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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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Trident Capital Management-VI, L.L.C. 400 S EL CAMINO REAL, SUITE 300 SAN MATEO, CA 94402 |
X | |||
TRIDENT CAPITAL FUND VI LP 400 S EL CAMINO REAL, SUITE 300 SAN MATEO, CA 94402 |
X | |||
TRIDENT CAPITAL FUND VI PRINCIPALS FUND LLC 400 S EL CAMINO REAL, SUITE 300 SAN MATEO, CA 94402 |
X |
/s/ Arneek Multani, a Managing Member of Trident Capital Management-VI, L.L.C. | 01/26/2017 | |
**Signature of Reporting Person | Date | |
/s/ Arneek Multani, a Managing Member of Trident Capital Management-VI, L.L.C., the General Partner of Trident Capital Fund-VI, L.P. | 01/26/2017 | |
**Signature of Reporting Person | Date | |
/s/ Arneek Multani, a Managing Member of Trident Capital Management-VI, L.L.C., the Managing Member of Trident Capital Fund-VI Principals Fund, L.L.C. | 01/26/2017 | |
**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) | Sale made in connection with the underwritten public offering by Teladoc, Inc. and certain selling stockholders of Teladoc, Inc. |
(2) | Trident Capital Management-VI, L.L.C. ("TCM VI") is the sole general partner of Trident Capital Fund-VI, L.P. ("Trident Fund VI") and the sole managing member of Trident Capital Fund-VI Principals Fund, L.L.C. ("Trident Principals VI"). Donald R. Dixon, Arneek Multani and John Moragne (collectively, the "Managing Members") are the managing members of TCM VI and, as such, may be deemed to have shared voting dispositive power with respect to the Issuer's securities held of record by each of Trident Fund VI and Trident Principals VI. Each of the entities and the Managing Members disclaims beneficial ownership of the securities reported herein, except to the extent of their respective pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of the shares for purposes of Section 16 or for any other purpose. |
(3) | The reported securities are held directly by Trident Fund VI. |
(4) | The reported securities are held directly by Trident Principals VI. |