FORM 3 |
UNITED 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 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 02/01/2011 |
3. Issuer Name and Ticker or Trading Symbol
NEOPHOTONICS CORP [ NPTN ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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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 Stock | 154,220 | I | See Footnotes(1)(2)(3)(4) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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 Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series 1 Preferred Stock | (5) | (5) | Common Stock | 420,701 | (5) | I | See Footnotes(1)(2)(3)(6) |
Series 2 Preferred Stock | (7) | (7) | Common Stock | 156,518 | (7) | I | See Footnotes(1)(2)(3)(8) |
Series 3 Preferred Stock | (9) | (9) | Common Stock | 1,048,226 | (9) | I | See Footnotes(1)(2)(3)(10) |
Series X Preferred Stock | (11) | (11) | Common Stock | 3,515,808 | (11) | I | See Footnotes(1)(2)(3)(12) |
Stock Option (right to buy) | (13) | 12/12/2020 | Common Stock | 1,000 | $7.5 | D | |
Stock Option (right to buy) | (14) | 01/26/2020 | Common Stock | 4,000 | $12 | D |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. Bandel L. Carano is a member of the Issuer's board of directors as designee of Oak Investment Partners. The names of the parties who share power to vote and dispose of the shares held by Oak Investment Partners IX, L.P. are Bandel L. Carano, Edward F. Glassmeyer, Gerald R. Gallagher, Fredric W. Harman and Ann H. Lamont, each of whom is a Managing Member of Oak Associates IX, LLC, the General Partner of Oak Investment Partners IX, L.P. The names of the parties who share power to vote and dispose of the shares held by Oak IX Affiliates Fund, L.P. and Oak IX Affiliates Fund-A, L.P. are Bandel L. Carano, Fredric W. Harman, Edward F. Glassmeyer, Gerald R. Gallagher and Ann H. Lamont, each of whom is a Managing Member of Oak IX Affiliates, LLC, the General Partner of both Oak IX Affiliates Fund, L.P. and Oak IX Affiliates Fund-A, L.P. (Continued in Footnote 2). |
2. The names of the parties who share power to vote and dispose of the shares held by Oak Investment Partners X, L.P. are Bandel L. Carano, Edward F. Glassmeyer, Fredric W. Harman and Ann H. Lamont, each of whom is a Managing Member of Oak Associates X, LLC, the General Partner of Oak Investment Partners X, L.P. The names of the parties who share power to vote and dispose of the shares held by Oak X Affiliates Fund, L.P. are Bandel L. Carano, Edward F. Glassmeyer, Fredric W. Harman and Ann H. Lamont, each of whom is a Managing Member of Oak X Affiliates, LLC, the General Partner of Oak X Affiliates Fund, L.P. (Continued in Footnote 3). |
3. The names of the parties who share power to vote and dispose of the shares held by Oak Investment Partners XI, L.P. are Bandel L. Carano, Edward F. Glassmeyer, Gerald R. Gallagher, Fredric W. Harman and Ann H. Lamont, each of whom is a Managing Member of Oak Associates XI, LLC, the General Partner of Oak Investment Partners XI, L.P. Bandel L. Carano and these individuals disclaim beneficial ownership with respect to such shares except to the extent of their pecuniary interest therein. |
4. Includes 141,631 shares directly owned by Oak Investment Partners IX, LP, 3,395 shares directly owned by Oak IX Affiliates Fund A, LP, 1,506 shares directly owned by Oak IX Affiliates Fund, LP and 7,688 shares directly owned by Oak Investment Partners XI, LP. |
5. Each share of Issuer's Series 1 Preferred Stock will automatically convert into one share of the Issuer's Common Stock upon the closing of the Issuer's initial public offering and has no expiration date. |
6. Includes 406,611 shares directly owned by Oak Investment Partners IX, LP, 9,758 shares directly owned by Oak IX Affiliates Fund A, LP and 4,332 shares directly owned by Oak IX Affiliates Fund, LP. |
