0001209191-20-035744.txt : 20200610
0001209191-20-035744.hdr.sgml : 20200610
20200610211028
ACCESSION NUMBER: 0001209191-20-035744
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200608
FILED AS OF DATE: 20200610
DATE AS OF CHANGE: 20200610
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Pelion Ventures V Financial Institutions GP, L.L.C.
CENTRAL INDEX KEY: 0001787887
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39039
FILM NUMBER: 20956010
BUSINESS ADDRESS:
STREET 1: 2750 E. COTTONWOOD PARKWAY, SUITE 620
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84121
BUSINESS PHONE: 801-365-0262
MAIL ADDRESS:
STREET 1: 2750 E. COTTONWOOD PARKWAY, SUITE 620
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84121
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Cloudflare, Inc.
CENTRAL INDEX KEY: 0001477333
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 270805829
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 101 TOWNSEND ST.
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
BUSINESS PHONE: 888.993.5273
MAIL ADDRESS:
STREET 1: 101 TOWNSEND ST.
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
FORMER COMPANY:
FORMER CONFORMED NAME: CloudFlare, Inc.
DATE OF NAME CHANGE: 20091120
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-06-08
0
0001477333
Cloudflare, Inc.
NET
0001787887
Pelion Ventures V Financial Institutions GP, L.L.C.
C/O PELION VENTURES
2750 E. COTTONWOOD PARKWAY, SUITE 600
SALT LAKE CITY
UT
84121
0
0
1
0
Class A Common Stock
2020-06-08
4
J
0
194894
D
57656
I
Footnote
Class A Common Stock
2020-06-08
4
J
0
3894
A
3894
I
Footnote
Class A Common Stock
2020-06-08
4
J
0
3894
D
0
I
Footnote
Class B Common Stock
Class A Common Stock
1053124
1053124
I
Footnote
Represents in-kind distribution by PV V FIF without consideration to its partners (including PV V FIGP).
The shares are held of record by Pelion Ventures V Financial Institutions Fund, L.P. ("PV V FIF").
Pelion Ventures V Financial Institutions GP, L.L.C. ("PV V FIGP") is the General Partner of PV V FIF, but disclaims beneficial ownership of the securities held of record by PV V FIF except to the extent of its pecuniary interest therein. Blake Modersitzki is the Manager Member of PV V FIGP. Mr. Modersitzki exercises voting and dispositive power with respect to the shares held of record by PV V FIF and PV V FIGP, but disclaims beneficial ownership of the securities held of record by PV V FIF and PV V FIGP except to the extent of his individual pecuniary interest therein.
The shares are held of record by PV V FIGP.
Represents in-kind distribution by PV V FIGP without consideration to its members.
Each share of Class B Common Stock is convertible at any time into Class A Common Stock on a one-to-one basis at the reporting person's election and has no expiration date.
This report is one of two reports, each on a separate Form 4, but relating to the same transactions being filed by entities affiliated with Pelion Ventures and their applicable members.
/s/ Blake G. Modersitzki, Managing Member
2020-06-10