0001209191-21-052411.txt : 20210818
0001209191-21-052411.hdr.sgml : 20210818
20210818192724
ACCESSION NUMBER: 0001209191-21-052411
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210816
FILED AS OF DATE: 20210818
DATE AS OF CHANGE: 20210818
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hornik David
CENTRAL INDEX KEY: 0001547378
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39748
FILM NUMBER: 211187978
MAIL ADDRESS:
STREET 1: 2480 SAND HILL ROAD, SUITE 101
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: August Capital Strategic Partners V, L.P.
CENTRAL INDEX KEY: 0001464232
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39748
FILM NUMBER: 211187979
BUSINESS ADDRESS:
STREET 1: 2480 SAND HILL RD., SUITE 101
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-234-9900
MAIL ADDRESS:
STREET 1: 2480 SAND HILL RD., SUITE 101
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hartenbaum Howard
CENTRAL INDEX KEY: 0001547424
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39748
FILM NUMBER: 211187977
MAIL ADDRESS:
STREET 1: 2480 SAND HILL ROAD, SUITE 101
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: August Capital Management V, L.L.C.
CENTRAL INDEX KEY: 0001547399
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39748
FILM NUMBER: 211187980
BUSINESS ADDRESS:
STREET 1: PMB #456, 660 4TH STREET
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
BUSINESS PHONE: 650.234.9900
MAIL ADDRESS:
STREET 1: PMB #456, 660 4TH STREET
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PubMatic, Inc.
CENTRAL INDEX KEY: 0001422930
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370]
IRS NUMBER: 205863224
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3 LAGOON DRIVE
STREET 2: SUITE 180
CITY: REDWOOD CITY
STATE: CA
ZIP: 94065
BUSINESS PHONE: 650-331-3485
MAIL ADDRESS:
STREET 1: 3 LAGOON DRIVE
STREET 2: SUITE 180
CITY: REDWOOD CITY
STATE: CA
ZIP: 94065
FORMER COMPANY:
FORMER CONFORMED NAME: PUBMATIC, INC.
DATE OF NAME CHANGE: 20140306
FORMER COMPANY:
FORMER CONFORMED NAME: Komli Inc
DATE OF NAME CHANGE: 20080107
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-08-16
0
0001422930
PubMatic, Inc.
PUBM
0001547399
August Capital Management V, L.L.C.
C/O AUGUST CAPITAL
PMB #456, 660 4TH STREET
SAN FRANCISCO
CA
94017
0
0
1
0
0001464232
August Capital Strategic Partners V, L.P.
C/O AUGUST CAPITAL
PMB #456, 660 4TH STREET
SAN FRANCISCO
CA
94017
0
0
1
0
0001547378
Hornik David
C/O AUGUST CAPITAL
PMB #456, 660 4TH STREET
SAN FRANCISCO
CA
94017
0
0
1
0
0001547424
Hartenbaum Howard
C/O AUGUST CAPITAL
PMB #456, 660 4TH STREET
SAN FRANCISCO
CA
94017
0
0
1
0
Class A common stock
2021-08-16
4
C
0
1500000
A
1889237
I
See footnote
Class A common stock
2021-08-17
4
J
0
1500000
D
389237
I
See footnote
Class A common stock
2021-08-17
4
J
0
39568
A
79442
D
Class A common stock
2021-08-12
5
G
0
E
100
0.00
D
13144
D
Class A common stock
2021-08-17
4
J
0
39568
A
52712
D
Class B common stock
2021-08-16
4
C
0
1500000
0.00
D
Class A common stock
1500000
3673750
I
See footnote
Each share of Class B common stock held by the Issuer's executive officers, directors and their respective affiliates will convert automatically into one share of Class A common stock upon any transfer that occurs after the closing of the Issuer's initial public offering, except for certain permitted transfers.
These securities are held by August Capital V Special Opportunities, L.P. (the "Fund"). August Capital Management V, L.L.C. is the general partner of the Fund (the "August General Partner") and may be deemed to have sole voting power and sole investment power over the shares held by the Fund. Howard Hartenbaum and David M. Hornik are the members of the August General Partner and they, along with W. Eric Carlborg as a voting party with respect to the Issuer's securities, may be deemed to share voting and investment power with respect to the shares held by the Fund.
Represents a pro-rata in-kind distribution of Class A common stock to the partners of the Fund and the members and assignees of the August General Partner, and not a purchase or sale, without additional consideration.
Shares held directly by David M. Hornik.
Shares held directly by Howard Hartenbaum.
This report is one of two reports, each on a separate Form 4, but relating to the same transactions being filed by entities and persons affiliated with August Capital. Each Reporting Person disclaims beneficial ownership of these shares except to the extent of such person's pecuniary interest therein, if any.
/s/ Abigail Hipps, Attorney-in-Fact for August Capital entities
2021-08-18
/s/ Abigail Hipps, Attorney-in-Fact for David M. Hornik
2021-08-18
/s/ Abigail Hipps, Attorney-in-Fact for Howard Hartenbaum
2021-08-18