0001209191-19-057527.txt : 20191120
0001209191-19-057527.hdr.sgml : 20191120
20191120195204
ACCESSION NUMBER: 0001209191-19-057527
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191118
FILED AS OF DATE: 20191120
DATE AS OF CHANGE: 20191120
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DHALIWAL SUNIL
CENTRAL INDEX KEY: 0001354177
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38897
FILM NUMBER: 191235434
MAIL ADDRESS:
STREET 1: 20 WILLIAM STREET
STREET 2: SUITE 200
CITY: WELLESLEY
STATE: MA
ZIP: 02481
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Fastly, Inc.
CENTRAL INDEX KEY: 0001517413
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 275411834
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 475 BRANNAN
STREET 2: SUITE 300
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
BUSINESS PHONE: 415-525-3481
MAIL ADDRESS:
STREET 1: 475 BRANNAN
STREET 2: SUITE 300
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
FORMER COMPANY:
FORMER CONFORMED NAME: Skycache, Inc.(DE)
DATE OF NAME CHANGE: 20110405
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-11-18
0
0001517413
Fastly, Inc.
FSLY
0001354177
DHALIWAL SUNIL
800 MENLO AVENUE
SUITE 220
MENLO PARK
CA
94025
1
0
1
0
Class A Common Stock
2019-11-18
4
C
0
100000
0.00
A
100000
I
See Footnote
Class A Common Stock
2019-11-18
4
C
0
27090
0.00
A
27090
I
See Footnote
Class A Common Stock
2019-11-18
4
S
0
100000
21.16
D
0
I
See Footnote
Class A Common Stock
2019-11-18
4
S
0
27090
21.16
D
0
I
See Footnote
Class B Common Stock
2019-11-18
4
C
0
100000
0.00
D
Class A Common Stock
100000
6498407
I
See Footnote
Class B Common Stock
2019-11-18
4
C
0
27090
0.00
D
Class A Common Stock
27090
1760370
I
See Footnote
Each share of Class B Common Stock converted automatically into Class A Common Stock upon the election of the reporting person.
These shares are held directly by Amplify Partners, L.P. The sole general partner is Amplify GP Partners, LLC. Sunil Dhaliwal, a member of the Issuer's Board of Directors, is a managing member of Amplify GP Partners, LLC, and may be deemed to have voting and investment power with respect to these securities. Amplify GP Partners, LLC and Sunil Dhaliwal disclaim beneficial ownership of the securities except to the extent of his or its pecuniary interest therein.
These shares are held directly by AP Opportunity Fund LLC. The sole general partner is Amplify GP Partners, LLC. Sunil Dhaliwal, a member of the Issuer's Board of Directors, is a managing member of Amplify GP Partners, LLC, and may be deemed to have voting and investment power with respect to these securities. Amplify GP Partners, LLC and Sunil Dhaliwal disclaim beneficial ownership of the securities except to the extent of his or its pecuniary interest therein.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $21.15 to $21.21. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the SEC, upon request, full information regarding the number of shares sold at each price within the range.
Each share of Class B Common Stock will convert automatically into Class A Common Stock upon any transfer except certain "Permitted Transfers" described in the Issuer's amended and restated certificate of incorporation. All outstanding shares of Class B Common Stock will convert into shares of Class A Common Stock upon the earliest of (i) the first trading day falling nine months after the date on which the shares of Class B Common Stock represent less than 10% of the aggregate number of outstanding shares of Class A Common Stock and Class B Common Stock, (ii) the date specified by the vote of the holders of Class B Common Stock representing at least a majority of the outstanding shares of Class B Common Stock, or (iii) the first trading day falling ten years after the Effective Time as defined in the Issuer's amended and restated certificate of incorporation.
/s/ Seth Gottlieb, Attorney-in-Fact
2019-11-20