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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1. Name and Address of Reporting Person*
BAY PARTNERS X LP

(Last) (First) (Middle)
490 S. CALIFORNIA, SUITE 200

(Street)
PALO ALTO CA 94306

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/24/2012
3. Issuer Name and Ticker or Trading Symbol
Guidewire Software, Inc. [ GWRE ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
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 264,983(5) D
Common Stock 14,683 I See footnote(6)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 A Convertible Preferred Stock (1) (1) Common Stock 5,659,063(5) (2) D
Series B Convertible Preferred Stock (3) (3) Common Stock 2,733,173(5) (2) D
Series C Convertible Preferred Stock (4) (4) Common Stock 852,429(5) (2) D
Series A Convertible Preferred Stock (1) (1) Common Stock 313,281 (2) I See footnote(6)
Series B Convertible Preferred Stock (3) (3) Common Stock 151,443 (2) I See footnote(6)
Series C Convertible Preferred Stock (4) (4) Common Stock 47,232 (2) I See footnote(6)
1. Name and Address of Reporting Person*
BAY PARTNERS X LP

(Last) (First) (Middle)
490 S. CALIFORNIA, SUITE 200

(Street)
PALO ALTO CA 94306

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Bay Management Co X, LLC

(Last) (First) (Middle)
BAY PARTNERS
490 S CALIFORNIA AVENUE, SUITE 200

(Street)
PALO ALTO CA 94306

(City) (State) (Zip)
1. Name and Address of Reporting Person*
PHILLIPS STUART G

(Last) (First) (Middle)
C/O BAY PARTNERS
490 S CALIFORNIA AVENUE, SUITE 200

(Street)
PALO ALTO CA 94306

(City) (State) (Zip)
Explanation of Responses:
1. The Series A Convertible Preferred Stock is convertible into Common Stock on a one-for-one basis at any time at the holder's election, and automatically upon the closing of the Issuer's initial public offering, and has no expiration date.
2. Not applicable.
3. The Series B Convertible Preferred Stock is convertible into Common Stock on a one-for-one basis at any time at the holder's election, and automatically upon the closing of the Issuer's initial public offering, and has no expiration date.
4. The Series C Convertible Preferred Stock is convertible into Common Stock on a one-for-one basis at any time at the holder's election, and automatically upon the closing of the Issuer's initial public offering, and has no expiration date.
5. The securities are held directly by Bay Partners X, L.P. Bay Management Company X, LLC is the General Partner of Bay Partners X, L.P. and has the sole voting and dispositive power with respect to the shares. Neal Dempsey and Stuart G. Phillips are Managing Members of Bay Management Company X, LLC and share voting and dispositive power over the shares held of record by Bay Partners X, L.P. Each Reporting Person disclaims beneficial ownership of all shares held by the foregoing entities except to the extent of his pecuniary interest therein.
6. The securities are held directly by Bay Partners X Entrepreneurs Fund, L.P. Bay Management Company X, LLC is the General Partner of Bay Partners X Entrepreneurs Fund, L.P. and has the sole voting and dispositive power with respect to the shares. Neal Dempsey and Stuart G. Phillips are Managing Members of Bay Management Company X, LLC and share voting and dispositive power over the shares held of record by Bay Partners X, L.P. Each Reporting Person disclaims beneficial ownership of all shares held by the foregoing entities except to the extent of his pecuniary interest therein
/s/ Stuart Phillips, attorney in fact to Reporting Person 01/24/2012
** 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).
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