7. Each share of Issuer's Series 2 Preferred Stock will automatically convert into one share of the Issuer's Common Stock upon the closing of the Issuer's initial public offering and has no expiration date. |
8. Includes 151,275 shares directly owned by Oak Investment Partners IX, LP, 3,631 shares directly owned by Oak IX Affiliates Fund A, LP and 1,612 shares directly owned by Oak IX Affiliates Fund, LP. |
9. Each share of Issuer's Series 3 Preferred Stock will automatically convert into one share of the Issuer's Common Stock upon the closing of the Issuer's initial public offering and has no expiration date. |
10. Includes 923,355 shares directly owned by Oak Investment Partners IX, LP, 22,163 shares directly owned by Oak IX Affiliates Fund A, LP, 9,841 shares directly owned by Oak IX Affiliates Fund, LP and 92,867 shares directly owned by Oak Investment Partners XI, LP. |
11. Each share of Issuer's Series X Preferred Stock will automatically convert into 400 shares of the Issuer's Common Stock upon the closing of the Issuer's initial public offering and has no expiration date. |
12. Includes 3,460,256 shares of common stock issuable upon conversion of Series X Preferred Stock directly owned by Oak Investment Partners X, LP and 55,552 shares of common stock issuable upon conversion of Series X Preferred Stock directly owned by Oak X Affiliates Fund, LP. |
13. Includes shares subject to an option that is held by Mr. Carano on behalf of the Oak Investment Partners XI, L.P., Oak Investment Partners X, L.P., Oak X Affiliates Fund, L.P., Oak Investment Partners IX, L.P., Oak IX Affiliates Fund, L.P. and Oak IX Affiliates Fund-A, L.P. 25% of the option shares shall vest on the one-year anniversary of the vesting commencement date (12/01/2010), and 1/48th of the total number of option shares shall vest on each monthly anniversary thereafter, so long as the Bandel L. Carano remains an employee of or consultant to the Issuer or its qualifying subsidiaries. |
14. Includes shares subject to an option that is held by Mr. Carano on behalf of the Oak Investment Partners XI, L.P., Oak Investment Partners X, L.P., Oak X Affiliates Fund, L.P., Oak Investment Partners IX, L.P., Oak IX Affiliates Fund, L.P. and Oak IX Affiliates Fund-A, L.P. 50% of the option shares shall vest on the one-year anniversary of the vesting commencement date (12/08/2009), and 1/24th of the total number of option shares shall vest on each monthly anniversary thereafter, so long as the Bandel L. Carano remains an employee of or consultant to the Issuer or its qualifying subsidiaries. |
/s/ Bandel L Carano | 02/01/2011 | |
/s/ Oak Investment Partners IX, Limited Partnership by Bandel L. Carano, Managing Member of Oak Associates IX, LLC The General Partner of Oak Investment Partners IX, Limited Partnership | 02/01/2011 | |
/s/ Oak IX Affiliates Fund A, Limited Partnership by Bandel L. Carano, Managing Member of Oak Associates IX, LLC The General Partner of Oak IX Affiliates Fund A, Limited Partnership | 02/01/2011 | |
/s/ Oak IX Affiliates Fund, Limited Partnership by Bandel L. Carano, Managing Member of Oak Associates IX, LLC The General Partner of Oak IX Affiliates Fund, Limited Partnership | 02/01/2011 | |
/s/ Oak Investment Partners X, Limited Partnership by Bandel L. Carano, Managing Member of Oak Associates X, LLC The General Partner of Oak Investment Partners X, Limited Partnership | 02/01/2011 | |
/s/ Oak X Affiliates Fund, Limited Partnership by Bandel L. Carano, Managing Member of Oak Associates X, LLC The General Partner of Oak X Affiliates Fund, Limited Partnership | 02/01/2011 | |
** Signature of Reporting Person | Date | |
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. |