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