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) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Series C Preferred Stock
|
(2)
|
(2)
|
Common Stock
|
21,466
|
$
(2)
|
I
|
By Apex Investment Fund IV, L.P.
(1)
|
Series A Preferred Stock
|
(2)
|
(2)
|
Common Stock
|
82,560
|
$
(2)
|
I
|
By Apex Investment Fund V, L.P.
(1)
|
Series B Preferred Stock
|
(2)
|
(2)
|
Common Stock
|
84,700
|
$
(2)
|
I
|
By Apex Investment Fund V, L.P.
(1)
|
Series C Preferred Stock
|
(2)
|
(2)
|
Common Stock
|
25,964
|
$
(2)
|
I
|
By Apex Investment Fund V, L.P.
(1)
|
Common Stock
(3)
|
(3)
|
(3)
|
Common Stock
|
2,338
|
$
(3)
|
D
|
|
Common Stock
(4)
|
(4)
|
(4)
|
Common Stock
|
12,593
|
$
(4)
|
I
|
By Apex Investment Fund IV, L.P.
(1)
|
Common Stock
(5)
|
(5)
|
(5)
|
Common Stock
|
156,099
|
$
(5)
|
I
|
By Apex Investment Fund V, L.P.
(1)
|
Common Stock
(6)
|
(6)
|
(6)
|
Common Stock
|
381
|
$
(6)
|
I
|
By Apex Strategic Partners IV, LLC
(1)
|
Series A Convertible Redeemable Preferred Stock
(7)
|
(8)
|
(8)
|
Common Stock
|
681,798
|
$
(8)
|
I
|
By Apex Investment Fund IV, L.P.
(1)
|
Series A Convertible Redeemable Preferred Stock
(7)
|
(8)
|
(8)
|
Common Stock
|
68,765
|
$
(8)
|
I
|
By Apex Strategic Partners IV, LLC
(1)
|
Series B Convertible Redeemable Preferred Stock
(7)
|
(8)
|
(8)
|
Common Stock
|
398,169
|
$
(8)
|
I
|
By Apex Investment Fund IV, L.P.
(1)
|
Series B Convertible Redeemable Preferred Stock
(7)
|
(8)
|
(8)
|
Common Stock
|
68,765
|
$
(8)
|
I
|
By Apex Investment Fund V, L.P.
(1)
|
Series B Convertible Redeemable Preferred Stock
(7)
|
(8)
|
(8)
|
Common Stock
|
12,065
|
$
(8)
|
I
|
By Apex Strategic Partners IV, LLC
(1)
|
Series C-1 Convertible Redeemable Preferred Stock
(7)
|
(8)
|
(8)
|
Common Stock
|
144,584
|
$
(8)
|
I
|
By Apex Investment Fund V, L.P.
(1)
|
Series C-2 Convertible Redeemable Preferred Stock
(7)
|
(8)
|
(8)
|
Common Stock
|
144,584
|
$
(8)
|
I
|
By Apex Investment Fund V, L.P.
(1)
|
* |
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) |
Mr. Johnson is a Managing Member of Apex Management IV, LLC, which is the sole general partner of Apex Investment Fund IV, L.P. and the Manager of Apex Strategic Partners IV, LLC. Mr. Johnson is also a Member of Apex Management V, LLC, the sole general partner of Apex Investment Fund V, L.P. Mr. Johnson shares voting and dispositive power over the securities held by these funds. Mr. Johnson disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interests therein. |
(2) |
The preferred stock is convertible at any time, at the holder's option. Upon consummation of the issuer's initial public offering, each series of the issuer's preferred stock will automatically convert into the number of shares of the issuer's Common Stock indicated in Part II, Item 3. |
(3) |
Represents an interest in the number of shares of the issuer's Common Stock indicated in Part II, Item 3 as a result of the Reporting Person's beneficial ownership of 2,345 shares of common stock of ENG, the issuer's 40.9% shareholder. Upon the consummation of the issuer's initial public offering, ENG will merge with and into the issuer. Each share of ENG common stock will automatically convert into 0.0935 shares of the issuer's Common Stock upon the closing of the issuer's initial public offering. |
(4) |
Represents an interest in the number of shares of the issuer's Common Stock indicated in Part II, Item 3 as a result of the Reporting Person's beneficial ownership of 12,631 shares of common stock of The ENG, the issuer's 40.9% shareholder. Upon the consummation of the issuer's initial public offering, ENG will merge with and into the issuer. Each share of ENG common stock will automatically convert into 0.0935 shares of the issuer's Common Stock upon the closing of the issuer's initial public offering. |
(5) |
Represents an interest in the number of shares of the issuer's Common Stock indicated in Part II, Item 3 as a result of the Reporting Person's beneficial ownership of 156,570 shares of common stock of ENG, the issuer's 40.9% shareholder. Upon the consummation of the issuer's initial public offering, ENG will merge with and into the issuer. Each share of ENG common stock will automatically convert into 0.0935 shares of the issuer's Common Stock upon the closing of the issuer's initial public offering. |
(6) |
Represents an interest in the number of shares of the issuer's Common Stock indicated in Part II, Item 3 as a result of the Reporting Person's beneficial ownership of 382 shares of common stock of ENG, the issuer's 40.9% shareholder. Upon the consummation of the issuer's initial public offering, ENG will merge with and into the issuer. Each share of ENG common stock will automatically convert into 0.0935 shares of the issuer's Common Stock upon the closing of the issuer's initial public offering. |
(7) |
Represents preferred stock issued by ENG, the issuer's 40.9% shareholder. Upon the consummation of the issuer's initial public offering, ENG will merge with and into the issuer and each series of ENG's preferred stock will convert into shares of the issuer's Common Stock. The number of shares of the issuer's Common Stock indicated in Part II, Item 3 reflects conversion of the ENG convertible preferred stock beneficially owned by the Reporting Person upon the closing of the issuer's initial public offering. |
(8) |
The convertible preferred stock is convertible at any time, at the holder's option, and has no stated expiration date. Upon consummation of the issuer's initial public offering, each series of ENG's preferred stock will automatically convert into shares of the issuer's Common Stock. |