| 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) 04/11/2013 |
3. Issuer Name and Ticker or Trading Symbol
Rally Software Development Corp [ RALY ] |
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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) |
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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 C Preferred Stock | (1)(2) | (3) | Common Stock | 2,650,761 | (1)(2) | I | By MDV IX, L.P.(6) |
| Series D Preferred Stock | (1)(4) | (3) | Common Stock | 361,784 | (1)(4) | I | By MDV IX, L.P.(6) |
| Series E Preferred Stock | (1)(5) | (3) | Common Stock | 194,380 | (1)(5) | I | As nominee for MDV IX, L.P. and MDV ENF IX, L.P.(6) |
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. Immediately convertible into shares of the Issuer's Common Stock at the Reporting Person's election. |
| 2. The shares will automatically convert into 2,650,761 shares of the Issuer's Common Stock immediately upon the closing of a Qualified Public Offering (as defined in the Issuer's Amended and Restated Certificate of Incorporation, as filed with the Delaware Secretary of State on April 1, 2013). |
| 3. The shares do not have an expiration date. |
| 4. The shares will automatically convert into 361,784 shares of the Issuer's Common Stock immediately upon the closing of a Qualified Public Offering. |
| 5. The shares will automatically convert into 194,380 shares of the Issuer's Common Stock immediately upon the closing of a Qualified Public Offering. |
| 6. Includes 3,012,545 shares held by MDV IX, L.P. and 194,380 shares held by MDV IX, L.P., as nominee for MDV IX, L.P. and MDV ENF IX, L.P. (collectively, "MDV IX"). Ninth MDV Partners, L.L.C. ("Ninth MDV") is the General Partner of MDV IX. William Ericson and Jonathan Feiber are managing members of Ninth MDV. Each of William Ericson, Jonathan Feiber, and Ninth MDV may be deemed to share voting and dispositive power over the shares held by MDV IX. |
| Ninth MDV Partners, L.L.C. By: /s/ William W. Ericson, Managing Member | 04/11/2013 | |
| MDV IX, L.P. By: Ninth MDV Partners, L.L.C., its General Partner By: /s/ Brett Teele, Authorized Signatory | 04/11/2013 | |
| MDV ENF IX, L.P. By: Ninth MDV Partners, L.L.C., its General Partner By: /s/ Brett Teele, Authorized Signatory | 04/11/2013 | |
| /s/ William W. Ericson | 04/11/2013 | |
| /s/ Jonathan Feiber | 04/11/2013 | |
| ** 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. | ||