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* Brubaker Brad (Last) (First) (Middle) C/O UIPATH, INC., 90 PARK AVE, 20TH FL (Street) NEW YORK NY 10016 (City) (State) (Zip)	2. Date of Event Requiring Statement (Month/Day/Year) 04/20/2021	3. Issuer Name and Ticker or Trading Symbol UiPath, Inc. [ PATH ]
		4. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner X Officer (give title below) Other (specify below) GC & Chief Legal Officer	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)
Class A Common Stock	221,977(1)	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)	(2)	04/29/2030	Class A Common Stock	60,987	$3.3833	D
Stock Option (Right to Buy)	(3)	07/19/2030	Class A Common Stock	326,918	$5.06	D

Explanation of Responses:

1. Includes 121,977 Restricted Stock Units (RSUs). Each RSU represents a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement. Of the RSUs (i) 106,731 RSUs vest at a rate of 25% of the shares on April 15, 2020, with the remaining shares vesting in equal quarterly installments over the next three years and (ii) 15,246 RSUs vest at a rate of 25% of the shares on April 15, 2021, with the remaining shares vesting in equal quarterly installments over the next three years, in each case subject to continuous service through each such vesting date, and in each case subject to a performance based vesting condition satisfied upon the closing of the Issuer's initial public offering.

2. 25% of the shares underlying this stock option vested on April 15, 2021 with the remaining 75% vesting in 36 equal monthly installments thereafter, subject to continuous service through each such vesting date.

3. 25% of the shares underlying this stock option vested on April 15, 2020, with the remaining 75% vesting in 36 equal monthly installments thereafter, subject to continuous service through each such vesting date.

Remarks:

Exhibit 24 - Power of Attorney

	/s/ Brad Brubaker	04/20/2021
	** 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).
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