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*
C/O APAX PARTNERS US, LLC |
601 LEXINGTON AVENUE |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 04/06/2021
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3. Issuer Name and Ticker or Trading Symbol
VERINT SYSTEMS INC
[ VRNT ]
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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 Perpetual Preferred Stock |
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Common Stock, par value $0.001 |
5,497,526.11
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D
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Series B Convertible Perpetual Preferred Stock |
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Common Stock, par value $0.001 |
3,980,099.5
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D
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1. Name and Address of Reporting Person*
C/O APAX PARTNERS US, LLC |
601 LEXINGTON AVENUE |
(Street)
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1. Name and Address of Reporting Person*
P.O. BOX 656, EAST WING, |
TRAFALGAR COURT, LES BANQUES |
(Street)
ST. PETER PORT |
Y7 |
GY1 3PP |
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1. Name and Address of Reporting Person*
THIRD FLOOR, ROYAL BANK PLACE, |
1 GLATEGNY ESPLANADE |
(Street)
ST. PETER PORT |
Y7 |
GY1 2HJ |
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1. Name and Address of Reporting Person*
THIRD FLOOR, ROYAL BANK PLACE, |
1 GLATEGNY ESPLANADE |
(Street)
ST. PETER PORT |
Y7 |
GY1 2HJ |
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1. Name and Address of Reporting Person*
1-3 BOULEVARD DE LA FOIRE |
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(Street)
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1. Name and Address of Reporting Person*
C/O APAX PARTNERS US, LLC |
601 LEXINGTON AVENUE |
(Street)
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Explanation of Responses: |
Remarks: |
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See Exhibit 99.1 |
04/16/2021 |
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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. |
Exhibit 99.1
Joint Filer Information
Name and Address of Joint Filer: Valor Buyer LP
Address of Joint Filer: c/o Apax Partners US, LLC
601 Lexington Avenue
New York, NY 10022
Relationship of Joint Filer to Issuer: member of 10% owner group
Issuer Name and Ticker or Trading Symbol: VERINT SYSTEMS INC [ VRNT ]
Date of Event Requiring Statement
(Month/Day/Year): April 6, 2021
Designated Filer: Valor Buyer LP
Signature:
Valor Buyer LP
By: Valor GP LLC
Its: General Partner
By: /s/ Jason Wright
----------------
Name: Jason Wright
Title: President
Dated: April 16, 2021
Joint Filer Information
(continued)
Name and Address of Joint Filer: Valor Buyer GP LLC
Address of Joint Filer: c/o Apax Partners US, LLC
601 Lexington Avenue
New York, NY 10022
Relationship of Joint Filer to Issuer: member of 10% owner group
Issuer Name and Ticker or Trading Symbol: VERINT SYSTEMS INC [ VRNT ]
Date of Event Requiring Statement
(Month/Day/Year): April 6, 2021
Designated Filer: Valor Buyer LP
Signature:
Valor Buyer GP LLC
By: /s/ Jason Wright
----------------
Name: Jason Wright
Title: President
Dated: April 16, 2021
Joint Filer Information
(continued)
Name and Address of Joint Filer: Valor Topco Limited
Address of Joint Filer: P.O. Box 656, East Wing,
Trafalgar Court
Les Banques, St. Peter Port,
Guernsey GY1 3PP
Relationship of Joint Filer to Issuer: member of 10% owner group
Issuer Name and Ticker or Trading Symbol: VERINT SYSTEMS INC [ VRNT ]
Date of Event Requiring Statement
(Month/Day/Year): April 6, 2021
Designated Filer: Valor Buyer LP
Signature:
Valor Topco Limited
By: /s/ Gordon Purvis
-----------------
Name: Gordon Purvis
Title: Director
Dated: April 16, 2021
Joint Filer Information
(continued)
Name and Address of Joint Filer: Apax X GP Co. Limited
Address of Joint Filer: Third Floor, Royal Bank Place,
1 Glategny Esplanade,
St. Peter Port, Guernsey, GY1 2HJ
Relationship of Joint Filer to Issuer: member of 10% owner group
Issuer Name and Ticker or Trading Symbol: VERINT SYSTEMS INC [ VRNT ]
Date of Event Requiring Statement
(Month/Day/Year): April 6, 2021
Designated Filer: Valor Buyer LP
Signature:
Apax X GP Co. Limited
By: /s/ Andrew Guille
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Name: Andrew Guille
Title: Director
By: /s/ Victoria Merrien
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Name: Victoria Merrien
Title: Company Secretary
Dated: April 16, 2021
Joint Filer Information
(continued)
Name and Address of Joint Filer: Apax X GP S.a r.l
Address of Joint Filer: 1-3 Boulevard de la Foire,
Luxembourg L-1528
Relationship of Joint Filer to Issuer: member of 10% owner group
Issuer Name and Ticker or Trading Symbol: VERINT SYSTEMS INC [ VRNT ]
Date of Event Requiring Statement
(Month/Day/Year): April 6, 2021
Designated Filer: Valor Buyer LP
Signature:
Apax X GP S.a r.l
By: /s/ Geoffrey Limpach
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Name: Geoffrey Limpach
Title: Managing Director
By: /s/ Philippe Santin
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Name: Philippe Santin
Title: Managing Director
Dated: April 16, 2021
Joint Filer Information
(continued)
Name and Address of Joint Filer: Apax Guernsey (Holdco) PCC Limited
Apax X Cell
Address of Joint Filer: Third Floor, Royal Bank Place,
1 Glategny Esplanade, St. Peter
Port, Guernsey, GY1 2HJ
Relationship of Joint Filer to Issuer: member of 10% owner group
Issuer Name and Ticker or Trading Symbol: VERINT SYSTEMS INC [ VRNT ]
Date of Event Requiring Statement
(Month/Day/Year): April 6, 2021
Designated Filer: Valor Buyer LP
Signature:
Apax Guernsey (Holdco) PCC Limited
acting
in respect of its Apax X Cell
By: /s/ Andrew Guille
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Name: Andrew Guille
Title: Director
Dated: April 16, 2021