0000899243-22-005442.txt : 20220209
0000899243-22-005442.hdr.sgml : 20220209
20220209170021
ACCESSION NUMBER: 0000899243-22-005442
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220208
FILED AS OF DATE: 20220209
DATE AS OF CHANGE: 20220209
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NASR KHALED
CENTRAL INDEX KEY: 0001276600
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41065
FILM NUMBER: 22608002
MAIL ADDRESS:
STREET 1: 467 FIRST STREET
STREET 2: SUITE 201
CITY: LOS ALTOS
STATE: X1
ZIP: 94022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kliman Gilbert H
CENTRAL INDEX KEY: 0001293171
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41065
FILM NUMBER: 22608003
MAIL ADDRESS:
STREET 1: C/O INTERWEST PARTNERS
STREET 2: 467 FIRST STREET SUITE 201
CITY: LOS ALTOS
STATE: CA
ZIP: 94022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: INTERWEST PARTNERS X LP
CENTRAL INDEX KEY: 0001443898
STATE OF INCORPORATION: CA
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41065
FILM NUMBER: 22608005
BUSINESS ADDRESS:
STREET 1: C/O INTERWEST PARTNERS
STREET 2: 467 FIRST STREET SUITE 201
CITY: LOS ALTOS
STATE: CA
ZIP: 94022
BUSINESS PHONE: 650-854-8585
MAIL ADDRESS:
STREET 1: C/O INTERWEST PARTNERS
STREET 2: 467 FIRST STREET SUITE 201
CITY: LOS ALTOS
STATE: CA
ZIP: 94022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: InterWest Management Partners X, LLC
CENTRAL INDEX KEY: 0001460207
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41065
FILM NUMBER: 22608004
BUSINESS ADDRESS:
STREET 1: 467 FIRST STREET
STREET 2: SUITE 201
CITY: LOS ALTOS
STATE: CA
ZIP: 94022
BUSINESS PHONE: 650-854-8585
MAIL ADDRESS:
STREET 1: 467 FIRST STREET
STREET 2: SUITE 201
CITY: LOS ALTOS
STATE: CA
ZIP: 94022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Desai Keval
CENTRAL INDEX KEY: 0001553019
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41065
FILM NUMBER: 22608001
MAIL ADDRESS:
STREET 1: 467 FIRST STREET
STREET 2: SUITE 201
CITY: LOS ALTOS
STATE: X1
ZIP: 94022
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Braze, Inc.
CENTRAL INDEX KEY: 0001676238
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 452505271
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0131
BUSINESS ADDRESS:
STREET 1: 330 WEST 34TH STREET, FLOOR 18
CITY: NEW YORK
STATE: NY
ZIP: 10001
BUSINESS PHONE: (609) 964-0585
MAIL ADDRESS:
STREET 1: 330 WEST 34TH STREET, FLOOR 18
CITY: NEW YORK
STATE: NY
ZIP: 10001
FORMER COMPANY:
FORMER CONFORMED NAME: Appboy, Inc.
DATE OF NAME CHANGE: 20160602
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-02-08
0
0001676238
Braze, Inc.
BRZE
0001460207
InterWest Management Partners X, LLC
467 FIRST STREET, SUITE 201
LOS ALTOS
CA
94022
0
0
1
0
0001443898
INTERWEST PARTNERS X LP
467 FIRST STREET SUITE 201
LOS ALTOS
CA
94022
0
0
1
0
0001293171
Kliman Gilbert H
467 FIRST STREET, SUITE 201
LOS ALTOS
CA
94022
0
0
1
0
0001276600
NASR KHALED
467 FIRST STREET, SUITE 201
LOS ALTOS
CA
94022
0
0
1
0
0001553019
Desai Keval
467 FIRST STREET, SUITE 201
LOS ALTOS
CA
94022
0
0
1
0
Class A Common Stock
2022-02-08
4
C
0
3394219
A
3394219
I
By: InterWest Partners X, LP
Class B Common Stock
2022-02-08
4
C
0
3394219
0.00
D
Class A Common Stock
3394219
0
I
By: InterWest Partners X, LP
Each share of Class B Common Stock, par value $0.001 per share (the "Class B Common Stock"), converted into one share of Class A Common Stock, par value $0.001 per share (the "Class A Common Stock"), at the option of the holder.
The reported securities are owned directly by InterWest Partners X, L.P. ("IW X"). The general partner of IW X is InterWest Management Partners X, LLC ("IMP X") and may be deemed to beneficially own the shares held by IW X. Gilbert H. Kliman is the managing director of IMP X and Keval Desai and Khaled A. Nasr are venture members of IMP X. The managing director and venture members of IMP X share voting and investment control with respect to the securities held by IW X. Each of IMP X, Mr. Kliman, Mr. Desai and Mr. Nasr disclaims beneficial ownership of these shares except to the extent of its or his respective pecuniary interest therein.
Each share of Class B Common Stock is convertible into one share of Class A Common Stock (A) at any time at the option of the Reporting Person or (B) automatically upon the occurrence of the following: (1) the transfer of such share of Class B Common Stock, except for certain transfers whereby the Reporting Person continues to hold sole voting and dispositive power with respect to each such share, (2) the death of a Class B common stockholder who is a natural person, (3) the last trading day of the fiscal quarter immediately following the fifth anniversary of the Issuer's initial public offering, (4) the date specified by affirmative vote of the holders of a majority of the outstanding shares of Class B common stock and (5) the last trading day of the fiscal quarter during which the then outstanding shares of Class B Common Stock first represent less than 10% of the aggregate number of shares of the then outstanding Class A Common Stock and Class B Common Stock.
/s/ Karen A. Wilson, Attorney-in Fact for InterWest Partners X, LP
2022-02-09
/s/ Karen A. Wilson, Attorney-in Fact for InterWest Management Partners X, LLC
2022-02-09
/s/ Karen A. Wilson, Attorney-in Fact for Gilbert H. Kliman
2022-02-09
/s/ Karen A. Wilson, Attorney-in Fact for Khlaed A. Nasr
2022-02-09
/s/ Karen A. Wilson, Attorney-in Fact for Keval Desai
2022-02-09