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