0000899243-19-008046.txt : 20190315 0000899243-19-008046.hdr.sgml : 20190315 20190315215605 ACCESSION NUMBER: 0000899243-19-008046 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190313 FILED AS OF DATE: 20190315 DATE AS OF CHANGE: 20190315 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Poels Patrick David CENTRAL INDEX KEY: 0001751192 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38658 FILM NUMBER: 19686648 MAIL ADDRESS: STREET 1: EVENTBRITE, INC. STREET 2: 155 5TH STREET, 7TH FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94103 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Eventbrite, Inc. CENTRAL INDEX KEY: 0001475115 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] IRS NUMBER: 141888467 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 155 5TH STREET, 7TH FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94103 BUSINESS PHONE: (888) 414-5119 MAIL ADDRESS: STREET 1: 155 5TH STREET, 7TH FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94103 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-03-13 0 0001475115 Eventbrite, Inc. EB 0001751192 Poels Patrick David C/O EVENTBRITE, INC. 155 5TH STREET, 7TH FLOOR SAN FRANCISCO CA 94103 0 1 0 0 SVP of Platform Class A Common Stock 2019-03-13 4 M 0 3067 A 3067 D Class A Common Stock 2019-03-13 4 F 0 3067 23.23 D 0 D Restricted Stock Unit 2019-03-13 4 M 0 8437 0.00 D Class B Common Stock 8437 36563 D Class B Common Stock 2019-03-13 4 M 0 5370 0.00 A Class A Common Stock 5370 5370 D Restricted stock units ("RSUs") convert into Class B common stock on one-to-one basis. Each share of Class B common stock is convertible into one share of Class A common stock at the option of the holder and has no expiration date. Represents shares that have been withheld by the Issuer to satisfy income tax and withholding and remittance obligations in connection with the net settlement of RSUs and does not represent a sale by the Reporting Person. Each RSU is convertible into one share of Class B common stock. The RSUs are subject to time-based and performance-based vesting conditions. The time-based vesting conditions lapse in sixteen equal quarterly installments from May 31, 2018 through May 31, 2022, and the performance-based vesting conditions will lapse upon the closing of the Issuer's initial public offering of Class A common stock, subject in each case to the Reporting Person's continued service to the Issuer. Each share of Class B common stock is convertible into one share of Class A common stock at the option of the holder and has no expiration date. /s/ An-Yen Hu, attorney-in-fact of the Reporting Person 2019-03-13