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*
Opus Capital Venture Partners V, L.P.

(Last) (First) (Middle)
2730 SAND HILL ROAD, SUITE 150

(Street)
MENLO PARK CA 94025

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/25/2015
3. Issuer Name and Ticker or Trading Symbol
SolarEdge Technologies Inc [ SEDG ]
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)
X Form filed by One Reporting Person
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)
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 1,503,268 (1) I See footnote(2)
Series B Convertible Preferred Stock (1) (1) Common Stock 1,353,815 (1) I See footnote(2)
Series C Convertible Preferred Stock (1) (1) Common Stock 663,634 (1) I See footnote(2)
Series D Convertible Preferred Stock (1) (1) Common Stock 481,374 (1) I See footnote(2)
Series D-1 Convertible Preferred Stock (1) (1) Common Stock 130,258 (1) I See footnote(2)
Series D-2 Convertible Preferred Stock (1) (1) Common Stock 156,329 (1) I See footnote(2)
Series D-3 Convertible Preferred Stock (1) (1) Common Stock 261,264 (1) I See footnote(2)
Explanation of Responses:
1. Each three (3) shares of the issuer's Series D-3, D-2, D-1, D, C, B, or A Convertible Preferred Stock will convert into one (1) share of the issuer's Common Stock immediately prior to the closing of an approved initial public offering meeting certain criteria ("IPO"). Such shares have no expiration date.
2. Consists of shares held by Opus Capital Venture Partners V, L.P. The investment committee of Opus Capital Venture Partners V, L.P. consists of Carl Showalter, Dan Avida, Gill Cogan and Joseph Cutts. Each of these individuals has shared voting and investment power over the shares held by Opus Capital Venture Partners V, L.P. The principal business address of each of the Opus Capital Venture Partners Funds is 2730 Sand Hill Road, Suite 150, Menlo Park, CA 94025. Each of the reporting persons disclaims beneficial ownership of these securities except to the extent of its pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
Opus Capital Venture Partners V, L.P., by its general partner Opus Capital Venture Partners (GP), L.P., by its general partner Opus Capital Venture Partners (GPLLC), L.L.C., by its general partner Dan Avida, /s/ Dan Avida 03/25/2015
** 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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