UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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 |
|
| ||||||||||||||||||||||||||||||
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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 control number. |
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 of Derivative Security: 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 B Redeemable Convertible Preferred Stock | 08/02/2007 | Â (7) | Common Stock (8) | 421,206 (3) | $ (9) | I | See footnote (2) |
Series B Redeemable Convertible Preferred Stock | 08/02/2007 | Â (7) | Common Stock (8) | 384,344 (4) | $ (9) | I | See footnote (2) |
Series B Redeemable Convertible Preferred Stock | 08/02/2007 | Â (7) | Common Stock (8) | 185,896 (5) | $ (9) | I | See footnote (2) |
Series B Redeemable Convertible Preferred Stock | 08/02/2007 | Â (7) | Common Stock (8) | 45,854 (6) | $ (9) | I | See footnote (2) |
Series C Redeemable Convertible Preferred Stock | 08/02/2007 | Â (7) | Common Stock (8) | 464,169 (3) | $ (10) | I | See footnote (2) |
Series C Redeemable Convertible Preferred Stock | 08/02/2007 | Â (7) | Common Stock (8) | 423,547 (4) | $ (10) | I | See footnote (2) |
Series C Redeemable Convertible Preferred Stock | 08/02/2007 | Â (7) | Common Stock (8) | 204,857 (5) | $ (10) | I | See footnote (2) |
Series C Redeemable Convertible Preferred Stock | 08/02/2007 | Â (7) | Common Stock (8) | 50,530 (6) | $ (10) | I | See footnote (2) |
Series D Redeemable Convertible Preferred Stock | 08/02/2007 | Â (7) | Common Stock (8) | 224,623 (3) | $ (11) | I | See footnote (2) |
Series D Redeemable Convertible Preferred Stock | 08/02/2007 | Â (7) | Common Stock (8) | 204,965 (4) | $ (11) | I | See footnote (2) |
Series D Redeemable Convertible Preferred Stock | 08/02/2007 | Â (7) | Common Stock (8) | 99,135 (5) | $ (11) | I | See footnote (2) |
Series D Redeemable Convertible Preferred Stock | 08/02/2007 | Â (7) | Common Stock (8) | 24,453 (6) | $ (11) | I | See footnote (2) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Goldfarb Andrew P C/O VIRTUSA CORPORATION 2000 WEST PARK DRIVE WESTBOROUGH, MA 01581 |
 X |  X |  |  |
/s/ Thomas R. Holler, attorney-in-fact | 08/02/2007 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | These shares are held solely by JAV Management Associates III, L.L.C. The reporting person disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest in such shares, which is subject to indeterminable events. |
(2) | The reporting person may be deemed to have a beneficial interest in these shares as he is one of the managing members of JAV Management Associates III, L.L.C., which is the general partner of JAFCO America Technology Fund III, L.P., JAFCO America Technology Cayman Fund III, L.P., JAFCO USIT Fund III, L.P. and JAFCO America Technology Affiliates Fund III, L.P. The reporting person disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest in such shares, which is subject to indeterminable events. |
(3) | These shares are held solely by JAFCO America Technology Fund III, L.P. The reporting person disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest in such shares, which is subject to indeterminable events. |
(4) | These shares are held solely by JAFCO America Technology Cayman Fund III, L.P. The reporting person disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest in such shares, which is subject to indeterminable events. |
(5) | These shares are held solely by JAFCO USIT Fund III, L.P. The reporting person disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest in such shares, which is subject to indeterminable events. |
(6) | These shares are held solely by JAFCO America Technology Affiliates Fund III, L.P. The reporting person disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest in such shares, which is subject to indeterminable events. |
(7) | These shares do not have an expiration date. |
(8) | The number of underlying shares of Common Stock reported in Column 3 reflects a 1-for-3.13 stock split of the Issuer's Common Stock on 07/18/2007. |
(9) | Upon the Closing of the Issuer's initial public offering, each share of Series B Redeemable Convertible Preferred Stock will automatically convert into 0.363 shares of Common Stock. |
(10) | Upon the Closing of the Issuer's initial public offering, each share of Series C Redeemable Convertible Preferred Stock will automatically convert into 0.319 shares of Common Stock. |
(11) | Upon the Closing of the Issuer's initial public offering, each share of Series D Redeemable Convertible Preferred Stock will automatically convert into 0.319 shares of Common Stock. |
 Remarks: Exhibit 24 - Power of Attorney |