0001628280-23-033032.txt : 20230926 0001628280-23-033032.hdr.sgml : 20230926 20230926164624 ACCESSION NUMBER: 0001628280-23-033032 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230925 FILED AS OF DATE: 20230926 DATE AS OF CHANGE: 20230926 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SULLIVAN GODFREY CENTRAL INDEX KEY: 0001233412 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40895 FILM NUMBER: 231280972 MAIL ADDRESS: STREET 1: SPLUNK INC. STREET 2: 250 BRANNAN STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Gitlab Inc. CENTRAL INDEX KEY: 0001653482 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 471861035 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 268 BUSH STREET STREET 2: #350 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 BUSINESS PHONE: 650-474-5175 MAIL ADDRESS: STREET 1: 268 BUSH STREET STREET 2: #350 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 4 1 wk-form4_1695761171.xml FORM 4 X0508 4 2023-09-25 0 0001653482 Gitlab Inc. GTLB 0001233412 SULLIVAN GODFREY C/O GITLAB INC. NOT APPLICABLE DE 1 0 0 0 0 Class A Common Stock 2023-09-25 4 C 0 137500 0 A 145869 D Class B Common Stock 0 2023-09-25 4 C 0 137500 D Class A Common Stock 137500 12500 D Each share of the Issuer's Class B common stock (the "Class B Stock") is convertible into one share of the Issuer's Class A common stock at any time and will convert automatically upon certain transfers and upon the earlier of (i) ten years from the date of the Issuer's initial public offering ("IPO"), (ii) the death or disability of Sytse Sijbrandij, (iii) the first date following the completion of the IPO on which the number of shares of outstanding Class B Stock (including shares of Class B Stock subject to outstanding stock options) is less than 5% of the aggregate number of shares of the Issuer's common stock then outstanding and (iv) the date specified by a vote of the holders of two-thirds of the then outstanding shares of Class B Stock. Includes shares of Class A Common Stock that have not yet vested. /s/ Robin Schulman, Attorney-in-Fact for Godfrey Sullivan 2023-09-26