Initial Statement of Beneficial Ownership (3)
2016年7月11日 - 7:33PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
Estimated average burden
hours per response...
0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Google Capital 2016, L.P.
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2. Date of Event Requiring Statement (MM/DD/YYYY)
6/29/2016
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3. Issuer Name
and
Ticker or Trading Symbol
Care.com Inc [CRCM]
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(Last)
(First)
(Middle)
1600 AMPHITHEATRE PARKWAY
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
___
X
___ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Street)
MOUNTAIN VIEW, CA 94043
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
_
X
_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Convertible Preferred Stock, Series A
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(1)
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(1)
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Common Stock
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4414286
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$10.50
(1)
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I
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See Footnote
(2)
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Explanation of Responses:
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(
1)
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The Convertible Preferred Stock, Series A, par value $0.001 per share (the "Convertible Preferred Stock"), is convertible at any time and has no expiration date. Care.com, Inc. may mandatorily convert the Convertible Preferred Stock into Common Stock (i) at any time after the seventh anniversary of June 29, 2016 (the "Closing Date"), and (ii) between the fifth anniversary and the seventh anniversary of the Closing Date, if certain conditions are met.
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(
2)
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Google Capital 2016, L.P. directly holds shares of the Convertible Preferred Stock. Google Capital 2016 GP, L.L.C., the general partner of Google Capital 2016, L.P., Google Inc., the managing member of Google Capital 2016 GP, L.L.C., and Alphabet Inc., the sole stockholder of Google Inc., may each be deemed to have sole power to vote and dispose of these shares. Each of Google Capital 2016 GP, L.L.C., Google Inc., and Alphabet Inc. disclaims beneficial ownership of the Convertible Preferred Stock, except to the extent of any pecuniary interest therein.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Google Capital 2016, L.P.
1600 AMPHITHEATRE PARKWAY
MOUNTAIN VIEW, CA 94043
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X
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Google Capital 2016 GP, L.L.C.
1600 AMPHITHEATRE PARKWAY
MOUNTAIN VIEW, CA 94043
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X
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GOOGLE INC.
1600 AMPHITHEATRE PARKWAY
MOUNTAIN VIEW, CA 94043
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X
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Alphabet Inc.
1600 AMPHITHEATRE PARKWAY
MOUNTAIN VIEW, CA 94043
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X
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Signatures
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Google Capital 2016, L.P., by Google Capital 2016 GP, L.L.C., its General Partner, by: /s/ Jeremiah Gordon, Name: Jeremiah Gordon, Title: General Counsel and Secretary
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7/11/2016
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**
Signature of Reporting Person
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Date
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Google Capital 2016 GP, L.L.C., by: /s/ Jeremiah Gordon, Name: Jeremiah Gordon, Title: General Counsel and Secretary
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7/11/2016
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**
Signature of Reporting Person
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Date
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Google Inc., by: /s/ Christine Flores, Name: Christine Flores, Title: Assistant Secretary
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7/11/2016
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**
Signature of Reporting Person
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Date
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Alphabet Inc., by: /s/ Christine Flores, Name: Christine Flores, Title: Assistant Secretary
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7/11/2016
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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