0001209191-17-039153.txt : 20170612 0001209191-17-039153.hdr.sgml : 20170612 20170612162058 ACCESSION NUMBER: 0001209191-17-039153 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170612 FILED AS OF DATE: 20170612 DATE AS OF CHANGE: 20170612 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SHOTSPOTTER, INC CENTRAL INDEX KEY: 0001351636 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7979 GATEWAY BLVD., STE. 210 CITY: NEWARK STATE: CA ZIP: 94560 BUSINESS PHONE: (510) 794-3100 MAIL ADDRESS: STREET 1: 7979 GATEWAY BLVD., STE. 210 CITY: NEWARK STATE: CA ZIP: 94560 FORMER COMPANY: FORMER CONFORMED NAME: SHOTSPOTTER INC DATE OF NAME CHANGE: 20110517 FORMER COMPANY: FORMER CONFORMED NAME: Shotspotter Inc DATE OF NAME CHANGE: 20060131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: 1992 GRAT REMAINDER TRUST FBO GARY LAUDER CENTRAL INDEX KEY: 0001260297 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38107 FILM NUMBER: 17906523 MAIL ADDRESS: STREET 1: 767 FIFTH AVE CITY: NEW YORK STATE: NY ZIP: 10153 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lauder Partners LLC CENTRAL INDEX KEY: 0001705993 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38107 FILM NUMBER: 17906524 BUSINESS ADDRESS: STREET 1: 88 MERCEDES LANE CITY: ATHERTON STATE: CA ZIP: 94027 BUSINESS PHONE: (650) 323-5712 MAIL ADDRESS: STREET 1: 88 MERCEDES LANE CITY: ATHERTON STATE: CA ZIP: 94027 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LAUDER GARY M REVOCABLE TRUST UAD 8/10/2000 CENTRAL INDEX KEY: 0001173609 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38107 FILM NUMBER: 17906525 BUSINESS ADDRESS: STREET 1: C/O THE ESTEE LAUDER COMPANIES INC STREET 2: 767 FIFTH AVE. CITY: NEW YORK STATE: NY ZIP: 10153 BUSINESS PHONE: 2125724200 MAIL ADDRESS: STREET 1: C/O THE ESTEE LAUDER COMPANIES INC STREET 2: 767 FIFTH AVE. CITY: NEW YORK STATE: NY ZIP: 10153 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LAUDER GARY M CENTRAL INDEX KEY: 0001008088 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38107 FILM NUMBER: 17906526 MAIL ADDRESS: STREET 1: 14600 WINCHESTER BLVD CITY: LOS GATOS STATE: CA ZIP: 95030 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-06-12 0 0001351636 SHOTSPOTTER, INC SSTI 0001008088 LAUDER GARY M 40TH FLOOR, 767 FIFTH AVE. NEW YORK NY 10153 1 0 1 0 0001173609 LAUDER GARY M REVOCABLE TRUST UAD 8/10/2000 40TH FLOOR, 767 FIFTH AVE. NEW YORK NY 10153 0 0 1 0 0001705993 Lauder Partners LLC 40TH FLOOR, 767 FIFTH AVE. NEW YORK NY 10153 0 0 1 0 0001260297 1992 GRAT REMAINDER TRUST FBO GARY LAUDER 40TH FLOOR, 767 FIFTH AVE. NEW YORK NY 10153 0 0 1 0 Common Stock 2017-06-12 4 C 0 140723 0.00 A 311535 I By Trust Common Stock 2017-06-12 4 C 0 808700 0.00 A 1120235 I By Trust Common Stock 2017-06-12 4 C 0 72068 0.00 A 202173 I By Limited Liability Company Common Stock 2017-06-12 4 C 0 871416 0.00 A 1073589 I By Limited Liability Company Common Stock 2017-06-12 4 P 0 91000 11.00 A 91000 I By Trust Series A-2 Preferred Stock 2017-06-12 4 C 0 196666 D Common Stock 140723 0 I By Trust Series B-1 Preferred Stock 2017-06-12 4 C 0 808700 D Common Stock 808700 0 I By Trust Series A-2 Preferred Stock 2017-06-12 4 C 0 100718 D Common Stock 72068 0 I By Limited Liability Company Series B-1 Preferred Stock 2017-06-12 4 C 0 871416 D Common Stock 871416 0 I By Limited Liability Company Warrant (Right to Buy) 2017-06-12 4 C 0 162158 5.8667 A 2019-07-12 Common Stock 162158 162158 I By Trust Warrant (Right to Buy) 2017-06-12 4 C 0 106136 0.17 A 2021-02-13 Common Stock 106136 106136 I By Limited Liability Company Shares held directly by The Gary M. Lauder Revocable Trust, of which Gary M. Lauder is a Trustee. Shares held directly by Lauder Partners LLC, of which Gary M. Lauder is the Managing Member. Shares held directly by the 1992 GRAT Remainder Trust FBO Gary Lauder, of which Gary M. Lauder is a Trustee. Each share of Series A-2 Preferred Stock automatically converted into 0.715548 shares of Common Stock upon the closing of the Issuer's initial public offering of Common Stock and has no expiration date. Inapplicable. Each share of Series B-1 Preferred Stock automatically converted into 1 share of Common Stock upon the closing of the Issuer's initial public offering of Common Stock and has no expiration date. Right has converted from right to buy Series B-1 Preferred Stock to a right to buy Common Stock. Immediate. /s/ Gary M. Lauder 2017-06-12 /s/ Gary M. Lauder, Trustee 2017-06-12 /s/ Gary M. Lauder, Managing Member 2017-06-12 /s/ Gary Lauder, Trustee 2017-06-12