0001209191-21-064141.txt : 20211112 0001209191-21-064141.hdr.sgml : 20211112 20211112160613 ACCESSION NUMBER: 0001209191-21-064141 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211027 FILED AS OF DATE: 20211112 DATE AS OF CHANGE: 20211112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CRUSCO KATHLEEN M CENTRAL INDEX KEY: 0001237508 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39449 FILM NUMBER: 211403407 MAIL ADDRESS: STREET 1: C/O CALIX, INC. STREET 2: 1035 N. MCDOWELL BLVD CITY: PETALUMA STATE: CA ZIP: 94954 FORMER NAME: FORMER CONFORMED NAME: CRUSCO KATHY DATE OF NAME CHANGE: 20030531 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DUCK CREEK TECHNOLOGIES, INC. CENTRAL INDEX KEY: 0001160951 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 843723837 FISCAL YEAR END: 0831 BUSINESS ADDRESS: STREET 1: 22 BOSTON WHARF ROAD, FLOOR 10 CITY: BOSTON STATE: MA ZIP: 02210 BUSINESS PHONE: (833) 798-7789 MAIL ADDRESS: STREET 1: 22 BOSTON WHARF ROAD, FLOOR 10 CITY: BOSTON STATE: MA ZIP: 02210 FORMER COMPANY: FORMER CONFORMED NAME: DUCK CREEK TECHNOLOGIES INC DATE OF NAME CHANGE: 20011016 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-10-27 0 0001160951 DUCK CREEK TECHNOLOGIES, INC. DCT 0001237508 CRUSCO KATHLEEN M C/O DUCK CREEK TECHNOLOGIES, INC. 22 BOSTON WHARF ROAD BOSTON MA 02210 1 0 0 0 Common Stock, par value $0.01 per share 2021-10-27 4 A 0 4782 0.00 A 50814 D Shares of common stock par value $0.01 per share of Duck Creek Technologies, Inc. (the "Company") granted pursuant to the Company's 2020 Omnibus Incentive Plan that vest in one year. /s/ Christopher R. Stone as Attorney-in-Fact 2021-11-12