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
(1)
|
07/16/2017 |
Common Stock
|
26,013
|
$
0.44
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(2)
|
02/11/2020 |
Common Stock
|
51,761
|
$
1.11
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(3)
|
01/18/2021 |
Common Stock
|
103,593
|
$
4.28
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(4)
|
08/06/2022 |
Common Stock
|
33,333
|
$
5.01
|
D
|
Â
|
Series 3 Preferred Stock
|
Â
(5)(6)
|
Â
(7)
|
Common Stock
|
14,780
|
$
(5)
(6)
|
D
|
Â
|
Series 4 Preferred Stock
|
Â
(5)(6)
|
Â
(7)
|
Common Stock
|
72,601
|
$
(5)
(6)
|
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) |
Grant to the the Reporting Person of a stock option under the ScanScout, Inc. 2006 Stock Plan (the "ScanScout 2006 Plan"). This option is fully vested. |
(2) |
Grant to the Reporting Person of a stock option under the ScanScout, Inc. 2009 Equity Incentive Plan (the "ScanScout 2009 Plan"). This option is fully vested. |
(3) |
Grant to the Reporting Person of a stock option under the Issuer's 2008 Stock Plan (the "2008 Plan"). 1/48th of the shares subject to the option vest each month after January 19, 2011. This option will vest in full upon the closing of a change of control transaction. |
(4) |
Grant to the Reporting Person of a stock option under the Issuer's 2008 Plan. 1/48th of the shares subject to the option vest each month after August 6, 2012. This option will vest in full upon the closing of a change of control transaction. |
(5) |
This security is convertible at any time into shares of the Issuer's Common Stock on a one-for-one basis at the Reporting Person's election. |
(6) |
The shares will automatically convert on a one-for-one basis into shares of the Issuer's Common Stock immediately upon the closing of a Qualified Public Offering (as defined in the Seventh Amended and Restated Certificate of Incorporation, as filed with the State of Delaware on June 13, 2013). |
(7) |
The shares have no expiration date. |