Initial Statement of Beneficial Ownership (3)
March 29 2016 - 7:17PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
Estimated average burden
hours per response...
0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
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Forman Michael
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2. Date of Event Requiring Statement (MM/DD/YYYY)
3/21/2016
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3. Issuer Name
and
Ticker or Trading Symbol
NETSUITE INC [N]
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(Last)
(First)
(Middle)
NETSUITE INC., 2955 CAMPUS DRIVE, SUITE 100
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
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X
___ Officer (give title below)
_____ Other (specify below)
SVP, Global Controller /
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(Street)
SAN MATEO, CA 94403
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
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X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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24782
(1)
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Employee Stock Option (right to buy)
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(2)
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8/15/2019
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Common Stock
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200
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$13.35
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D
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Employee Stock Option (right to buy)
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(3)
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3/3/2022
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Common Stock
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3918
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$46.78
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D
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Employee Stock Option (right to buy)
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(4)
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3/17/2024
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Common Stock
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1059
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$102.61
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D
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Explanation of Responses:
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(
1)
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Includes 18,211 shares subject to unvested restricted stock unit (RSU) grants and 4,035 shares subject to unvested performance stock unit (PSU) grants. Each RSU and PSU represents a contingent right to receive one share of NetSuite Inc. common stock. The Reporting Person was originally awarded 2,946 RSUs on March 19, 2013 vesting each quarter after March 3, 2013; 2,261 RSUs on March 17, 2014 vesting each quarter after March 3, 2014; 4,077 RSUs on March 9, 2015 vesting each quarter after March 3, 2015; 4,715 RSUs on March 7, 2016 vesting each quarter after March 3, 2016; 8,572 RSUs on March 13, 2016 vesting each quarter after March 3, 2016; 5,500 PSUs on March 29, 2012 vesting in three annual installments starting on February 15, 2015; 3,469 PSUs on March 17, 2014 vesting in three annual installments starting on February 15, 2015; and 1,562 PSUs on March 9, 2015 vesting in three annual installments starting on February 15, 2016.
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(
2)
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An option to purchase 4,000 shares was granted on August 15, 2009 and was exercised in part prior to the date on which the Reporting Person became subject to Section 16. One forty-eighth of the shares subject to the option vested on September 15, 2009 and one forty-eighth vest monthly thereafter. This option is fully vested.
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(
3)
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An option to purchase 4,498 shares was granted on March 6, 2012 and was exercised in part prior to the date on which the Reporting Person became subject to Section 16. One forty-eighth of the shares subject to the option vested on April 3, 2012 and one forty-eighth vest monthly thereafter. This option is fully vested.
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(
4)
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An option to purchase 1,059 shares was granted on March 17, 2014. One forty-eighth of the shares subject to the option vested on April 3, 2014 and one forty-eighth vest monthly thereafter.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Forman Michael
NETSUITE INC.
2955 CAMPUS DRIVE, SUITE 100
SAN MATEO, CA 94403
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SVP, Global Controller
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Signatures
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/s/ Michael Forman
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3/29/2016
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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