0001209191-22-035191.txt : 20220608
0001209191-22-035191.hdr.sgml : 20220608
20220608183041
ACCESSION NUMBER: 0001209191-22-035191
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20220607
FILED AS OF DATE: 20220608
DATE AS OF CHANGE: 20220608
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: EBERSMAN DAVID A
CENTRAL INDEX KEY: 0001214123
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38664
FILM NUMBER: 221004516
MAIL ADDRESS:
STREET 1: C/O FACEBOOK INC.
STREET 2: 1601 WILLOW ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: MOMENTIVE GLOBAL INC.
CENTRAL INDEX KEY: 0001739936
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370]
IRS NUMBER: 800765058
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: ONE CURIOSITY WAY
CITY: SAN MATEO
STATE: CA
ZIP: 94403
BUSINESS PHONE: 650-543-8400
MAIL ADDRESS:
STREET 1: ONE CURIOSITY WAY
CITY: SAN MATEO
STATE: CA
ZIP: 94403
FORMER COMPANY:
FORMER CONFORMED NAME: SVMK Inc.
DATE OF NAME CHANGE: 20180508
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-06-07
0
0001739936
MOMENTIVE GLOBAL INC.
MNTV
0001214123
EBERSMAN DAVID A
C/O MOMENTIVE GLOBAL INC.
ONE CURIOSITY WAY
SAN MATEO
CA
94403
1
0
0
0
Common Stock
2022-06-07
4
A
0
10050
0.00
A
58138
D
Grant of Restricted Stock Units ("RSUs"). 1/4th of the total number of RSUs will vest on 08/15/2022 and 1/4th of the total number of RSUs will vest quarterly thereafter, subject to the Reporting Person's continued service to the Company until fully vested.
Certain of these securities are restricted stock units. Each restricted stock unit represents a contingent right to receive one share of Issuer's common stock, subject to the applicable vesting schedule and conditions.
Michelle Leung, by power of attorney
2022-06-08
EX-24
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
The undersigned, as a Section 16 reporting person of Momentive Global Inc. (the
"Company"), hereby constitutes and appoints Lora D. Blum, Michelle K. Leung,
Michael J. McKay, and Lanson Wan, and each of them, the undersigned's true and
lawful attorney-in-fact, to:
1. Prepare, execute in the undersigned's name and on the undersigned"s behalf,
and submit to the Securities and Exchange Commission (the "SEC") a Form ID,
including amendments thereto, and any other documents necessary or appropriate
to obtain EDGAR codes and passwords enabling the undersigned to make electronic
filings with the SEC of reports required by Section 16(a) of the Securities
Exchange Act of 1934 or any rule or regulation of the SEC;
2. Complete and execute Forms 3, 4 and 5 and other forms and all amendments
thereto as such attorney-in-fact shall in his or her discretion determine to be
required or advisable pursuant to Section 16 of the Securities Exchange Act of
1934 (as amended) and the rules and regulations promulgated thereunder, or any
successor laws and regulations, as a consequence of the undersigned's ownership,
acquisition or disposition of securities of the Company; and
3. Do all acts necessary in order to file such forms with the SEC, any
securities exchange or national association, the Company and such other person
or agency as the attorney- in-fact shall deem appropriate.
The undersigned hereby ratifies and confirms all that said attorneys-in-fact and
agent shall do or cause to be done by virtue hereof. The undersigned
acknowledges that the foregoing attorneys-in-fact, in serving in such capacity
at the request of the undersigned, are not assuming, nor is the Company
assuming, any of the undersigned's responsibilities to comply with Section 16 of
the Securities Exchange Act of 1934 (as amended).
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4 and 5 with respect to the
undersigned's holdings of, and transactions in, securities issued by the
Company, unless earlier revoked by the undersigned in a signed writing delivered
to the Company and the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of the date set forth below.
Signature: /s/ David A. Ebersman
Print Name: David A. Ebersman
Date: April 21, 2022