Sec Form 4 Filing - NORWEST VENTURE PARTNERS X L P @ MOBILEIRON, INC. - 2017-06-22

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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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1. Name and Address of Reporting Person
NORWEST VENTURE PARTNERS X L P
2. Issuer Name and Ticker or Trading Symbol
MOBILEIRON, INC. [ MOBL]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
525 UNIVERSITY AVENUE, SUITE 800
3. Date of Earliest Transaction (MM/DD/YY)
06/22/2017
(Street)
PALO ALTO, CA94301
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_____ Form filed by One Reporting Person
__ X __ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 06/22/2017 J( 1 ) 1,998,471 D 10,323,823 I See Footnote ( 2 )
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
NORWEST VENTURE PARTNERS X L P
525 UNIVERSITY AVENUE
SUITE 800
PALO ALTO, CA94301
X
HAQUE PROMOD
525 UNIVERSITY AVENUE, SUITE 800
PALO ALTO, CA94301
X
Crowe Jeffrey
525 UNIVERSITY AVENUE, SUITE 800
PALO ALTO, CA94301
X
Signatures
/s/ Matthew De Dominicis, Attorney-in-fact 06/23/2017
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Shares were disposed via a pro rata distribution, without consideration, of Issuer's common stock from Norwest Venture Partners X, LP ("NVP X") to its limited partners in accordance with a Rule 10b5-1 plan.
( 2 )The NVP X distribution resulted in a change in the form of beneficial ownership so that following the distribution (i) 765 shares are beneficially owned by the Haque Revocable Trust UA DTD 05/07/2002, of which Promod Haque is a trustee, and (ii) 764 shares are beneficially owned by Haque Family Partners, of which Mr. Haque is a partner. The remaining 10,322,294 shares are beneficially held of record by NVP X. By virtue of their position as co-Chief Executive Officers of NVP Associates, LLC, the managing member of the general partner of NVP X, Jeffrey Crowe and Promod Haque may be deemed to share voting and dispositive power with respect to such securities. Messrs. Crowe and Haque disclaim beneficial ownership of all securities, except to the extent of any pecuniary interest therein.

Remarks:
Exhibit 24 - Power of Attorney

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