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*
221 EAST 4TH STREET |
SUITE 2400 |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 04/21/2010
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3. Issuer Name and Ticker or Trading Symbol
SPS COMMERCE INC
[ SPSC ]
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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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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 |
Series A Convertible Preferred Stock |
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Common Stock |
10,387 |
0.00
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I |
By River Cities SBIC III, L.P.
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Series B Convertible Preferred Stock |
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Common Stock |
694,265 |
0.00
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I |
By River Cities SBIC III, L.P.
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Series C Convertible Preferred Stock |
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Common Stock |
560,282 |
0.00
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I |
By River Cities SBIC III, L.P.
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1. Name and Address of Reporting Person*
221 EAST 4TH STREET |
SUITE 2400 |
(Street)
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1. Name and Address of Reporting Person*
221 EAST 4TH STREET |
SUITE 2400 |
(Street)
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Explanation of Responses: |
Remarks: |
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/s/ Ryan R. Miske, on behalf of RCCF Management, Inc. |
04/21/2010 |
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/s/ Ryan R. Miske, on behalf of RCCF Management, Inc., as General Partner of River Cities SBIC III, L.P. |
04/21/2010 |
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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. |
POWER OF ATTORNEY
Each of the undersigned hereby authorizes and designates each of Andrew G.
Humphrey, Jonathan R. Zimmerman, Matthew Kuhn, Ryan R. Miske, James R. DeBuse
and Corinne Lawson signing singly, as its true and lawful attorney-in-fact to:
(1) execute for and on the undersigned's behalf, in the undersigned's capacity
as a greater than 10% stockholder of SPS Commerce, Inc. (the "Company"), Forms
ID, 3, 4 and 5 in accordance with Section 16(a) of the Securities Exchange Act
of 1934 (the "Exchange Act") and the rules and regulations promulgated
thereunder;
(2) do and perform any and all acts for and on the undersigned's behalf which
may be necessary or desirable to complete and execute any such Form ID, 3, 4 or
5 and timely file such form with the Securities and Exchange Commission, and any
stock exchange or similar authority; and
(3) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be to the
undersigned's benefit, in the undersigned's best interest, or legally required
of the undersigned, it being understood that the statements executed by such
attorney-in-fact on the undersigned's behalf pursuant to this Power of Attorney
shall be in such form and shall contain such terms and conditions as such
attorney-in-fact may approve in such attorney-in-fact's discretion.
Each of the undersigned hereby further grants to each such attorney-in-fact
full power and authority to do and perform any and every act and thing
whatsoever requisite, necessary or proper to be done in the exercise of any of
the rights and powers herein granted, as fully to all intents and purposes as
the undersigned might or could do if personally present, with full power of
substitution or revocation, hereby ratifying and confirming all that such
attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall
lawfully do or cause to be done by virtue of this Power of Attorney and the
rights and powers herein granted. Each of the undersigned hereby acknowledges
that the foregoing attorneys-in-fact, in serving in such capacity at the
undersigned's request, are not assuming, nor is the Company or any such
attorney-in-fact's substitute or substitutes assuming, any of the undersigned's
responsibilities to comply with Section 16 of the Exchange Act.
This Power of Attorney shall remain in full force and effect with respect to
each of the undersigned until such person is no longer required to file Forms 3,
4 and 5 with respect to the undersigned's holdings of and transactions in
securities issued by the Company, unless earlier revoked by such person in a
signed writing delivered to the foregoing attorneys-in-fact. Notwithstanding
the foregoing, if any such attorney-in-fact hereafter ceases to be at least one
of the following: (i) a partner of Faegre & Benson LLP, or (ii) an employee of
Faegre & Benson LLP, this Power of Attorney shall be automatically revoked
solely as to such individual, immediately upon such cessation, without any
further action on the part of the undersigned.
Each of the undersigned hereby revokes all previous Powers of Attorney that may
have been granted by any of the undersigned in connection with any of the
reporting obligations of any of the undersigned, if any, under Section 16 of the
Exchange Act with respect to each of the undersigned's holdings of and
transactions in securities issued by the Company.
IN WITNESS WHEREOF, each of the undersigned has caused this Power of Attorney
to be duly executed as of this 17th day of April, 2010.
RIVER CITIES SBIC III, L.P.
By: RCCF Management, Inc.
Its: General Partner
/s/ Edwin T. Robinson
President
RCCF MANAGEMENT, INC.
/s/ Edwin T. Robinson
President