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 |
Stock Option (right to buy)
|
Â
(2)
|
01/11/2017 |
Class A Common Stock
(1)
|
55,263
|
$
1.43
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(2)
|
05/21/2018 |
Class A Common Stock
(1)
|
23,684
|
$
3.42
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(3)
|
12/05/2018 |
Class A Common Stock
(1)
|
92,086
|
$
3.42
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(4)
|
12/18/2019 |
Class A Common Stock
(1)
|
59,409
|
$
4.11
|
D
|
Â
|
Series B Preferred Stock
(5)
|
Â
(6)
|
Â
(7)
|
Class A Common Stock
(1)
|
3,132
|
$
0
|
D
|
Â
|
Series B-1 Preferred Stock
(5)
|
Â
(6)
|
Â
(7)
|
Class A Common Stock
(1)
|
5,159
|
$
0
|
D
|
Â
|
* |
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 Class A Common Stock will be redesignated "Common Stock" immediately prior to the consummation of the Issuer's initial public offering. |
(2) |
The option is fully vested and exercisable, subject to an annual limitation of 175,438 shares that can be issued to a single grantee upon the exercise of awards under the Issuer's 2004 Stock Incentive Plan (the "Plan"). |
(3) |
The option was immediately exercisable in full on December 5, 2008, subject to an annual limitation of 175,438 shares that can be issued to a single grantee upon the exercise of awards under the Plan; however, the shares subject to the option vest in 60 successive, equal monthly installments on each monthly anniversary of December 5, 2008, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date. |
(4) |
The option was immediately exercisable in full on December 18, 2009, subject to an annual limitation of 175,438 shares that can be issued to a single grantee upon the exercise of awards under the Plan; however, the shares subject to the option vest in 60 successive, equal monthly installments on each monthly anniversary of December 18, 2009, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date. |
(5) |
Each share of Series B and Series B-1 Preferred Stock will automatically convert on a one-to-one basis into Common Stock immediately prior to the consummation of the Issuer's initial public offering. |
(6) |
The securities are immediately convertible. |
(7) |
The expiration date is not relevant to the conversion of these securities. |