0001104659-22-124243.txt : 20221202
0001104659-22-124243.hdr.sgml : 20221202
20221202184356
ACCESSION NUMBER: 0001104659-22-124243
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221130
FILED AS OF DATE: 20221202
DATE AS OF CHANGE: 20221202
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LASKY MITCHELL
CENTRAL INDEX KEY: 0001091435
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0331
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40817
FILM NUMBER: 221443333
MAIL ADDRESS:
STREET 1: 2480 SAND HILL ROAD
STREET 2: STE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GURLEY J WILLIAM
CENTRAL INDEX KEY: 0001190191
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40817
FILM NUMBER: 221443334
MAIL ADDRESS:
STREET 1: 2480 SAND HILL ROAD
STREET 2: SUITE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FENTON PETER H
CENTRAL INDEX KEY: 0001219230
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40817
FILM NUMBER: 221443335
MAIL ADDRESS:
STREET 1: 2480 SAND HILL ROAD
STREET 2: SUITE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cohler Matt
CENTRAL INDEX KEY: 0001572685
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40817
FILM NUMBER: 221443336
MAIL ADDRESS:
STREET 1: 2480 SAND HILL ROAD, SUITE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Puttagunta Chetan
CENTRAL INDEX KEY: 0001695859
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40817
FILM NUMBER: 221443332
MAIL ADDRESS:
STREET 1: 2855 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tavel Sarah E
CENTRAL INDEX KEY: 0001774645
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40817
FILM NUMBER: 221443331
MAIL ADDRESS:
STREET 1: 2965 WOODSIDE ROAD
CITY: WOODSIDE
STATE: CA
ZIP: 94062
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hu An-Yen
CENTRAL INDEX KEY: 0001825956
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40817
FILM NUMBER: 221443337
MAIL ADDRESS:
STREET 1: 2965 WOODSIDE ROAD
CITY: WOODSIDE
STATE: CA
ZIP: 94062
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Amplitude, Inc.
CENTRAL INDEX KEY: 0001866692
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 201 THIRD STREET, SUITE 200
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94103
BUSINESS PHONE: 510 473-5668
MAIL ADDRESS:
STREET 1: 201 THIRD STREET, SUITE 200
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94103
4
1
tm2231913-5_4.xml
FORM 4
X0306
4
2022-11-30
1
0001866692
Amplitude, Inc.
AMPL
0001825956
Hu An-Yen
2965 WOODSIDE ROAD
WOODSIDE
CA
94062
0
0
1
0
0001572685
Cohler Matt
2965 WOODSIDE ROAD
WOODSIDE
CA
94062
0
0
1
0
0001219230
FENTON PETER H
2965 WOODSIDE ROAD
WOODSIDE
CA
94062
0
0
1
0
0001190191
GURLEY J WILLIAM
2965 WOODSIDE ROAD
WOODSIDE
CA
94062
0
0
1
0
0001091435
LASKY MITCHELL
2965 WOODSIDE ROAD
WOODSIDE
CA
94062
0
0
1
0
0001695859
Puttagunta Chetan
2965 WOODSIDE ROAD
WOODSIDE
CA
94062
0
0
1
0
0001774645
Tavel Sarah E
2965 WOODSIDE ROAD
WOODSIDE
CA
94062
0
0
1
0
Class A Common Stock
2022-11-30
4
C
0
1526430
0
A
1526430
I
See footnote
Class A Common Stock
2022-11-30
4
J
0
1526430
0
D
0
I
See footnote
Class A Common Stock
2022-11-30
4
J
0
88151
0
A
365055
I
See footnote
Class A Common Stock
2022-11-30
4
J
0
60910
0
A
205497
I
See footnote
Class A Common Stock
2022-11-30
4
J
0
3064
0
A
3064
I
See footnote
Class A Common Stock
2022-11-30
4
J
0
3007
0
A
15864
I
See footnote
Class A Common Stock
2022-11-30
4
J
0
75672
0
A
323551
I
See footnote
Class A Common Stock
2022-11-30
4
J
0
6014
0
A
6014
I
See footnote
Class A Common Stock
2022-11-30
4
J
0
72665
0
A
145830
I
See footnote
Class A Common Stock
2022-11-30
4
J
0
45795
0
A
160882
I
See footnote
Class A Common Stock
2022-11-30
4
J
0
531
0
A
1302
I
See footnote
Class A Common Stock
2022-11-30
4
J
0
10285
0
A
10285
I
See footnote
Class B Common Stock
2022-11-30
4
C
0
1526430
0
D
Class A Common Stock
1526430
6211438
I
See footnote
Conversion of a derivative security in accordance of its terms.
Shares are held directly by Benchmark Capital Partners VIII, L.P. ("BCP VIII") for itself and as nominee for Benchmark Founders' Fund VIII, L.P. ("BFF VIII") and Benchmark Founders' Fund VIII-B, L.P. ("BFF VIII-B"). Benchmark Capital Management Co. VIII, L.L.C. ("BCMC VIII"), the general partner of BCP VIII, BFF VIII and BFF VIII-B, may be deemed to have sole voting and dispositive power over the securities. Eric Vishria, a member of the Issuer's board of directors, Matthew R. Cohler, Peter H. Fenton, J. William Gurley, An-Yen Hu, Mitchell H. Lasky, Chetan Puttagunta and Sarah E. Tavel are the managing members of BCMC VIII, and each of them may be deemed to share voting and dispositive power over the securities held by such entities. Each such person and entity disclaims the existence of a "group" and disclaims beneficial ownership of the securities, except to the extent of such person's or entity's pecuniary interest in such securities.
Represents a pro-rata, in-kind distribution by BCP VIII and its affiliated funds, not for additional consideration, to its partners, including BCMC VIII and its respective members and assignees.
Shares are held by Matthew R. Cohler's trust entity.
Shares are held by Peter H. Fenton's trust entities.
Shares are held by Peter H. Fenton's family partnership.
Shares are held by Mitchell H. Lasky's family partnership.
Shares are held by Mitchell H. Lasky's trust entity.
Shares are held by J. William Gurley's family partnerships.
Shares are held by J. William Gurley's trust entity
Shares are held by Sarah Tavel.
Shares held by An-Yen Hu's trust entity.
Shares held by Chetan Puttagunta.
The Class B Common Stock is convertible at any time at the option of the holder into the Issuer's Class A Common Stock on a one-to-one basis. The Class B Common Stock will convert automatically into shares of the Issuer's Class A Common Stock on a one-to-one basis upon the earlier of (a) any transfer of the Class B Common Stock by the holder, whether or not for value, subject to certain exceptions or (b) the date that is six months following the date on which none of the Issuer's founders is an employee or director of the Issuer (unless a founder has rejoined the Issuer during such six-month period).
This report is one of three reports, each on a separate Form 4, but relating to the same holdings being filed by entities affiliated with Benchmark and their applicable members
/s/ An-Yen Hu, by power of attorney for Matthew R. Cohler
2022-12-02
/s/ An-Yen Hu, by power of attorney for Peter H. Fenton
2022-12-02
/s/ An-Yen Hu, by power of attorney for J. William Gurley
2022-12-02
/s/ An-Yen Hu
2022-12-02
s/ An-Yen Hu, by power of attorney for Mitchell H. Lasky
2022-12-02
s/ An-Yen Hu, by power of attorney for Chetan Puttagunta
2022-12-02
s/ An-Yen Hu, by power of attorney for Sarah E. Tavel
2022-12-02