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