0001140361-15-042345.txt : 20151119 0001140361-15-042345.hdr.sgml : 20151119 20151119173320 ACCESSION NUMBER: 0001140361-15-042345 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151118 FILED AS OF DATE: 20151119 DATE AS OF CHANGE: 20151119 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FITBIT INC CENTRAL INDEX KEY: 0001447599 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC COMPUTERS [3571] IRS NUMBER: 208920744 BUSINESS ADDRESS: STREET 1: 405 HOWARD STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: 415-513-1000 MAIL ADDRESS: STREET 1: 405 HOWARD STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCAL EDWARD M. CENTRAL INDEX KEY: 0001645085 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37444 FILM NUMBER: 151244478 MAIL ADDRESS: STREET 1: C/O FITBIT, INC. STREET 2: 405 HOWARD STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94105 4 1 doc1.xml FORM 4 X0306 4 2015-11-18 0 0001447599 FITBIT INC FIT 0001645085 SCAL EDWARD M. C/O FITBIT, INC. 405 HOWARD STREET SAN FRANCISCO CA 94105 0 1 0 0 CHIEF BUSINESS OFFICER Class A Common Stock 2015-11-18 4 C 0 707400 A 707400 D Class A Common Stock 2015-11-18 4 S 0 707400 28.13 D 0 D Class B Common Stock 2015-11-18 4 C 0 707400 D Class A Common Stock 707400 3203070 D Class B Common Stock Class A Common Stock 150000 150000 I By grantor retained annuity trust Class B Common Stock Class A Common Stock 150000 150000 I By spouse's grantor retained annuity trust Each share of Class B Common Stock is convertible at any time at the option of the Reporting Person 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 in effect as of the date hereof, (ii) the affirmative vote of the holders of Class B Common Stock representing not less than a majority of the outstanding shares of Class B Common Stock, or (iii) June 17, 2027. /s/ Juliana Chen, Attorney-in-Fact 2015-11-19