SEC FORM
3
SEC Form 3
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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OMB APPROVAL |
OMB Number: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
601 LEXINGTON AVENUE, 59TH FLOOR |
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(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 05/02/2017
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3. Issuer Name and Ticker or Trading Symbol
SYNCHRONOSS TECHNOLOGIES INC
[ SNCR ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
X |
10% Owner |
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Officer (give title below) |
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Other (specify below) |
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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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Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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Common Stock, par value $0.0001 per share |
4,637,284 |
D
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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)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
1. Name and Address of Reporting Person*
601 LEXINGTON AVENUE, 59TH FLOOR |
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(Street)
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1. Name and Address of Reporting Person*
C/O SIRIS CAPITAL GROUP, LLC |
601 LEXINGTON AVENUE, 59TH FLOOR |
(Street)
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1. Name and Address of Reporting Person*
C/O SIRIS CAPITAL GROUP, LLC |
601 LEXINGTON AVENUE, 59TH FLOOR |
(Street)
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1. Name and Address of Reporting Person*
C/O SIRIS CAPITAL GROUP, LLC |
601 LEXINGTON AVENUE, 59TH FLOOR |
(Street)
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1. Name and Address of Reporting Person*
C/O SIRIS CAPITAL GROUP, LLC |
601 LEXINGTON AVENUE, 59TH FLOOR |
(Street)
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1. Name and Address of Reporting Person*
C/O SIRIS CAPITAL GROUP, LLC |
601 LEXINGTON AVENUE, 59TH FLOOR |
(Street)
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1. Name and Address of Reporting Person*
C/O SIRIS CAPITAL GROUP, LLC |
601 LEXINGTON AVENUE, 59TH FLOOR |
(Street)
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1. Name and Address of Reporting Person*
601 LEXINGTON AVENUE, 59TH FLOOR |
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(Street)
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1. Name and Address of Reporting Person*
C/O SIRIS CAPITAL GROUP, LLC |
601 LEXINGTON AVENUE, 59TH FLOOR |
(Street)
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1. Name and Address of Reporting Person*
C/O SIRIS CAPITAL GROUP, LLC |
601 LEXINGTON AVENUE, 59TH FLOOR |
(Street)
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Explanation of Responses: |
Remarks: |
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See Exhibit 99.1 |
05/04/2017 |
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** 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. |
EXHIBIT 99.1
SIGNATURES OF REPORTING PERSONS
This Statement on Form 3 is filed by the Reporting Persons listed below.
May 4, 2017
SILVER PRIVATE HOLDINGS I, LLC
By: Silver Private Investments, LLC, its sole
member
By: /s/ Peter Berger
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Name: Peter Berger
Title: Authorized Signatory
SILVER PRIVATE INVESTMENTS, LLC
By: /s/ Peter Berger
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Name: Peter Berger
Title: Authorized Signatory
SIRIS PARTNERS III, L.P.
SIRIS PARTNERS III PARALLEL, L.P.
By: Siris Partners GP III, L.P., its general
partner
By: Siris GP HoldCo III, LLC, its general
partner
By: /s/ Peter Berger
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Name: Peter Berger
Title: Managing Member
SIRIS PARTNERS GP III, L.P.
By: Siris GP HoldCo III, LLC, its general
partner
By: /s/ Peter Berger
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Name: Peter Berger
Title: Managing Member
SIRIS GP HOLDCO III, LLC
By: /s/ Peter Berger
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Name: Peter Berger
Title: Managing Member
SIRIS CAPITAL GROUP III, L.P.
By: Siris Advisor HoldCo III, LLC, its general
partner
By: /s/ Peter Berger
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Name: Peter Berger
Title: Managing Member
SIRIS CAPITAL GROUP, LLC
By: Siris Advisor HoldCo, LLC, its managing
member
By: /s/ Peter Berger
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Name: Peter Berger
Title: Managing Member
SIRIS ADVISOR HOLDCO III, LLC
By: /s/ Peter Berger
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Name: Peter Berger
Title: Managing Member
SIRIS ADVISOR HOLDCO, LLC
By: /s/ Peter Berger
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Name: Peter Berger
Title: Managing Member