Statement of Changes in Beneficial Ownership (4)
December 21 2016 - 5:52PM
Edgar (US Regulatory)
FORM 4
[
X
]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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
*
Foundation Capital Management Co. VI, LLC
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2. Issuer Name
and
Ticker or Trading Symbol
TUBEMOGUL INC
[
TUBE
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
_____ Officer (give title below)
__
X
__ Other (specify below)
Former 10% Owner
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(Last)
(First)
(Middle)
250 MIDDLEFIELD ROAD
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3. Date of Earliest Transaction
(MM/DD/YYYY)
12/19/2016
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(Street)
MENLO PARK, CA 94025
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
_
X
_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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12/19/2016
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U
(1)
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5848097
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D
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$14.00
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0
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I
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By Foundation Capital VI, L.P.
(2)
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Common Stock
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12/19/2016
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U
(1)
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29117
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D
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$14.00
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0
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I
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By Holland/Yates Family Trust dtd 7/23/1999
(3)
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Common Stock
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12/19/2016
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U
(1)
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4435
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D
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$14.00
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0
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I
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By The Holland Childrens Trust
(4)
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Common Stock
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12/19/2016
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U
(1)
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7110
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D
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$14.00
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0
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I
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By Koontz Revocable Trust U/A/D 6/29/1998
(5)
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Common Stock
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12/19/2016
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U
(1)
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14905
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D
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$14.00
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0
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I
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By Michael N. & Mary G. Schuh 1990 Family Trust
(6)
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Common Stock
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12/19/2016
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U
(1)
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9072
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D
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$14.00
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0
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I
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By William B. Elmore Gift Fund
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Common Stock
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12/19/2016
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U
(1)
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13749
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D
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$14.00
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0
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I
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By William B. Elmore Revocable Trust
(7)
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Common Stock
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12/19/2016
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U
(1)
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24690
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D
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$14.00
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0
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I
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By Elmore Family Investments B, LP
(8)
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Common Stock
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12/19/2016
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U
(1)
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12975
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D
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$14.00
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0
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I
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By Vassallo Family Revocable Trust dated 7/15/02
(9)
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Common Stock
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12/19/2016
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U
(1)
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4440
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D
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$14.00
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0
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I
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By Moldow Family Trust dated 11/11/2003
(10)
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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. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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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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Explanation of Responses:
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(
1)
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Disposed of pursuant to a cash tender offer conducted in accordance with the Agreement and Plan of Merger, dated November 10, 2016, by and among the Issuer, Adobe Systems Incorporated, a Delaware corporation ("Adobe") and Tiger Acquisition Corporation, a Delaware corporation and a wholly owned subsidiary of Adobe in exchange for cash consideration of $14.00 per share, net to the seller in cash, without interest thereon and subject to any required tax withholding.
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(
2)
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Foundation Capital Management Co. VI, L.L.C. is the sole general partner of Foundation Capital VI, L.P. and the sole manager of Foundation Capital VI Principals Fund, LLC and has sole voting and investment power with respect to the shares held by Foundation Capital VI, L.P. and Foundation Capital VI Principals Fund, LLC. William B. Elmore, Paul G. Koontz, Michael N. Schuh, Paul R. Holland, Steve P. Vassallo, Charles P. Moldow and Warren M. Weiss are managing members of Foundation Capital Management Co. VI, L.L.C., and may be deemed to share voting and investment power over the shares owned by Foundation Capital VI, L.P. and Foundation Capital VI Principals Fund, LLC. Each of the managing members of Foundation Capital Management Co. VI, L.L.C. disclaims beneficial ownership in the shares held by the aforementioned entities except to the extent of his pecuniary interest therein.
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(
3)
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The shares were held by the Holland/Yates Family Trust dtd 7/23/1999 (the "Holland Family Trust"). Paul R. Holland is a trustee of the Holland Family Trust. The Reporting Person disclaims beneficial ownership of the shares held by the Holland Family Trust except to the extent of his proportionate pecuniary interest therein.
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(
4)
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The shares were held by The Holland Children's Trust (the "Holland Children's Trust"). Paul R. Holland is a trustee of the Holland Children's Trust. The Reporting Person disclaims beneficial ownership of the shares held by the Holland Children's Trust except to the extent of his proportionate pecuniary interest therein.
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(
5)
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The shares were held by the Koontz Revocable Trust U/A/D 6/29/1998 (the "Koontz Trust"). Paul G. Koontz is a trustee of the Koontz Trust. The Reporting Person disclaims beneficial ownership of the shares held by the Koontz Trust except to the extent of his proportionate pecuniary interest therein.
