0001209191-23-050886.txt : 20230929 0001209191-23-050886.hdr.sgml : 20230929 20230929194325 ACCESSION NUMBER: 0001209191-23-050886 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230911 FILED AS OF DATE: 20230929 DATE AS OF CHANGE: 20230929 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Moskovitz Dustin A. CENTRAL INDEX KEY: 0001549917 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39495 FILM NUMBER: 231297267 MAIL ADDRESS: STREET 1: P.O. BOX 2929 CITY: SAN FRANCISCO STATE: CA ZIP: 94126 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Asana, Inc. CENTRAL INDEX KEY: 0001477720 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 263912448 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 633 FOLSOM STREET STREET 2: SUITE 100 CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: (415) 525-3888 MAIL ADDRESS: STREET 1: 633 FOLSOM STREET STREET 2: SUITE 100 CITY: SAN FRANCISCO STATE: CA ZIP: 94107 4 1 doc4.xml FORM 4 SUBMISSION X0508 4 2023-09-11 0 0001477720 Asana, Inc. ASAN 0001549917 Moskovitz Dustin A. C/O ASANA, INC. 633 FOLSOM STREET, SUITE 100 SAN FRANCISCO CA 94107 1 1 1 0 President, CEO, & Chair 0 Class B Common Stock 2023-09-11 4 G 0 380140 0.00 D Class A Common Stock 380140 0 I See footnote Class B Common Stock Class A Common Stock 999719 999719 I See footnote Class B Common Stock Class A Common Stock 42030755 42030755 I See footnote Class B Common Stock Class A Common Stock 2604170 2604170 I See footnote Class B Common Stock Class A Common Stock 21395830 21395830 D Each share of Class B Common Stock is convertible into one share of Class A Common Stock upon the option of the holder and has no expiration date. The Reporting Person transferred the shares as a gift to Justin Rosenstein. Reflects an exempt transfer of 539,719 shares from Justin Rosenstein Trust 2 to Justin Rosenstein Trust. The shares are held of record by Justin Rosenstein Trust 2. Dustin Moskovitz is the trustee of the Justin Rosenstein Trust 2 and may be deemed to have voting power and dispositive power over the shares held by the trust. The shares are held of record by Justin Rosenstein Trust. Dustin Moskovitz is the trustee of the Justin Rosenstein Trust and may be deemed to have voting power and dispositive power over the shares held by the trust. The shares are held of record by Dustin A. Moskovitz TTEE Dustin A. Moskovitz Trust DTD 12/27/05. The shares are held of record by Dustin Moskovitz Roth IRA. /s/ Katie Colendich, Attorney-in-Fact 2023-09-29