0000899243-19-023914.txt : 20190919 0000899243-19-023914.hdr.sgml : 20190919 20190919160643 ACCESSION NUMBER: 0000899243-19-023914 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190917 FILED AS OF DATE: 20190919 DATE AS OF CHANGE: 20190919 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ledbetter Carl CENTRAL INDEX KEY: 0001366574 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39039 FILM NUMBER: 191101832 MAIL ADDRESS: STREET 1: 2755 EAST COTTONWOOD PARKWAY, SUITE 520 CITY: SALT LAKE CITY STATE: UT ZIP: 84121 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Cloudflare, Inc. CENTRAL INDEX KEY: 0001477333 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 270805829 STATE OF INCORPORATION: DE FISCAL YEAR END: 1209 BUSINESS ADDRESS: STREET 1: 101 TOWNSEND ST. CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: 888.993.5273 MAIL ADDRESS: STREET 1: 101 TOWNSEND ST. CITY: SAN FRANCISCO STATE: CA ZIP: 94107 FORMER COMPANY: FORMER CONFORMED NAME: CloudFlare, Inc. DATE OF NAME CHANGE: 20091120 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-09-17 0 0001477333 Cloudflare, Inc. NET 0001366574 Ledbetter Carl C/O PELION VENTURES 2750 E COTTONWOOD PARKWAY, SUITE 600 SALT LAKE CITY UT 84121 1 0 1 0 Class A Common Stock 2019-09-17 4 C 0 2954546 A 2954546 I See footnote Series D Convertible Preferred Stock 2019-09-17 4 C 0 2954546 0.00 D Class A Common Stock 2954546 0 I See footnote Class B Common Stock Class B Common Stock 622265 622265 I See footnote Each share of Series D Convertible Preferred Stock automatically converted into Class A Common Stock on a one-to-one basis immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock and had no expiration date. The shares are held of record by Pelion Opportunity Fund I, LLC (POF I). Pelion Opportunities Partners I, L.L.C. (POP I) is the Manager of POF I, and Blake Modersitzki is the Manager Member of POP I. Dr. Ledbetter, a director of the Issuer, serves as a Special Advisor to an affiliate of POP I. Each of Mr. Modersitzki and Dr. Ledbetter share voting and dispositive power with respect to the shares held of record by POF I, but disclaims beneficial ownership of the securities held by of record by POF I except to the extent of his individual pecuniary interest therein. Each share of Class B Common Stock is convertible at any time into Class A Common Stock on a one-to-one basis at the reporting person's election and has no expiration date. /s/ Carl Ledbetter 2019-09-18