|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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 |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series A Preferred Stock | (1) | 11/15/2005 | C | 1,336,370 | (1) | (1) | Common Stock | 1,336,370 | $ 0 | 0 | I | See Footnote (2) | |||
Series C Preferred Stock | (1) | 11/15/2005 | C | 352,864 | (1) | (1) | Common Stock | 352,864 | $ 0 | 0 | I | See Footnote (3) | |||
Series D Preferred Stock | (1) | 11/15/2005 | C | 218,926 | (1) | (1) | Common Stock | 218,926 | $ 0 | 0 | I | See Footnote (4) | |||
Series E Preferred Stock | (1) | 11/15/2005 | C | 407,726 | (1) | (1) | Common Stock | 407,726 | $ 0 | 0 | I | See Footnote (5) | |||
Series F Preferred Stock | (1) | 11/15/2005 | C | 162,719 | (1) | (1) | Common Stock | 162,719 | $ 0 | 0 | I | See Footnote (6) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Acer Technology Ventures Management, LLC 5201 GREAT AMERICA PARKWAY SUITE 270 SANTA CLARA, CA 95054 |
X | |||
iD America 1, LLC 5201 GREAT AMERICA PARKWAY SUITE 270 SANTA CLARA, CA 95054 |
X | |||
iD6 Fund, L.P. 5201 GREAT AMERICA PARKWAY SUITE 270 SANTA CLARA, CA 95054 |
X | |||
IP Fund One, L.P. 5201 GREAT AMERICA PARKWAY SUIT 270 SANTA CLARA, CA 95054 |
X | |||
Lai Teh-Tsung C/O ID AMERICA 1, LLC 5201 GREAT AMERICA PARKWAY SANTA CLARA, CA 95054 |
X | |||
Acer Technology Ventures America, LLC 5201 GREAT AMERICA PARKWAY SUITE 270 SANTA CLARA, CA 95054 |
X | |||
Acer Technology Ventures Fund, L.P. 5201 GREAT AMERICA PARKWAY SUITE 270 SANTA CLARA, CA 95054 |
X | |||
Lu James C C/O ACER TECHNOLOGY VENTURES MANAGEMENT 5201 GREAT AMERICA PARKWAY, SUITE 270 SANATA CLARA, CA 95054 |
X |
(See signatures included in Exhibit 99.1) | 11/15/2005 | |
**Signature of Reporting Person | Date | |
/s/ Glen D. Weinstein, Attorney-in-fact | 11/15/2005 | |
**Signature of Reporting Person | Date | |
/s/ Glen D. Weinstein, Attorney-in-fact | 11/15/2005 | |
**Signature of Reporting Person | Date | |
/s/ Glen D. Weinstein, Attorney-in-fact | 11/15/2005 | |
**Signature of Reporting Person | Date | |
/s/ Glen D. Weinstein, Attorney-in-fact | 11/15/2005 | |
**Signature of Reporting Person | Date | |
/s/ Glen D. Weinstein, Attorney-in-fact | 11/15/2005 | |
**Signature of Reporting Person | Date | |
/s/ Glen D. Weinstein, Attorney-in-fact | 11/15/2005 | |
**Signature of Reporting Person | Date | |
/s/ Glen D. Weinstein, Attorney-in-fact | 11/15/2005 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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 preferred stock automatically converted upon the consummation of the Issuer?s initial public offering on a one-for-one basis. |
(2) | See "Notes to Footnote 2" in Exhibit 99.2 |
(3) | See "Notes to Footnote 3" in Exhibit 99.2 |
(4) | See "Notes to Footnote 4" in Exhibit 99.2 |
(5) | See "Notes to Footnote 5" in Exhibit 99.2 |
(6) | See "Notes to Footnote 6" in Exhibit 99.2 |
(7) | Shares sold pursuant to the exercise of the over-allotment option in connection with the intial public offering of common stock of iRobot Corporation. |
(8) | Consists of shares held directly by Teh-Tsung Lai. |
(9) | Consists of shares held directly by James C. Lu. |