0001209191-20-032335.txt : 20200527
0001209191-20-032335.hdr.sgml : 20200527
20200527170519
ACCESSION NUMBER: 0001209191-20-032335
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200522
FILED AS OF DATE: 20200527
DATE AS OF CHANGE: 20200527
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hornik David
CENTRAL INDEX KEY: 0001547378
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38897
FILM NUMBER: 20916141
MAIL ADDRESS:
STREET 1: 2480 SAND HILL ROAD, SUITE 101
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Fastly, Inc.
CENTRAL INDEX KEY: 0001517413
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 275411834
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 475 BRANNAN
STREET 2: SUITE 300
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
BUSINESS PHONE: 415-525-3481
MAIL ADDRESS:
STREET 1: 475 BRANNAN
STREET 2: SUITE 300
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
FORMER COMPANY:
FORMER CONFORMED NAME: Skycache, Inc.(DE)
DATE OF NAME CHANGE: 20110405
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-05-22
0
0001517413
Fastly, Inc.
FSLY
0001547378
Hornik David
C/O AUGUST CAPITAL
PMB #456, 600 4TH STREET
SAN FRANCISCO
CA
94107
1
0
0
0
Class A Common Stock
2020-05-22
4
C
0
2886971
0.00
A
2886971
I
See Footnote
Class A Common Stock
2020-05-22
4
C
0
2021342
0.00
A
2021342
I
See Footnote
Class A Common Stock
2020-05-22
4
J
0
2886971
0.00
D
0
I
See Footnote
Class A Common Stock
2020-05-22
4
J
0
2021342
0.00
D
0
I
See Footnote
Class A Common Stock
2020-05-22
4
J
0
167651
0.00
A
347281
D
Class B Common Stock
2020-05-22
4
C
0
2886971
0.00
D
Class A Common Stock
2886971
0
I
See Footnote
Class B Common Stock
2020-05-22
4
C
0
2021342
0.00
D
Class A Common Stock
2021342
396542
I
See Footnote
These shares are held directly by August Capital VI, L.P. ("August VI"). August Capital Management VI, L.L.C. ("ACM VI") is the general partner of August VI and may be deemed to have sole voting and investment power over the shares held by August VI. David M. Hornik, Howard Hartenbaum and W. Eric Carlborg are members of ACM VI, and may be deemed to have shared voting and investment power over the shares held by August VI. Each such person and entity disclaims the existence of a "group" and disclaims beneficial ownership of any securities, except to the extent of such person's or entity's pecuniary interest in such securities.
These shares are held directly by August Capital VI Special Opportunities, L.P. ("August VI SO"). ACM VI is the general partner of August VI SO and may be deemed to have sole voting and investment power over the shares held by August VI SO. David M. Hornik, Howard Hartenbaum and W. Eric Carlborg are members of ACM VI, and may be deemed to have shared voting and investment power over the shares held by August VI SO. Each such person and entity disclaims the existence of a "group" and disclaims beneficial ownership of any securities, except to the extent of such person's or entity's pecuniary interest in such securities.
Represents a pro-rata, in-kind distribution by August VI, without additional consideration, to its partners, members and assigns.
Represents a pro-rata, in-kind distribution by August VI SO, without additional consideration, to its partners, members and assigns.
Represents a pro-rata, in-kind distribution by August VI and August VI SO, without additional consideration, to their respective partners, members and assigns.
Each share of Class B Common Stock will convert automatically into Class A Common Stock upon any transfer except certain "Permitted Transfers" described in the Issuer's amended and restated certificate of incorporation. In addition, all outstanding shares of Class B Common Stock will convert into shares of Class A Common Stock upon the earliest of (i) the first trading day falling nine months after the date on which the shares of Class B Common Stock represent less than 10% of the aggregate number of outstanding shares of Class A Common Stock and Class B Common Stock, (ii) the date specified by the vote of the holders of Class B Common Stock representing at least a majority of the outstanding shares of Class B Common Stock, or (iii) the first trading day falling ten years after the Effective Time as defined in the Issuer's amended and restated certificate of incorporation.
David Hornik, By: /s/ Abigail Hipps, Attorney-in-Fact
2020-05-27