOLE DISPOSITIVE POWER
0
|
|
10
|
|
SHARED DISPOSITIVE POWER
1,266,030
|
11
|
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,266,030
|
12
|
|
CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) ☐
|
13
|
|
PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW (11)
19.09%*
|
14
|
|
TYPE OF REPORTING PERSON (See
Instructions)
IN
|
*
|
Based on 6,631,639 shares of common stock outstanding as of November 4, 2016, as reported in the Issuers Quarterly Report on Form 10-Q for the period ended September 30, 2016.
|
Page 10
This Amendment No. 2 (the Amendment) amends and supplements the statement on Schedule 13D, filed
with the Securities and Exchange Commission (the SEC) on February 16, 2016 (the Original Schedule 13D), and Amendment No. 1 to the Original Schedule 13D, filed with the SEC on March 18, 2016 (Amendment
No. 1, and together with this Amendment and the Original Schedule 13D, the Schedule 13D) with respect to the common stock, par value $0.00005 (the Common Stock), of MaxPoint Interactive, Inc., a Delaware
corporation (the Issuer) having its principal executive offices at 3020 Carrington Mill Blvd., Suite 300, Morrisville, NC 27560. Capitalized terms used herein and not otherwise defined in this Amendment have the meanings given those
terms in the Original Schedule 13D and Amendment No. 1. This Amendment amends Item 5 as set forth below.
Item 5.
|
Interest in Securities of the Issuer
|
Paragraph (a) of Item 5 of the Schedule 13D is hereby amended
and restated in its entirety, as follows:
(a) The aggregate percentage of shares of Common Stock reported beneficially owned by each person named herein
is determined in accordance with the SEC rules and is based on 6,631,639 shares of the Issuers Common Stock outstanding as of November 4, 2016. As of the date hereof, the Reporting Persons beneficially owned shares of Common Stock as
follows:
|
|
|
|
|
|
|
|
|
Name of Beneficial Owner
|
|
Number of
Shares of
Common
Stock Owned
|
|
|
Percent of
Common
Stock
|
|
|
|
|
Madrona Venture Fund IV, L.P.
|
|
|
1,234,566
|
|
|
|
18.62
|
%
|
Madrona Venture Fund
IV-A,
L.P.
|
|
|
31,464
|
|
|
|
0.47
|
%
|
Total
|
|
|
1,266,030
|
|
|
|
19.09
|
%
|
MIP, as the sole general partner of MVF IV and MVF
IV-A,
may be deemed to beneficially
own the shares held by MVF IV and MVF
IV-A.
MGP, as the sole general partner of MIP, may be deemed to beneficially own the shares held by MVF IV and MVF
IV-A.
Each of
the Managing Directors may be deemed to share the power to direct the disposition and vote of the shares held by MVF IV and MVF
IV-A.
Each Reporting Person disclaims beneficial ownership of the reported
securities except to the extent of that Reporting Persons pecuniary interest therein.
Page 11
Signature
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
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Date: February 13, 2017
|
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|
MADRONA VENTURE FUND IV, LP
|
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|
|
|
|
|
|
|
By:
|
|
Madrona Investment Partners IV, LP
its General
Partner
|
|
|
|
|
|
|
|
|
By:
|
|
Madrona IV General Partner, LLC,
its General
Partner
|
|
|
|
|
|
|
|
|
By
|
|
/s/ Troy Cichos
|
|
|
|
|
Its Authorized Signatory
|
|
|
|
Date: February 13, 2017
|
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|
|
MADRONA VENTURE FUND
IV-A,
LP
|
|
|
|
|
|
|
|
|
By:
|
|
Madrona Investment Partners IV, LP
its General
Partner
|
|
|
|
|
|
|
|
|
By:
|
|
Madrona IV General Partner, LLC,
its General
Partner
|
|
|
|
|
|
|
|
|
By
|
|
/s/ Troy Cichos
|
|
|
|
|
Its Authorized Signatory
|
|
|
|
Date: February 13, 2017
|
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MADRONA INVESTMENT PARTNERS IV, LP
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By:
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Madrona IV General Partner, LLC,
its General
Partner
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By
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/s/ Troy Cichos
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Its Authorized Signatory
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Date: February 13, 2017
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MADRONA IV GENERAL PARTNER, LLC
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By
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/s/ Troy Cichos
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Its Authorized Signatory
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Date: February 13, 2017
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/s/ Tom A. Alberg
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Tom A. Alberg
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Date: February 13, 2017
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/s/ Paul B Goodrich
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Paul B. Goodrich
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Date: February 13, 2017
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/s/ Scott Jacobson
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Scott Jacobson
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Date: February 13, 2017
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/s/ Len Jordan
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Len Jordan
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Date: February 13, 2017
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/s/ Matthew S. McIlwain
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Matthew S. McIlwain
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Date: February 13, 2017
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/s/ Timothy M. Porter
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Tim Porter
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The original statement shall be signed by each person on whose behalf the statement is filed or his authorized representative.
If the statement is signed on behalf of a person by his authorized representative (other than an executive officer or general partner of this filing person), evidence of the representatives authority to sign on behalf of such person shall be
filed with the statement, provided, however, that a power of attorney for this purpose which is already on file with the Commission may be incorporated by reference. The name and any title of each person who signs the statement shall be typed or
printed beneath his signature.
Attention: Intentional misstatements or omissions of fact constitute Federal criminal violations (See 18 U.S.C. 1001).
Page 2
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