0001441816-21-000139.txt : 20210701
0001441816-21-000139.hdr.sgml : 20210701
20210701192757
ACCESSION NUMBER: 0001441816-21-000139
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210629
FILED AS OF DATE: 20210701
DATE AS OF CHANGE: 20210701
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BOTHA ROELOF
CENTRAL INDEX KEY: 0001222287
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38240
FILM NUMBER: 211067627
MAIL ADDRESS:
STREET 1: C/O SEQUOIA CAPITAL
STREET 2: 2800 SAND HILL RD, SUITE 101
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: MongoDB, Inc.
CENTRAL INDEX KEY: 0001441816
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0131
BUSINESS ADDRESS:
STREET 1: 1633 BROADWAY
STREET 2: 38TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10019
BUSINESS PHONE: 866-237-8815
MAIL ADDRESS:
STREET 1: 1633 BROADWAY
STREET 2: 38TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10019
FORMER COMPANY:
FORMER CONFORMED NAME: 10GEN INC
DATE OF NAME CHANGE: 20080801
4
1
wf-form4_162518204779582.xml
FORM 4
X0306
4
2021-06-29
0
0001441816
MongoDB, Inc.
MDB
0001222287
BOTHA ROELOF
C/O SEQUOIA CAPITAL
2800 SAND HILL ROAD, SUITE 101
MENLO PARK
CA
94025
1
0
0
0
Class A Common Stock
2020-07-17
5
G
0
E
1057
0
D
1080
D
Class A Common Stock
2020-07-17
5
G
0
E
1057
0
A
241734
I
By Estate Planning Vehicles
Class A Common Stock
2021-06-29
4
A
0
629
0
A
1709
D
Class A Common Stock
2021-06-29
4
A
0
129
309.81
A
1838
D
The Reporting Person transferred shares to estate planning vehicles.
Represents restricted stock units issued to the Reporting Person pursuant to the annual equity grant under the Issuer's non-employee director compensation policy. Each restricted stock unit represents a contingent right to receive one share of Class A common stock of the Issuer and has no expiration date. The shares underlying the restricted stock unit award shall vest in full on the earlier of (i) the first anniversary of the grant date and (ii) the date of the Issuer's 2022 annual stockholders' meeting, subject to the Reporting Person providing continuous service to the Issuer through such date.
Represents fully vested shares issued to the Reporting Person who elected to receive stock in lieu of cash for services as a director under the Issuer's non-employee director compensation policy. The number of shares was calculated based on the 60-day volume-weighted average share price on the date of issuance and the amount of fees owed to the Reporting Person.
/s/ Sophie Hubscher, Attorney-in-Fact
2021-07-01