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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 | ||||||||
Series A Preferred | (2) | 08/28/2007 | C | 400,983 | (2) | (2) | Common Stock | 265,078 (2) (3) (4) | $ 0 | 1,322,026 | I | See Footnotes (1) (3) | |||
Series A Preferred | (2) | 11/21/2007 | C | 1,322,026 | (2) | (2) | Common Stock | 957,560 (2) (3) (4) | $ 0 | 0 | I | See footnote (2) (3) (4) (5) | |||
Series B-2 Convertible Preferred | (2) | 11/21/2007 | C | 6,254,599 | (2) | (2) | Common Stock | 1,575,124 (2) (3) (4) | $ 0 | 0 | I | See footnote (2) (3) (4) (6) | |||
Series C-2 Convertible Preferred | (2) | 11/21/2007 | C | 10,366,138 | (2) | (2) | Common Stock | 1,433,056 (2) (3) (4) | $ 0 | 0 | I | See footnote (2) (3) (4) (7) | |||
Series D-2 Convertible Preferred | (2) | 11/21/2007 | C | 3,256,147 | (2) | (2) | Common Stock | 510,945 (2) (3) (4) | $ 0 | 0 | I | See footnote (2) (3) (4) (8) | |||
Series E Convertible Preferred | (2) | 11/21/2007 | C | 35,885,611 | (2) | (2) | Common Stock | 3,262,323 (2) (3) (4) | $ 0 | 0 | I | See footnote (2) (3) (4) (9) | |||
Common Stock Warrants | $ 3.6478 | 11/21/2007 | C | 18,197 | (2) | 04/15/2008 | Common Stock | 18,197 (2) (3) (4) | $ 0 | 18,197 | I | See footnotes (2) (3) (4) (10) | |||
Warrants to Purchase Series B-2 Preferred | $ 0.56 | 11/21/2007 | C | 118,544 | (2) | 04/15/2008 | Common Stock | 18,197 (2) (3) (4) | $ 0 | 0 | I | See footnotes (2) (3) (4) (10) | |||
Common Stock Warrants | $ 3.6478 | 11/21/2007 | C | 18,197 | (2) | 06/10/2008 | Common Stock | 18,197 (2) (3) (4) | $ 0 | 18,197 | I | See footnotes (2) (3) (4) (10) | |||
Warrants to Purchase Series B-2 Preferred | $ 0.56 | 11/21/2007 | C | 118,544 | (2) | 06/10/2008 | Common Stock | 18,197 (2) (3) (4) | $ 0 | 0 | I | See footnotes (2) (3) (4) (10) | |||
Common Stock Warrants | $ 3.6478 | 11/21/2007 | C | 243,446 | (2) | 12/15/2015 | Common Stock | 243,446 (2) (3) (4) | $ 0 | 243,446 | I | See footnotes (2) (3) (4) (11) | |||
Warrants to Purchase Series E Preferred | $ 0.2806 | 11/21/2007 | C | 3,164,832 | (2) | 12/15/2015 | Common Stock | 243,446 (2) (3) (4) | $ 0 | 0 | I | See footnotes (2) (3) (4) (11) | |||
Common Stock Warrants | $ 3.6478 | 11/21/2007 | C | 24,380 | (2) | 01/27/2016 | Common Stock | 24,380 (2) (3) (4) | $ 0 | 24,380 | I | See footnotes (2) (3) (4) (12) | |||
Warrants to Purchase Series E Preferred | $ 0.2806 | 11/21/2007 | C | 316,945 | (2) | 01/27/2016 | Common Stock | 24,380 (2) (3) (4) | $ 0 | 0 | I | See footnotes (2) (3) (4) (12) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
CALDWELL DONALD R C/O RUBICON TECHNOLOGY INC. 9931 FRANKLIN AVENUE FRANKLIN PARK, IL 60131 |
X | X |
/s/ Scott Glickson, attorney-in-fact | 11/26/2007 | |
**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) | This transaction is being reported because it occurred within the six months prior to the initial public offering. On the date listed, Cross Atlantic Technology Fund L.P, and The Co-Investment 2000 Fund L.P. each converted 200,491 shares of Series A Preferred shares for 132,539 shares of common stock. |
(2) | The preferred shares are immediately convertible. The warrants are immediately exercisable. Each share of preferred stock converted automatically into common stock upon the closing of the issuer's initial public offering according to the following ratios: Series A Preferred Stock on a one-to-0.5536 ratio; Series B-2 Convertible Preferred Stock on a one-to-0.1535 ratio; Series C-2 Convertible Preferred Stock on a one-to-0.1009 ratio; Series D-2 Convertible Preferred Stock on a one-to-0.1246 ratio and Series E Convertible Preferred Stock on a one-to-0.0769 ratio. Each warrant for preferred shares converted automatically into warrants for common stock upon the closing of the issuer's initial public offering according to the same ratios. |
