0001209191-18-051096.txt : 20180914 0001209191-18-051096.hdr.sgml : 20180914 20180914164115 ACCESSION NUMBER: 0001209191-18-051096 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180912 FILED AS OF DATE: 20180914 DATE AS OF CHANGE: 20180914 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hazard Charles M Jr CENTRAL INDEX KEY: 0001339247 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38240 FILM NUMBER: 181071597 MAIL ADDRESS: STREET 1: 136 SUDBURY ROAD CITY: WESTON STATE: MA ZIP: 02493 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MongoDB, Inc. CENTRAL INDEX KEY: 0001441816 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 229 W. 43RD STREET STREET 2: 5TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10036 BUSINESS PHONE: 866-237-8815 MAIL ADDRESS: STREET 1: 229 W. 43RD STREET STREET 2: 5TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10036 FORMER COMPANY: FORMER CONFORMED NAME: 10GEN INC DATE OF NAME CHANGE: 20080801 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-09-12 0 0001441816 MongoDB, Inc. MDB 0001339247 Hazard Charles M Jr C/O FLYBRIDGE CAPITAL PARTNERS 31 ST. JAMES AVENUE, 6TH FLOOR BOSTON MA 02116 1 0 1 0 Class A Common Stock 2018-09-12 4 C 0 2004640 0.00 A 2004640 I By Limited Partnership Class A Common Stock 2018-09-12 4 J 0 2004640 0.00 D 0 I By Limited Partnership Class A Common Stock 2018-09-12 4 J 0 17278 0.00 A 18612 I By Trust Class A Common Stock 2018-09-12 4 J 0 68731 0.00 A 77171 D Class B Common Stock 2018-09-12 4 C 0 2004640 D Class A Common Stock 2004640 1226219 I By Limited Partnership Each share of Class B Common Stock is convertible at any time at the option of the holder into one share of Class A Common Stock and has no expiration date. The Class B Common Stock will convert automatically into Class A Common Stock on the same basis upon the earlier of: (i) any transfer, whether or not for value, except for certain "Permitted Transfers" as defined in the Issuer's restated certificate of incorporation, and (ii) at such time as the outstanding shares of Class B common stock represent less than 10% of the aggregate number of shares of the Issuer's capital stock outstanding. The Reporting Person is one of three managing members of Flybridge Capital Partners GP III, LLC, the General Partner of each of Flybridge Capital Partners III, L.P. ("Flybridge Capital") and Flybridge Network Fund III, L.P. ("Flybridge Network") and, as such, shares voting and dispositive power over the shares held by each of Flybridge Capital and Flybridge Network. The Reporting Person disclaims beneficial ownership of the shares owned by each of Flybridge Capital and Flybridge Network except to the extent of his pecuniary interest therein and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose. 2,000,000 of these shares are owned by Flybridge Capital and 4,640 of these shares are owned by Flybridge Network. Represents a distribution without additional consideration of (a) 2,000,000 shares of Class A Common Stock by Flybridge Capital to its general and limited partners and (b) 4,640 shares of Class A Common Stock by Flybridge Network to its limited partners. Represents the receipt by The Narragansett Bay Childrens Trust (the "Trust") of 17,278 shares of Class A Common Stock in the distribution by Flybridge Capital for no consideration as more fully described in footnote 4 herein. The Reporting Person is the Trustee of the Trust and, as such, has the power to vote and dispose of the shares held by the Trust. The Reporting Person disclaims beneficial ownership of the shares owned by the Trust except to the extent of his pecuniary interest therein and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose. Represents the receipt by the Reporting Person of 68,731 shares of Class A Common Stock in the distribution by Flybridge Capital for no consideration as more specifically described in footnote 4 herein. 1,223,379 of these shares are owned by Flybridge Capital and 2,840 of these shares are owned by Flybridge Network. /s/ Sarah Ward, Attorney-in-Fact 2018-09-14