0001209191-22-062195.txt : 20221220 0001209191-22-062195.hdr.sgml : 20221220 20221220172647 ACCESSION NUMBER: 0001209191-22-062195 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20221220 DATE AS OF CHANGE: 20221220 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: 221475868 MAIL ADDRESS: STREET 1: 1090 KIFER ROAD CITY: SUNNYVALE STATE: CA ZIP: 94086 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 FORMER COMPANY: FORMER CONFORMED NAME: FORTINET INC DATE OF NAME CHANGE: 20030902 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2021-12-31 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 2021-08-02 5 G 0 L 352 0.00 D 5931673 D Common Stock 2021-11-23 5 G 0 L 18000 0.00 D 5931673 D Common Stock 3408214 I See footnote Common Stock 1991686 I See footnote These securities are presented on a pre-split basis, prior to giving effect to the five-for-one split of the Issuer's Common Stock that became effective on June 22, 2022. 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 2010 K.A. Family Trust dated May 3, 2010, for which the Reporting Person serves as a trustee. The total number of shares reported in Column 5 of Table I in Forms 4 filed between August 3, 2021 and November 3, 2022 are adjusted to reflect the transactions reported in this Form 5. /s/ Robert Turner, by power of attorney 2022-12-20