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