0001517413-20-000004.txt : 20200108 0001517413-20-000004.hdr.sgml : 20200108 20200108163247 ACCESSION NUMBER: 0001517413-20-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200106 FILED AS OF DATE: 20200108 DATE AS OF CHANGE: 20200108 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bergman Artur CENTRAL INDEX KEY: 0001769490 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38897 FILM NUMBER: 20516037 MAIL ADDRESS: STREET 1: C/O FASTLY, INC. STREET 2: 475 BRANNAN STREET, SUITE 300 CITY: SAN FRANCISCO STATE: CA ZIP: 94107 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 wf-form4_157851914937836.xml FORM 4 X0306 4 2020-01-06 0 0001517413 Fastly, Inc. FSLY 0001769490 Bergman Artur C/O FASTLY, INC. 475 BRANNAN STREET, SUITE 300 SAN FRANCISCO CA 94107 1 1 1 0 Chief Executive Officer Class A Common Stock 2020-01-06 4 C 0 25741 0 A 328630 D Class A Common Stock 2020-01-06 4 S 0 25741 22.50 D 302889 D Class B Common Stock 2020-01-06 4 C 0 25741 0 D Class A Common Stock 25741.0 8608348 D Class B Common Stock Class A Common Stock 1700000.0 1700000 I See Footnote Class B Common Stock Class A Common Stock 800000.0 800000 I See Footnote Each share of Class B Common Stock converted into Class A Common Stock upon the election of the reporting person. The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person. Each share of Class B Common Stock will convert automatically into Class A Common Stock upon (a) nine months following the death of the reporting person, or (b) any transfer except certain "Permitted Transfers" described in the Issuer's amended and restated certificate of incorporation. 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. The shares are held by The Artur Bergman 2019 Annuity Trust One, of which the reporting person is trustee. The shares are held by The Artur Bergman 2019 Annuity Trust Two, of which the reporting person is trustee. /s/ Seth Gottlieb, Attorney-in-Fact 2020-01-08