0001209191-23-059730.txt : 20231226
0001209191-23-059730.hdr.sgml : 20231226
20231226205534
ACCESSION NUMBER: 0001209191-23-059730
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231219
FILED AS OF DATE: 20231226
DATE AS OF CHANGE: 20231226
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CARNEY LLOYD
CENTRAL INDEX KEY: 0001204424
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38685
FILM NUMBER: 231514436
MAIL ADDRESS:
STREET 1: C/O MICROMUSE INC
STREET 2: 139 TOWNSEND ST
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: GRID DYNAMICS HOLDINGS, INC.
CENTRAL INDEX KEY: 0001743725
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
ORGANIZATION NAME: 06 Technology
IRS NUMBER: 830632724
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 7660 FAY AVENUE
STREET 2: SUITE H, UNIT 339
CITY: LA JOLLA
STATE: CA
ZIP: 92037
BUSINESS PHONE: (619) 736-6855
MAIL ADDRESS:
STREET 1: 7660 FAY AVENUE
STREET 2: SUITE H, UNIT 339
CITY: LA JOLLA
STATE: CA
ZIP: 92037
FORMER COMPANY:
FORMER CONFORMED NAME: ChaSerg Technology Acquisition Corp
DATE OF NAME CHANGE: 20180615
4
1
doc4.xml
FORM 4 SUBMISSION
X0508
4
2023-12-19
0
0001743725
GRID DYNAMICS HOLDINGS, INC.
GDYN
0001204424
CARNEY LLOYD
C/O GRID DYNAMICS HOLDINGS, INC.
5000 EXECUTIVE PARKWAY, SUITE 520
SAN RAMON
CA
94583
1
0
0
0
0
Common Stock
2023-12-19
4
A
0
7042
0.00
A
666304
D
Common Stock
12542
I
See footnote
Common Stock
5200
I
See footnote
Common Stock
288800
I
See footnote
Common Stock
19675
I
See footnote
Common Stock
74345
I
See footnote
These securities are restricted stock units (RSUs). Each RSU represents a contingent right to receive one share of Common Stock. 100% of the RSUs shall vest on December 19, 2024, subject to the Reporting Person continuing as a service provider through such date.
The shares are held by The Lloyd A. Carney Revocable Trust dated September 25, 1995.
The shares are held by The Lloyd Carney Foundation (the "Foundation"). The Foundation is a 501(c)(3) charitable organization controlled by the Reporting Person.
The shares are held by the Lloyd Carney 2018 Grantor Retained Annuity Trust.
The shares are held by the Lloyd Carney 2020 Grantor Retained Annuity Trust.
The shares are held by the Ana M. Carney Living Trust. Ana M. Carney is the Reporting Person's spouse.
/s/ Anil Doradla, by power of attorney
2023-12-26