SEC Info  
    Home      Search      My Interests      Help      Sign In      Please Sign In

Pitango Parallel Investor Fund III (USA) L.P., et al. – ‘3’ for 3/20/14 re: Borderfree, Inc.

On:  Thursday, 3/20/14, at 8:31pm ET   ·   For:  3/20/14   ·   As:  10% Owner   ·   Accession #:  1209191-14-22328   ·   File #:  1-36359

Previous ‘3’:  None   ·   Next:  ‘3’ on / for 10/26/17   ·   Latest:  ‘3’ on / for 10/26/17

Find Words in Filings emoji
 
  in    Show  and   Hints

  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 3/20/14  Pitango Parallel In… III (USA) LP 3          10% Owner   2:41K  Borderfree, Inc.                  DONNELLEY FIN… File16/FA
          Pitango Venture Capital Fund III (USA) Non-Q L.P.
          Pitango Principals Fund III (USA) L.P.
          Pitango Venture Capital Fund III (Israeli Investors) LP
          Pitango Venture Capital Fund III (USA) L.P.
          Pitango Venture Capital Fund III Trusts 2000 Ltd.

Initial Statement of Beneficial Ownership of Securities by an Insider   —   Form 3   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 3           Form 3 Submission -- doc3.xml/2.6                   HTML     32K 
 2: EX-24.1     EX-24.1 Document                                    HTML      9K 


‘3’   —   Form 3 Submission — doc3.xml/2.6




        

This ‘3’ Document is an XML Data File that may be rendered in various formats:

  Form 3    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 

 
SEC Info rendering:  Form 3 Submission
 
FORM 3UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number:3235-0104
Estimated average burden
hours per response:0.5
1. Name and Address of Reporting Person*
Pitango Venture Capital Fund III (USA) L.P.

(Last)(First)(Middle)
540 COWPER STREET, SUITE 200

(Street)
PALO ALTOCA94301

(City)(State)(Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
3/20/14
3. Issuer Name and Ticker or Trading Symbol
Borderfree, Inc. [ BRDR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
DirectorX10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
XForm filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock223,917IBy Pitango Venture Capital Fund III (USA) L.P. (1)
Common Stock20,699IBy Pitango Venture Capital Fund III (USA) Non-Q L.P. (1)
Common Stock61,039IBy Pitango Venture Capital Fund III (Israeli Investors) L.P. (1)
Common Stock15,789IBy Pitango Venture Capital Fund III Trusts 2000 Ltd. (1)
Common Stock7,894IBy Pitango Principals Fund III (USA) L.P. (1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date ExercisableExpiration DateTitleAmount or Number of Shares
Series A Convertible Preferred Stock (2) (2)Common Stock1,305,164 (2)IBy Pitango Venture Capital Fund III (USA) L.P. (1)
Series B Convertible Preferred Stock (3) (3)Common Stock472,304 (3)IBy Pitango Venture Capital Fund III (USA) L.P. (1)
Series C Convertible Preferred Stock (3) (3)Common Stock1,451,353 (3)IBy Pitango Venture Capital Fund III (USA) L.P. (1)
Series D Convertible Preferred Stock (3) (3)Common Stock1,502,683 (3)IBy Pitango Venture Capital Fund III (USA) L.P. (1)
Series E Convertible Preferred Stock (3) (3)Common Stock352,469 (3)IBy Pitango Venture Capital Fund III (USA) L.P. (1)
Series A Convertible Preferred Stock (2) (2)Common Stock120,652 (2)IBy Pitango Venture Capital Fund III (USA) Non-Q L.P. (1)
Series B Convertible Preferred Stock (3) (3)Common Stock43,661 (3)IBy Pitango Venture Capital Fund III (USA) Non-Q L.P. (1)
Series C Convertible Preferred Stock (3) (3)Common Stock134,166 (3)IBy Pitango Venture Capital Fund III (USA) Non-Q L.P. (1)
Series D Convertible Preferred Stock (3) (3)Common Stock138,916 (3)IBy Pitango Venture Capital Fund III (USA) Non-Q L.P. (1)
Series E Convertible Preferred Stock (3) (3)Common Stock32,583 (3)IBy Pitango Venture Capital Fund III (USA) Non-Q L.P. (1)
Series A Convertible Preferred Stock (2) (2)Common Stock355,713 (2)IBy Pitango Venture Capital Fund III (Israeli Investors) L.P. (1)
Series B Convertible Preferred Stock (3) (3)Common Stock128,749 (3)IBy Pitango Venture Capital Fund III (Israeli Investors) L.P. (1)
Series C Convertible Preferred Stock (3) (3)Common Stock395,631 (3)IBy Pitango Venture Capital Fund III (Israeli Investors) L.P. (1)
Series D Convertible Preferred Stock (3) (3)Common Stock406,324 (3)IBy Pitango Venture Capital Fund III (Israeli Investors) L.P. (1)
Series E Convertible Preferred Stock (3) (3)Common Stock95,842 (3)IBy Pitango Venture Capital Fund III (Israeli Investors) L.P. (1)
Series A Convertible Preferred Stock (2) (2)Common Stock92,026 (2)IBy Pitango Venture Capital Fund III Trusts 2000 Ltd. (1)
Series B Convertible Preferred Stock (3) (3)Common Stock33,304 (3)IBy Pitango Venture Capital Fund III Trusts 2000 Ltd. (1)
Series C Convertible Preferred Stock (3) (3)Common Stock102,336 (3)IBy Pitango Venture Capital Fund III Trusts 2000 Ltd. (1)
Series D Convertible Preferred Stock (3) (3)Common Stock105,789 (3)IBy Pitango Venture Capital Fund III Trusts 2000 Ltd. (1)
Series E Convertible Preferred Stock (3) (3)Common Stock24,841 (3)IBy Pitango Venture Capital Fund III Trusts 2000 Ltd. (1)
Series A Convertible Preferred Stock (2) (2)Common Stock46,014 (2)IBy Pitango Principals Fund III (USA) L.P. (1)
Series B Convertible Preferred Stock (3) (3)Common Stock16,651 (3)IBy Pitango Principals Fund III (USA) L.P. (1)
Series C Convertible Preferred Stock (3) (3)Common Stock51,169 (3)IBy Pitango Principals Fund III (USA) L.P. (1)
Series D Convertible Preferred Stock (3) (3)Common Stock52,895 (3)IBy Pitango Principals Fund III (USA) L.P. (1)
Series E Convertible Preferred Stock (3) (3)Common Stock12,421 (3)IBy Pitango Principals Fund III (USA) L.P. (1)
Series A Convertible Preferred Stock (2) (2)Common Stock361,037 (2)IBy Pitango Parallel Investor Fund III (USA) L.P. (1)
Series D Convertible Preferred Stock (3) (3)Common Stock156,878 (3)IBy Pitango Parallel Investor Fund III (USA) L.P. (1)
Series E Convertible Preferred Stock (3) (3)Common Stock36,838 (3)IBy Pitango Parallel Investor Fund III (USA) L.P. (1)
1. Name and Address of Reporting Person*
Pitango Venture Capital Fund III (USA) L.P.

