0000899243-22-006342.txt : 20220214 0000899243-22-006342.hdr.sgml : 20220214 20220214213407 ACCESSION NUMBER: 0000899243-22-006342 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220214 DATE AS OF CHANGE: 20220214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MADERA PAUL S CENTRAL INDEX KEY: 0001255151 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40787 FILM NUMBER: 22636785 MAIL ADDRESS: STREET 1: 245 LYTTON AVENUE STREET 2: SUITE 350 CITY: PALO ALTO STATE: CA ZIP: 94301 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ForgeRock, Inc. CENTRAL INDEX KEY: 0001543916 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 331223363 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 201 MISSION STREET STREET 2: SUITE 2900 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: (415) 599-1100 MAIL ADDRESS: STREET 1: 201 MISSION STREET STREET 2: SUITE 2900 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2021-12-31 0 0 1 0001543916 ForgeRock, Inc. FORG 0001255151 MADERA PAUL S C/O FORGEROCK, INC., 201 MISSION STREET, SUITE 2900 SAN FRANCISCO CA 94105 1 0 1 0 Class A Common Stock 2021-11-29 4 C 0 3954737 0.00 A 3954737 I See Footnote Class A Common Stock 2021-11-29 4 C 0 97663 0.00 A 97663 I See Footnote Class B Common Stock 0.00 2021-11-29 4 C 0 3954737 0.00 D Class A Common Stock 3954737 0 I See Footnote Class B Common Stock 0.00 2021-11-29 4 C 0 97663 0.00 D Class A Common Stock 97663 0 I See Footnote Each share of Class B Common Stock, par value $0.001 per share (the "Class B Common Stock") of ForgeRock, Inc. (the "Issuer") is convertible at any time at the option of the holder into one share of the Issuer's Class A Common Stock, par value $0.001 per share (the "Class A Common Stock"). Additionally, each share of Class B Common Stock will, subject to certain conditions and exceptions, convert automatically into one share of Class A Common Stock upon any transfer. Shares are held by Meritech Capital Partners IV L.P. ("MCP IV"). Meritech Capital Associates IV L.L.C. ("GP IV"), the general partner of MCP IV, has sole voting and dispositive power with respect to the shares held by MCP IV. Paul Madera ("Madera"), George Bischof ("Bischof"), Craig Sherman ("Sherman") and Rob Ward ("Ward"), the managing members of GP IV, share the voting and dispositive power with respect to the shares held by MCP IV. Each of the Reporting Persons disclaims the existence of a "group" and disclaims beneficial ownership of the securities reported herein, except to the extent of such Reporting Person's pecuniary interest therein. The filing of this statement shall not be deemed to be an admission that, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the Reporting Persons are the beneficial owners of any securities reported herein. Shares are held by Meritech Capital Affiliates IV L.P. ("MCA IV"). GP IV, the general partner of MCA IV, has sole voting and dispositive power with respect to the shares held by MCA IV. Madera, Bischof, Sherman and Ward, the managing members of GP IV, share the voting and dispositive power with respect to the shares held by MCA IV. /s/ Amy B. Martin, by Power of Attorney for Paul S. Madera 2022-02-14