0000899243-21-038428.txt : 20210930 0000899243-21-038428.hdr.sgml : 20210930 20210930184223 ACCESSION NUMBER: 0000899243-21-038428 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210928 FILED AS OF DATE: 20210930 DATE AS OF CHANGE: 20210930 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cox James S CENTRAL INDEX KEY: 0001441361 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40838 FILM NUMBER: 211296258 MAIL ADDRESS: STREET 1: 600 TOWNSEND CITY: SAN FRANCISCO STATE: CA ZIP: 94103 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Clearwater Analytics Holdings, Inc. CENTRAL INDEX KEY: 0001866368 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 777 W. MAIN STREET, SUITE 900 CITY: BOISE STATE: ID ZIP: 83702 BUSINESS PHONE: 208-918-2400 MAIL ADDRESS: STREET 1: 777 W. MAIN STREET, SUITE 900 CITY: BOISE STATE: ID ZIP: 83702 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-09-28 0 0001866368 Clearwater Analytics Holdings, Inc. CWAN 0001441361 Cox James S C/O CLEARWATER ANALYTICS HOLDINGS, INC. 777 W. MAIN STREET, SUITE 900 BOISE ID 83702 0 1 0 0 Chief Financial Officer Class A Common Stock 2021-09-28 4 P 0 1786 18.00 A 1786 D Restricted Stock Units 2021-09-28 4 A 0 212682 0.00 A Class A Common Stock 212682 212682 D Each restricted stock unit ("RSU") represents a right to receive one share of the issuer's Class A Common Stock. The reported RSUs will vest in four 25% installments on each of the first four anniversaries of January 1, 2022 and will settle within thirty days of the applicable vesting date. /s/ Alphonse Valbrune, as Attorney-in-Fact, for Jim Cox 2021-09-30