0001193125-12-043332.txt : 20120207 0001193125-12-043332.hdr.sgml : 20120207 20120207134753 ACCESSION NUMBER: 0001193125-12-043332 CONFORMED SUBMISSION TYPE: 13F-HR PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111231 FILED AS OF DATE: 20120207 DATE AS OF CHANGE: 20120207 EFFECTIVENESS DATE: 20120207 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Greylock XII GP LLC CENTRAL INDEX KEY: 0001413877 IRS NUMBER: 061757193 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 13F-HR SEC ACT: 1934 Act SEC FILE NUMBER: 028-14649 FILM NUMBER: 12576934 BUSINESS ADDRESS: STREET 1: 880 WINTER STREET STREET 2: SUITE 300 CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: 781-622-2200 MAIL ADDRESS: STREET 1: 880 WINTER STREET STREET 2: SUITE 300 CITY: WALTHAM STATE: MA ZIP: 02451 13F-HR 1 d293994d13fhr.txt FORM 13F-HR UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 Form 13F Form 13F COVER PAGE Report for the Calendar Year or Quarter Ended: December 31, 2011 Check here if Amendment [ ] Amendment No.: This Amendment (Checkonly one): [ ] is a restatement. [ ] adds new holdings entries. Institutional Investment Manager Filing this Report: Name: Greylock XII GP Limited Liability Company Address: One Brattle Square, 4th Floor Cambridge, MA 02138 Form 13F File Number: The institutional investment manager filing this report and the person by whom it is signed hereby represent that the person signing the report is authorized to submit it, that all information contained herein is true, correct and complete, and that it is understood that all required items, statements, schedules, lists, and tables, are considered integral parts of this form. Person signing this Report on Behalf of Reporting Manager: Name: Donald A. Sullivan Title: Administrative Partner Phone: (781) 622-2200 Signature, place and date of signing: /s/ Donald A. Sullivan Cambridge, MA February 2, 2012 Report Type (Check only one): [x] 13F HOLDINGS REPORT. (Check here if all holdings of this reporting manager are reported in this report) [ ] 13F NOTICE. (Check here if no holdings reported are in this report, and all holdings are reported by other reporting manager(s).) [ ] 13F COMBINATION REPORT. (Check here if a portion of the holdings for this reporting manager are reported in this report and a portion are reported by other reporting manager(s).) FORM 13F SUMMARY PAGE Report Summary: Number of Other Included Managers: 0 Form 13F Information Table Entry Total: 3 Form 13F Information Table Value Total: $295,585 (in thousands) List of Other Included Managers: None Provide a numbered list of the name(s) and Form 13F file number(s) of all institutional investment managers with respect to which this report is filed, other than the manager filing this report. No. 13F File Number Name

COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4 COLUMN 5 COLUMN 6 COLUMN 7 COLUMN 8 -------- -------------- --------- ------------- ---------- -------- -------- ---------------------- VOTING AUTHORITY ---------------------- SH/PRN SH/ PUT/ INVSTMT OTHER ISSUER TITLE OF CLASS CUSIP VALUE (x1000) AMOUNT PRN CALL DISCRTN MGRS SOLE SHARED NONE ------ -------------- --------- ------------- ---------- --- ---- -------- -------- ---------- ------ ---- IMPERVA COM 45321L100 $ 52,090 1,496,413 SH Sole 1,496,413 0 0 PANDORA MEDIA COM 698354107 $214,721 21,450,674 SH Sole 21,450,674 0 0 ZIPCAR COM 98974X103 $ 28,774 2,144,138 SH Sole 2,144,138 0 0 Total: $295,585