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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 | |
Francisco Partners GP II, LP C/O FRANCISCO PARTNERS, ONE LETTERMAN DRIVE, BUILDING C, SUITE 410 SAN FRANCISCO, CA 94129 |
X | |||
Francisco Partners II, LP C/O FRANCISCO PARTNERS, ONE LETTERMAN DRIVE, BUILDING C, SUITE 410 SAN FRANCISCO, CA 94129 |
X | |||
Francisco Partners Parallel Fund II, L.P. C/O FRANCISCO PARTNERS, ONE LETTERMAN DRIVE, BUILDING C, SUITE 410 SAN FRANCISCO, CA 94129 |
X | |||
Francisco Partners GP II Management, LLC C/O FRANCISCO PARTNERS, ONE LETTERMAN DRIVE, BUILDING C, SUITE 410 SAN FRANCISCO, CA 94129 |
X |
Francisco Partners II, L.P., By: Francisco Partners GP II, L.P., its General Partner, By: Francisco Partners GP II Management, LLC, its General Partner, By: /s/ Tom Ludwig, Name: Tom Ludwig, Title: Managing Member | 06/14/2017 | |
**Signature of Reporting Person | Date | |
Francisco Partners Parallel Fund II, L.P., By: Francisco Partners GP II, L.P., its General Partner, By: Francisco Partners GP II Management, LLC, its General Partner, By: /s/ Tom Ludwig, Name: Tom Ludwig, Title: Managing Member | 06/14/2017 | |
**Signature of Reporting Person | Date | |
Francisco Partners GP II, L.P., By: Francisco Partners GP II Management, LLC, its General Partner, By: /s/ Tom Ludwig, Name: Tom Ludwig, Title: Managing Member | 06/14/2017 | |
**Signature of Reporting Person | Date | |
Francisco Partners GP II Management, LLC, By: /s/ Tom Ludwig, Name: Tom Ludwig, Title: Managing Member | 06/14/2017 | |
**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) | On June 12, 2017: (a) Francisco Partners II, L.P. ("FP II") made a pro rata distribution for no consideration of 493,224 shares of common stock, par value $0.01, of Computer Programs and Systems, Inc. (the "Shares"), to its partners, including Francisco Partners GP II, L.P. ("FPGP II"); (b) Francisco Partners Parallel Fund II, L.P. ("FPPF II") made a pro rata distribution for no consideration of 6,776 Shares to its partners; and (c) FPGP II made a further pro rata distribution for no consideration of 15,001 Shares to its partners. |
(2) | Includes 1,445,744 Shares directly held by FP II and 19,861 Shares directly held by FPPF II. |
(3) | FPGP II is the sole general partner of FP II and FPPF II. Francisco Partners GP II Management, LLC is the sole general partner of FPGP II. |