(3) | Consists of shares held by or issued to Cross Atlantic Technology Fund, L.P., Cross Atlantic Technology Fund, II, L.P., and/or The Co-Investment 2000 Fund, L.P (the "Funds"). The Reporting Person is the owner and director of Cross Atlantic Capital Partners, Inc., which is the general partner of XATF Management, L.P., which is the general partner of Cross Atlantic Technology Fund, L.P. The Reporting Person is a director, shareholder and officer of Cross Atlantic Capital Partners II, Inc., which is the general partner of XATF Management II, L.P., which is the general partner of Cross Atlantic Technology Fund II, L.P. The Reporting Person is a shareholder, director and officer of Co-Invest Capital Partners, Inc., which is the general partner of Co-Invest Management, L.P., which is the general partner of The Co-Investment 2000 Fund, L.P. The Reporting Person disclaims beneficial ownership of the shares held by the Funds except to the extent of his pecuniary interest therein. |
(4) | Amounts shown include shares of common stock issued upon the conversion in exchange for accrued dividends on the preferred stock at the following rates: Series A at $ 9.6083 per share, Series B-2 at $ 3.6478 per share, Series C-2 at $ 7.5595 per share, Series D-2 at $ 6.6690 per share and Series E at $ 3.6478 per share. |
(5) | Consists of 478,780 shares issued to Cross Atlantic Technology Fund, L.P. and 478,780 shares issued to The Co-Investment 2000 Fund, L.P. |
(6) | Consists of 322,985 shares issued to Cross Atlantic Technology Fund, L.P. and 1,252,139 shares issued to The Co-Investment 2000 Fund, L.P. |
(7) | Consists of 716,528 shares issued to Cross Atlantic Technology Fund II, L.P. and 716,528 shares issued to The Co-Investment 2000 Fund, L.P. |
(8) | Consists of 160,454 shares issued to Cross Atlantic Technology Fund II, L.P. and 350,491 shares issued to The Co-Investment 2000 Fund, L.P. |
(9) | Consists of 2,439,690 shares issued to Cross Atlantic Technology Fund II, L.P., 44,929 shares issued to Cross Atlantic Technology Fund L.P., and 777,704 shares issuable to The Co-Investment 2000 Fund L.P. |
(10) | Represents warrants to purchase 24,308 preferred shares which were converted into warrants to purchase 3,731 shares of common stock held by Cross Atlantic Technology Fund, L.P., and warrants to purchase 94,236 shares of preferred shares which were converted into warrants to purchase 14,466 shares of common stock held by The Co-Investment 2000 Fund, L.P. |
(11) | Represents warrants to purchase 1,484,315 preferred shares which were converted into warrants to purchase 114,177 shares of common stock held by Cross Atlantic Technology Fund II, L.P.; and warrants to purchase 1,680,517 shares of preferred shares which were converted into warrants to purchase 129,269 shares of common stock held by The Co-Investment 2000 Fund, L.P. |
(12) | Represents warrants to purchase 179,740 shares of preferred shares which were converted into warrants to purchase 13,826 shares of common stock held by Cross Atlantic Technology Fund II, L.P., and warrants to purchase 137,205 preferred shares which were converted into warrants to purchase 10,554 shares of common stock held by The Co-Investment 2000 Fund, L.P. |