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 D Convertible Preferred Stock
|
Â
(2)
|
Â
(2)
|
Common Stock
|
78,434
|
$
(2)
|
I
|
By the John T. Staton Declaration of Trust
(1)
|
Stock Option (Right to Buy)
|
Â
(3)
|
09/01/2015 |
Common Stock
|
781,236
|
$
0.77
|
D
|
Â
|
Stock Option (Right to Buy)
|
Â
(4)
|
02/03/2020 |
Common Stock
|
450,800
|
$
14.71
|
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 shares are held in a trust, the beneficiaries of which are members of Mr. Staton's immediate family. Mr. Staton is the trustee of the trust. |
(2) |
Each share of Series D Convertible Preferred Stock represented herein is immediately convertible, and will automatically convert upon the closing of the Issuer's initial public offering, into 3.92 shares of common stock, par value $0.01 per share, of the Issuer, and has no expiration date. |
(3) |
This option was immediately exercisable upon grant on September 1, 2005. |
(4) |
The shares subject to the option vest in four equal annual installments beginning on February 3, 2011, and the option can be exercised immediately upon grant, provided that upon exercise the shares issued are subject to the same vesting and repurchase provisions that applied before exercise. |