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 A Preferred Stock
|
(1)
|
(1)
|
Common Stock
|
27,680
|
$
(1)
|
D
|
|
Employee Stock Option (right to buy)
|
(2)
|
11/14/2015 |
Common Stock
|
170,000
|
$
5
|
D
|
|
Employee Stock Option (right to buy)
|
(3)
|
11/14/2015 |
Common Stock
|
170,000
|
$
7.5
|
D
|
|
Employee Stock Option (right to buy)
|
(4)
|
04/26/2017 |
Common Stock
|
200,000
|
$
7.5
|
D
|
|
Employee Stock Option (right to buy)
|
(5)
|
04/30/2018 |
Common Stock
|
36,000
|
$
7.5
|
D
|
|
Employee Stock Option (right to buy)
|
(6)
|
05/15/2019 |
Common Stock
|
15,000
|
$
7.15
|
D
|
|
Common Stock
(7)
|
(7)
|
(7)
|
Common Stock
|
333,002
|
$
0.0935
|
D
|
|
Series A Convertible Redeemable Preferred Stock
(8)
|
(9)
|
(9)
|
Common Stock
|
16,342
|
$
(9)
|
D
|
|
Series B Convertible Redeemable Preferred Stock
(8)
|
(9)
|
(9)
|
Common Stock
|
30,961
|
$
(9)
|
D
|
|
Series C-1 Convertible Redeemable Preferred Stock
(8)
|
(9)
|
(9)
|
Common Stock
|
9,767
|
$
(9)
|
D
|
|
Series C-2 Convertible Redeemable Preferred Stock
(8)
|
(9)
|
(9)
|
Common Stock
|
9,767
|
$
(9)
|
D
|
|
* |
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 A Preferred Stock is convertible at any time, at the holder's option. Upon consummation of the issuer's initial public offering, the issuer's Series A Preferred Stock will automatically convert into the number of shares of the issuer's Common Stock indicated in Part II, Item 3 |
(2) |
The option award is fully vested. |
(3) |
The option award is fully vested. |
(4) |
The option award is fully vested. |
(5) |
36,000 options were granted to the Reporting Person on 4/30/2008. Of such 36,000 options, 11,999.8 vested on 4/30/2009, 11,999.8 vested on 4/30/2010 and the remaining 12,000.4 will vest on 4/30/2011. |
(6) |
15,000 options were granted to the Reporting Person on 5/15/2009. Of such 15,000 options, 5,000 vested on 5/15/2010, 5,000 will vest on 5/15/2011 and the remaining 5,000 will vest on 5/15/2012. |
(7) |
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 334,006 shares of common stock of The EnvestNet Group, Inc. ("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. |
(8) |
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. |
(9) |
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. |