0001140361-16-048482.txt : 20160122 0001140361-16-048482.hdr.sgml : 20160122 20160122162342 ACCESSION NUMBER: 0001140361-16-048482 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151231 FILED AS OF DATE: 20160122 DATE AS OF CHANGE: 20160122 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FORTINET INC CENTRAL INDEX KEY: 0001262039 STANDARD INDUSTRIAL CLASSIFICATION: COMPUTER PERIPHERAL EQUIPMENT, NEC [3577] IRS NUMBER: 770560389 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 899 KIFER ROAD CITY: SUNNYVALE STATE: CA ZIP: 94086 BUSINESS PHONE: 408-235-7700 MAIL ADDRESS: STREET 1: 899 KIFER ROAD CITY: SUNNYVALE STATE: CA ZIP: 94086 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Xie Michael CENTRAL INDEX KEY: 0001475586 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34511 FILM NUMBER: 161356469 MAIL ADDRESS: STREET 1: 1090 KIFER ROAD CITY: SUNNYVALE STATE: CA ZIP: 94086 5 1 doc1.xml FORM 5 X0306 5 2015-12-31 0 0 0 0001262039 FORTINET INC FTNT 0001475586 Xie Michael C/O FORTINET, INC. 899 KIFER ROAD SUNNYVALE CA 94086 1 1 0 0 VP, Engineering & CTO Common Stock 2015-12-22 5 G 0 2400 0 D 6282000 D Common Stock 2015-12-22 5 G 0 80000 0 D 754866 I See footnote Common Stock 462488 I See footnote Common Stock 2251323 I See footnote Common Stock 2251323 I See footnote Shares held directly by the 2010 K.A. Family Trust dated May 3, 2010, for which the Reporting Person serves as a trustee. Shares held directly by The K.A. Children's Trust dated February 9, 2011, for which the Reporting Person serves as a trustee. Shares held directly by the 2014 Michael Xie Grantor Retained Annuity Trust dated March 6, 2014, for which the Reporting Person serves as a trustee. Shares held directly by the 2014 Danke Wu Grantor Retained Annuity Trust dated March 6, 2014, for which the Reporting Person serves as a trustee. /s/ John Whittle, by power of attorney 2016-01-22