0001127602-20-000279.txt : 20200102
0001127602-20-000279.hdr.sgml : 20200102
20200102191426
ACCESSION NUMBER: 0001127602-20-000279
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191230
FILED AS OF DATE: 20200102
DATE AS OF CHANGE: 20200102
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: 20502793
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
FORMER COMPANY:
FORMER CONFORMED NAME: FITBIT INC
DATE OF NAME CHANGE: 20081009
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2019-12-30
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
Employee Stock Option (Right to Buy)
.055
2019-12-30
4
M
0
380000
0
D
2021-09-27
Class B Common Stock
380000
246508
D
Class B Common Stock
2019-12-30
4
M
0
380000
0
A
Class A Common Stock
380000
380000
D
Class B Common Stock
2019-12-30
5
G
0
E
380000
0
D
Class A Common Stock
380000
0
D
Class B Common Stock
2019-12-30
5
G
0
E
380000
0
A
Class A Common Stock
380000
14769518
I
By revocable trust
Class B Common Stock
Class A Common Stock
900000
900000
I
By grantor retained annuity trust 3
The option exercise transaction reported in this Form 4 was effected by the reporting person in order to permissively mitigate the potential adverse tax consequences of Section 280G of the Internal Revenue Code of 1986,as amended, in connection with the pending acquisition of the Issuer by Google LLC.
The option is fully vested and exercisable.
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
2020-01-02