cut-and-paste this

chart into your

board deck

NEWCO Capitalization as of xx/yy/zz

Number of
Shares

Series A Preferred Stock

VC Firm #1, LP
Individual #1
VC Firm #2, LP
Total Series A

3,000,000
300,000
400,000
3,700,000

VC Firm #1, LP
Individual #1
VC Firm #2, LP
VC Firm #3, LP
Total Series B
Total Preferred Stock

700,000
100,000
450,000
1,300,000
2,550,000
6,250,000

Founder #1
Founder #2
All other common holders
Total Common Stock

2,500,000
1,500,000
350,000
4,350,000

Total Shares Reserved for Options

Less Options Granted
Plus Cancelled Options
Total Option Pool Available

2,100,000
940,000
100,000
1,260,000

Total Shares

12,700,000

Series B Preferred Stock

Common Stock

Stock Options

Percentage
oustanding

Percentage
Fully Diluted

26.22%

23.62%

2.62%

2.36%

3.50%

3.15%

32.34%

29.13%

6.12%

5.51%

0.87%

0.79%

3.93%

3.54%

11.36%

10.24%

22.29%
54.63%

20.08%
49.21%

21.85%
13.11%
3.06%
38.02%

19.69%
11.81%
2.76%
34.25%

18.36%
8.22%

16.54%
7.40%

11.01%

9.92%

100.00%

notes

a good rule of thumb is to list anyone holding 5% or more; group the rest in "all others" category

NOTE: this number does not include "exercised" options

Total Shares Reserved is an input; the only input on this page. It should reflect the number of shares allocated, in total, in the option
pool

Name of Stockholder As It
Appears on Certificate
Series A Preferred:
Total Series A(1)
VC Firm #1, LP
Individual #1
VC Firm #2, LP
Total Series A(2) Extension
VC Firm #1, LP
Individual #1
VC Firm #2, LP

Oustanding
Preferred

Oustanding
Common

Stock

Stock

Options for
Common
Stock
Granted

Date of
Grant

1,850,000
1,500,000
150,000
200,000
1,850,000
1,500,000
150,000
200,000

Series B Preferred:
Total Series B (1)
VC Firm #1, LP
Individual #1
VC Firm #2, LP
VC Firm #3, LP

2,550,000
700,000
100,000
450,000
1,300,000
6,250,000

Total Preferred
Founding Common Stock:
Founder #1
Founder #2
Early employee #1

Total Common Investors

0
0
0

2,500,000
1,500,000
350,000

0
0
0

4,350,000

Grant

Grant
Date

Founders and Employees Common Stock:

Ex-employee
Employee
Employee
Employee

#1
#2
#3
#4

Total Common Founders Employees

Total outstanding:
Options Available For Grant
Total Fully Diluted

0
0
0
0

0
0
0

450,000
90,000
100,000
300,000

940,000

6,250,000

4,350,000

6,250,000

4,350,000

8/13/08
8/14/08

Unexercised
Options for
Common Stock

Cancelled
Options

Date of
Cancellation

Exercised
Options

Exercise
Date

Total
1,850,000
1,500,000
150,000
200,000
1,850,000
1,500,000
150,000
200,000

2,550,000
700,000
100,000
450,000
1,300,000

6,250,000

Unexercised

Cancelled

0
0
100,000
100,000

100,000

200,000

100,000

Date of
Cancel
12/14/09
12/14/09

0
0
0

2,500,000
1,500,000
350,000

4,350,000

Exercised

Exercise
Date

350000 2/20/2010
90000 2/1/2010
0
200000 4/29/2011

640,000

Total
350,000
90,000
100,000
300,000

840,000
840,000
1,260,000
2,100,000

Percentage

Percentage

Issuance

Certif.

Outstanding

Fully Diluted

Date

Number

Rule 144 Strike or

Start
Price Paid
Date

Per Share

Domicile

16.17%
13.11%
1.31%
1.75%

14.57%
11.8110236% 7/23/2009
1.1811024% 7/23/2009
1.5748031% 7/23/2009

PA-1
PA-2
PA-4

7/23/2009 0.0591
7/23/2009 0.0591
7/23/2009 0.0591

TX
TX
TX

16.17%
13.11%
1.31%
1.75%

14.57%
11.8110236% 3/12/2010
1.1811024% 3/12/2010
1.5748031% 3/12/2010

PA-9
PA-10
PA-12

3/12/2010 0.0591
3/12/2010 0.0591
3/12/2010 0.0591

TX
TX
TX

22.29%
6.12%
0.87%
3.93%
11.36%

20.08%
5.5118110%
0.7874016%
3.5433071%
10.2362205%

PB-1
PB-2
PB-3
PB-4

5/28/2010
5/28/2010
5/28/2010
5/28/2010

TX
TX
TX
CA

54.63%

49.21%

21.85%
13.11%
3.06%

19.6850394%
11.8110236%
2.7559055%

38.02%

34.25%
Percentage
Fully
Diluted

Percentage
Outstanding
3.06%
0.79%
0.87%
2.62%

2.7559055%
0.7086614%
0.7874016%
2.3622047%

7.34%

6.61%
11,440,000
12,700,000

5/28/2010
5/28/2010
5/28/2010
5/28/2010

8/13/08
8/13/08
10/6/08

0.293
0.293
0.293
0.293

$0.0008
$0.0008
$0.1000

2/20/10 CS-25
2/1/10 CS-24

2/20/2010
2/1/2010

4/29/11 CS-26

4/29/2011

$0.02
$0.02
$0.02
$0.02

CA
CA
TX
TX