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(
6)
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The shares were held by the Michael N. & Mary G. Schuh 1990 Family Trust (the "Schuh Trust"). Michael N. Schuh is a trustee of the Schuh Trust. The Reporting Person disclaims beneficial ownership of the shares held by the Schuh Trust except to the extent of his proportionate pecuniary interest therein
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(
7)
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The shares were held by the William B. Elmore Revocable Trust (the "Elmore Trust"). William B. Elmore is a trustee of the Elmore Trust. The Reporting Person disclaims beneficial ownership of the shares held by the Elmore Trust except to the extent of his proportionate pecuniary interest therein.
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(
8)
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The shares were held by Elmore Family Investments B, LP (the "Elmore Partnership"). William B. Elmore is a general partner of the Elmore Partnership. The Reporting Person disclaims beneficial ownership of the shares held by the Elmore Partnership except to the extent of his proportionate pecuniary interest therein.
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(
9)
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The shares were held by the Vassallo Family Revocable Trust dated 7/15/02 (the "Vassallo Trust"). Steve P. Vassallo is a trustee of the Vassallo Trust. The Reporting Person disclaims beneficial ownership of the shares held by the Vassallo Trust except to the extent of his proportionate pecuniary interest therein.
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(
10)
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The shares were held by the Moldow Family Trust dated 11/11/2003 (the "Moldow Family Trust"). Charles Moldow is a trustee of the Moldow Family Trust. The Reporting Person disclaims beneficial ownership of the shares held by the Moldow Family Trust except to the extent of his proportionate pecuniary interest therein.
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Remarks:
Filing 1 of 2: see Form 4 for Foundation Capital Management Co. VI, L.L.C. for additional members of this joint filing.
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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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Foundation Capital Management Co. VI, LLC
250 MIDDLEFIELD ROAD
MENLO PARK, CA 94025
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Former 10% Owner
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FOUNDATION CAPITAL VI LP
250 MIDDLEFIELD ROAD
MENLO PARK, CA 94025
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Former 10% Owner
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Foundation Capital VI Principals Fund, LLC
250 MIDDLEFIELD ROAD
MENLO PARK, CA 94025
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Former 10% Owner
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Foundation Capital, LLC
250 MIDDLEFIELD ROAD
MENLO PARK, CA 94025
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Former 10% Owner
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HOLLAND PAUL R
250 MIDDLEFIELD ROAD
MENLO PARK, CA 94025
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Former 10% Owner
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KOONTZ PAUL G
250 MIDDLEFIELD ROAD
MENLO PARK, CA 94025
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Former 10% Owner
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SCHUH MICHAEL N
250 MIDDLEFIELD ROAD
MENLO PARK, CA 94025
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Former 10% Owner
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ELMORE WILLIAM B
250 MIDDLEFIELD ROAD
MENLO PARK, CA 94025
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Former 10% Owner
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Weiss Warren M
250 MIDDLEFIELD ROAD
MENLO PARK, CA 94025
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Former 10% Owner
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Moldow Charles
250 MIDDLEFIELD ROAD
MENLO PARK, CA 94025
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Former 10% Owner
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Signatures
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/s/ David A. Singer as Attorney-In-Fact for Foundation Capital Management Co. VI, L.L.C.
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12/21/2016
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**
Signature of Reporting Person
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Date
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/s/ David A. Singer as Attorney-In-Fact for Foundation Capital VI, L.P.
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12/21/2016
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Signature of Reporting Person
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Date
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/s/ David A. Singer as Attorney-in-Fact for Foundation Capital VI Principals Fund, L.L.C.
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12/21/2016
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Signature of Reporting Person
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Date
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/s/ David A. Singer as Attorney-in-Fact for Foundation Capital, LLC
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12/21/2016
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Signature of Reporting Person
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Date
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/s/ David A. Singer as Attorney-in-Fact for Paul R. Holland
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12/21/2016
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Signature of Reporting Person
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Date
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/s/ David A. Singer as Attorney-in-Fact for Paul G. Koontz
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12/21/2016
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Signature of Reporting Person
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Date
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/s/ David A. Singer as Attorney-in-Fact for Michael N. Schuh
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12/21/2016
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Signature of Reporting Person
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Date
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/s/ David A. Singer as Attorney-in-Fact for William B. Elmore
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12/21/2016
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Signature of Reporting Person
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Date
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/s/ David A. Singer as Attorney-in-Fact for Warren M. Weiss
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12/21/2016
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**
Signature of Reporting Person
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Date
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/s/ David A. Singer as Attorney-in-Fact for Charles Moldow
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12/21/2016
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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 4(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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