0000899243-18-007138.txt : 20180312 0000899243-18-007138.hdr.sgml : 20180312 20180312165624 ACCESSION NUMBER: 0000899243-18-007138 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180308 FILED AS OF DATE: 20180312 DATE AS OF CHANGE: 20180312 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Greylock XIII GP LLC CENTRAL INDEX KEY: 0001541539 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38044 FILM NUMBER: 18684135 BUSINESS ADDRESS: STREET 1: 40 GROVE STREET STREET 2: SUITE 430 CITY: WELLESLEY STATE: MA ZIP: 02482 BUSINESS PHONE: 781-622-2200 MAIL ADDRESS: STREET 1: 40 GROVE STREET STREET 2: SUITE 430 CITY: WELLESLEY STATE: MA ZIP: 02482 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Greylock XIII-A Limited Partnership CENTRAL INDEX KEY: 0001474747 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38044 FILM NUMBER: 18684133 BUSINESS ADDRESS: STREET 1: 40 GROVE STREET STREET 2: SUITE 430 CITY: WELLESLEY STATE: MA ZIP: 02482 BUSINESS PHONE: 781-622-2200 MAIL ADDRESS: STREET 1: 40 GROVE STREET STREET 2: SUITE 430 CITY: WELLESLEY STATE: MA ZIP: 02482 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Greylock XIII Limited Partnership CENTRAL INDEX KEY: 0001474746 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38044 FILM NUMBER: 18684134 BUSINESS ADDRESS: STREET 1: 40 GROVE STREET STREET 2: SUITE 430 CITY: WELLESLEY STATE: MA ZIP: 02482 BUSINESS PHONE: 781-622-2200 MAIL ADDRESS: STREET 1: 40 GROVE STREET STREET 2: SUITE 430 CITY: WELLESLEY STATE: MA ZIP: 02482 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Okta, Inc. CENTRAL INDEX KEY: 0001660134 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 264175727 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 301 BRANNAN STREET, 1ST FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: 888-722-7871 MAIL ADDRESS: STREET 1: 301 BRANNAN STREET, 1ST FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94107 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-03-08 1 0001660134 Okta, Inc. OKTA 0001541539 Greylock XIII GP LLC 2550 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 0 1 Former 10% Owner. 0001474746 Greylock XIII Limited Partnership 2550 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 0001474747 Greylock XIII-A Limited Partnership 2550 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 Class A Common Stock 2018-03-08 4 C 0 3119410 0.00 A 3119410 I By Greylock XIII Limited Partnership Class A Common Stock 2018-03-08 4 C 0 280840 0.00 A 280840 I By Greylock XIII-A Limited Partnership Class A Common Stock 2018-03-08 4 J 0 3119410 0.00 D 0 I See footnote Class A Common Stock 2018-03-08 4 J 0 280840 0.00 D 0 I See footnote Class B Common Stock 2018-03-08 4 C 0 3119410 0.00 D Class A Common Stock 3119410 2897079 I By Greylock XIII Limited Partnership Class B Common Stock 2018-03-08 4 C 0 280840 0.00 D Class A Common Stock 280840 260822 I By Greylock XIII-A Limited Partnership Represents 3,119,410 shares converted from Class B Common Stock to Class A Common Stock by Greylock XIII Limited Partnership ("Greylock XIII LP"). Each share of Class B Common Stock is convertible without payment or consideration into one share of Class A Common Stock at the option of the holder and has no expiration date. The shares are held directly by Greylock XIII LP. Greylock XIII GP Limited Liability Company ("Greylock XIII GP") is the sole General Partner of Greylock XIII LP and may be deemed to share voting and dispositive power with respect to the shares held by Greylock XIII LP. Greylock XIII GP disclaims beneficial ownership of the securities held by Greylock XIII LP except to the extent of any pecuniary interest therein and the inclusion of these securities in this report shall not be deemed an admission by Greylock XIII GP of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes. Represents 280,840 shares converted from Class B Common Stock to Class A Common Stock by Greylock XIII-A Limited Partnership ("Greylock XIII-A LP"). The shares are held directly by Greylock XIII-A LP. Greylock XIII GP is the sole General Partner of Greylock XIII-A LP and may be deemed to share voting and dispositive power with respect to the shares held by Greylock XIII-A LP. Greylock XIII GP disclaims beneficial ownership of the securities held by Greylock XIII LP except to the extent of any pecuniary interest therein and the inclusion of these securities in this report shall not be deemed an admission by Greylock XIII GP of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes. Represents a pro-rata, in-kind distribution by Greylock XIII LP and its affiliated funds and associated persons, without additional consideration, to their respective partners, members and assigns. Such distribution was made in accordance with the exemption afforded by Rules 16a-13 and 16a-9 of the Securities Exchange Act of 1934, as amended. Represents a pro-rata, in-kind distribution by Greylock XIII-A LP and its affiliated funds and associated persons, without additional consideration, to their respective partners, members and assigns. Such distribution was made in accordance with the exemption afforded by Rules 16a-13 and 16a-9 of the Securities Exchange Act of 1934, as amended. /s/ Donald A. Sullivan, as Administrative Partner of Greylock XIII GP LLC 2018-03-12 /s/ Donald A. Sullivan, as Administrative Partner of Greylock XIII GP LLC, the general partner of Greylock XIII Limited Partnership 2018-03-12 /s/ Donald A. Sullivan, as Administrative Partner of Greylock XIII GP LLC, the general partner of Greylock XIII-A Limited Partnership 2018-03-12