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