0001127602-19-019206.txt : 20190520
0001127602-19-019206.hdr.sgml : 20190520
20190520180837
ACCESSION NUMBER: 0001127602-19-019206
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190503
FILED AS OF DATE: 20190520
DATE AS OF CHANGE: 20190520
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PARK JAMES
CENTRAL INDEX KEY: 0001645531
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37444
FILM NUMBER: 19840289
MAIL ADDRESS:
STREET 1: C/O FITBIT, INC.
STREET 2: 405 HOWARD STREET
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FITBIT INC
CENTRAL INDEX KEY: 0001447599
STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC COMPUTERS [3571]
IRS NUMBER: 208920744
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 199 FREMONT STREET
STREET 2: 14TH FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
BUSINESS PHONE: 415-513-1000
MAIL ADDRESS:
STREET 1: 199 FREMONT STREET
STREET 2: 14TH FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2019-05-03
0001447599
FITBIT INC
FIT
0001645531
PARK JAMES
C/O FITBIT
199 FREMONT STREET, 14TH FLOOR
SAN FRANCISCO
CA
94105
1
1
1
PRESIDENT, CEO, COB
Class B Common Stock
2019-05-03
5
G
0
E
414051
0
D
Class A Common Stock
414051
0
I
By grantor retained annuity trust 2
Class B Common Stock
2019-05-03
5
G
0
E
414051
0
A
Class A Common Stock
414051
14618595
I
By revocable trust
Class B Common Stock
2019-05-03
5
G
0
E
900000
0
D
Class A Common Stock
900000
13718595
I
By revocable trust
Class B Common Stock
2019-05-03
5
G
0
E
900000
0
A
Class A Common Stock
900000
900000
I
By grantor retained annuity trust 3
Each share of Class B Common Stock is convertible at any time at the option of the Reporting Person into one share of Class A Common Stock and has no expiration date. The Class B Common Stock will convert automatically into Class A Common Stock on the same basis upon the earlier of: (i) any transfer, whether or not for value, except for certain "Permitted Transfers" as defined in the Issuer's restated certificate of incorporation in effect as of the date hereof, (ii) the affirmative vote of the holders of Class B Common Stock representing not less than a majority of the outstanding shares of Class B Common Stock, or (iii) June 17, 2027.
/s/ Andy Missan, attorney-in-fact
2019-05-20