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