UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series Alpha Convertible Preferred Stock | Â (1) | Â (1) | Common Stock | 42,667 | $ (1) | D | Â |
Series Beta Convertible Preferred Stock | Â (2) | Â (2) | Common Stock | 23,581 | $ (2) | I | By SNP Ventures, LP. (3) |
Stock Option (right to buy) | Â (4) | 09/16/2019 | Common Stock | 17,179 | $ 0.9 | D | Â |
Stock Option (right to buy) | Â (5) | 06/02/2025 | Common Stock | 35,000 | $ 14.96 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Parker Sean N. C/O OOMA, INC. 1880 EMBARCADERO ROAD PALO ALTO, CA 94303 |
 X |  |  |  |
/s/ Spencer D. Jackson, as attorney-in-fact for Sean N. Parker | 07/16/2015 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The Series Alpha Convertible Preferred Stock is convertible into the issuer's common stock on a one-for-one basis and has no expiration date. It will automatically convert into common stock upon the closing of the issuer's initial public offering. |
(2) | The Series Beta convertible preferred stock is convertible into the issuer's common stock on a one-for-one basis unless $21.2028 is greater than 75% of the offering price per share, in which case each share of Series Beta convertible preferred stock is convertible into that number of shares of common stock equal to the ratio of $21.2028 divided by 75% of the offering price per share. No fractional shares of common stock will be issued upon conversion of Series Beta preferred stock. The Series Beta preferred stock has no expiration date and will automatically convert into common stock upon the closing of the issuer's initial public offering. |
(3) | Mr. Parker is an affiliate of SNP Ventures Fund LP and a beneficial owner of the shares. |
(4) | The option is fully vested and exercisable. |
(5) | 1/48th of the option will vest on the one month anniversary of 3/1/2015 and 1/48th of the option shall vest monthly thereafter. The option is immediately exercisable. |