(Last)(First)(Middle)
540 COWPER STREET, SUITE 200

(Street)
PALO ALTOCA94301

(City)(State)(Zip)
1. Name and Address of Reporting Person*
PITANGO VENTURE CAPITAL FUND III (ISRAELI INVESTORS) LP

(Last)(First)(Middle)
11 HA MENOFIM ST

(Street)
HERZLIYAL3000000

(City)(State)(Zip)
1. Name and Address of Reporting Person*
Pitango Principals Fund III (USA) L.P.

(Last)(First)(Middle)
BORDERFREE, INC.
292 MADISON AVENUE, 5TH FLOOR

(Street)
NEW YORKNY10017

(City)(State)(Zip)
1. Name and Address of Reporting Person*
Pitango Venture Capital Fund III Trusts 2000 Ltd.

(Last)(First)(Middle)
BORDERFREE, INC.
292 MADISON AVENUE, 5TH FLOOR

(Street)
NEW YORKNY10017

(City)(State)(Zip)
1. Name and Address of Reporting Person*
Pitango Venture Capital Fund III (USA) Non-Q L.P.

(Last)(First)(Middle)
BORDERFREE, INC.
292 MADISON AVENUE, 5TH FLOOR

(Street)
NEW YORKNY10017

(City)(State)(Zip)
1. Name and Address of Reporting Person*
Pitango Parallel Investor Fund III (USA) L.P.

(Last)(First)(Middle)
BORDERFREE, INC.
292 MADISON AVENUE, 5TH FLOOR

(Street)
NEW YORKNY10017

(City)(State)(Zip)
Explanation of Responses:
(1)  The shares are held directly by Pitango Venture Capital Fund III (USA) L.P., Pitango Venture Capital Fund III (USA) Non-Q L.P., Pitango Venture Capital Fund III (Israeli Investors) L.P., Pitango Venture Capital Fund III Trusts 2000 Ltd., Pitango Principals Fund III (USA) L.P. and Pitango Parallel Investor Fund III (USA) L.P.
(2)  The Series A Convertible Preferred Stock is convertible at any time at the option of the holder, and will automatically convert into shares of Common Stock on a 1-for-2.046 basis upon the closing of the Issuer's initial public offering. The securities have no expiration date.
(3)  The Series B, C, D and E Convertible Preferred Stock are each convertible at any time at the option of the holder, and will automatically convert into shares of Common Stock on a 1-for-0.599 basis upon the closing of the Issuer's initial public offering. The securities have no expiration date.
Remarks:
Exhibit 24.1: Limited Power of Attorney
PITANGO VENTURE CAPITAL FUND III (USA) L.P., By: /s/ Ari Staiman, Name: Ari Staiman, Title: Attorney-in-fact 3/19/14
PITANGO VENTURE CAPITAL FUND III (ISRAELI INVESTORS) L.P., By: /s/ Ari Staiman, Name: Ari Staiman, Title: Attorney-in-fact 3/19/14
PITANGO PRINCIPALS FUND III (USA) L.P., By: /s/ Ari Staiman, Name: Ari Staiman, Title: Attorney-in-fact 3/19/14
PITANGO VENTURE CAPITAL FUND III TRUSTS 2000 LTD., By: /s/ Ari Staiman, Name: Ari Staiman, Title: Attorney-in-fact 3/19/14
PITANGO VENTURE CAPITAL FUND III (USA) NON-Q L.P., By: /s/ Ari Staiman, Name: Ari Staiman, Title: Attorney-in-fact 3/19/14
PITANGO PARALLEL INVESTOR FUND III (USA) L.P., By: /s/ Ari Staiman, Name: Ari Staiman, Title: Attorney-in-fact 3/19/14
** Signature of Reporting PersonDate
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.

Top
Filing Submission 0001209191-14-022328   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

Copyright © 2024 Fran Finnegan & Company LLC – All Rights Reserved.
AboutPrivacyRedactionsHelp — Mon., Apr. 29, 2:39:41.1am ET