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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 |
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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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
LEONE DOUGLAS M 3000 SAND HILL ROAD, 4-250 MENLO PARK, CA 94025 |
X | X |
/s/ Rusty Hensley, Attorney-in-Fact | 05/22/2015 | |
**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) | Shares held of record by Sequoia Capital IX, L.P. ("SC IX"). The Reporting Person is a Managing Member of SC IX.I Management, LLC ("SC IX.I Management"), the general partner of SC IX, and may be deemed to share voting and dispositive power with respect to the shares held by SC IX. The Reporting Person disclaims beneficial ownership of the securities held by SC IX except to the extent of his pecuniary interest therein. |
(2) | Shares held of record by Sequoia Capital XI, LP ("SC XI"). The Reporting Person is a Managing Member of SC XI Management, LLC ("SC XI Management"), the general partner of SC XI, and may be deemed to share voting and dispositive power with respect to the shares held by SC XI. The Reporting Person disclaims beneficial ownership of the securities held by SC XI except to the extent of his pecuniary interest therein. |
(3) | Shares held of record by Sequoia Capital XI Principals Fund, LLC ("SC XI PF"). The Reporting Person is a Managing Member of SC XI Management, the managing member of SC XI PF, and may be deemed to share voting and dispositive power with respect to the shares held by SC XI PF. The Reporting Person disclaims beneficial ownership of the securities held by SC XI PF except to the extent of his pecuniary interest therein. |
(4) | Shares held of record by Sequoia Technology Partners XI, LP ("STP XI"). The Reporting Person is a Managing Member of SC XI Management, the general partner of STP XI, and may be deemed to share voting and dispositive power with respect to the shares held by STP XI. The Reporting Person disclaims beneficial ownership of the securities held by STP XI except to the extent of his pecuniary interest therein. |
(5) | Shares held of record by Sequoia Capital Entrepreneurs Annex Fund, L.P. ("SC Annex"). The Reporting Person is a Managing Member of SC IX.I Management, the general partner of SC Annex, and may be deemed to share voting and dispositive power with respect to the shares held by SC Annex. The Reporting Person disclaims beneficial ownership of the securities held by SC Annex except to the extent of his pecuniary interest therein. |
(6) | Shares held of record by Sequoia Capital Franchise Fund L.P. ("SCFF"). The Reporting Person is a Managing Member of SCFF Management, LLC ("SCFF Management"), the general partner of SCFF, and may be deemed to share voting and dispositive power with respect to the shares held by SCFF. The Reporting Person disclaims beneficial ownership of the securities held by SCFF except to the extent of his pecuniary interest therein. |
(7) | Shares held of record by Sequoia Capital Franchise Partners L.P. ("SCFP"). The Reporting Person is a Managing Member of SCFF Management, the general partner of SCFP, and may be deemed to share voting and dispositive power with respect to the shares held by SCFP. The Reporting Person disclaims beneficial ownership of the securities held by SCFP except to the extent of his pecuniary interest therein. |
(8) | Grant of restricted stock unit will be paid solely in common stock and will vest 12 months following the grant date, on 5/18/2016, or immediately prior to the next Regular Annual Meeting of CafePress' Stockholders following the grant date if the meeting occurs prior to the first anniversary date. |
Remarks: This Form 4 amends the original Form 4 filed on May 20, 2015 (as amended on May 21,2015) to correct the amount of securities beneficially owned in Table I Column 5 from 52,462 to 52,456. |