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