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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1. Name and Address of Reporting Person*
Manor Moni

(Last) (First) (Middle)
C/O FIVE9, INC., BISHOP RANCH 8, 4000
EXECUTIVE PARKWAY, SUITE 400

(Street)
SAN RAMON CA 94583

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/03/2014
3. Issuer Name and Ticker or Trading Symbol
Five9, Inc. [ FIVN ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP, Products
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 25,518 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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: 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
Stock Option (right to buy) (1) 08/01/2023 Common stock 44,910 $6.68 D
Stock Option (right to buy) (2) 08/01/2023 Common stock 347,453 $6.68 D
Stock Option (right to buy) (3) 11/22/2023 Common stock 37,201 $9.48 D
Explanation of Responses:
1. Original option grant was for 59,880 shares. Option began vesting with respect to 25% of the shares subject to the option one year after July 25, 2013, and with respect to the remaining 75% of the shares subject to the option in 36 equal monthly installments thereafter.
2. Option began vesting with respect to 25% of the shares subject to the option one year after July 25, 2013, and with respect to the remaining 75% of the shares subject to the option in 36 equal monthly installments thereafter.
3. Original option grant was for 47,749 shares. Option began vesting in 48 substantially equal monthly installments on the one-month anniversary of November 22, 2013.
Remarks:
Exhibit List Exhibit 24 - Limited Power of Attorney
/s/ Frances Dea, attorney-in-fact 04/03/2014
** 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.