0001517413-21-000192.txt : 20211103
0001517413-21-000192.hdr.sgml : 20211103
20211103202940
ACCESSION NUMBER: 0001517413-21-000192
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211101
FILED AS OF DATE: 20211103
DATE AS OF CHANGE: 20211103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Daniels Richard Devon
CENTRAL INDEX KEY: 0001830164
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38897
FILM NUMBER: 211377521
MAIL ADDRESS:
STREET 1: 3005 TASMAN DRIVE
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
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_163598576589823.xml
FORM 4
X0306
4
2021-11-01
0
0001517413
Fastly, Inc.
FSLY
0001830164
Daniels Richard Devon
C/O FASTLY, INC.
475 BRANNAN STREET, SUITE 300
SAN FRANCISCO
CA
94107
1
0
0
0
Class A Common Stock
2021-11-01
4
A
0
7766
0
A
7766
D
The shares are represented by restricted stock units (RSUs). Each RSU represents a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement. 100% of the RSUs vest on November 1, 2022, subject to continued service as a director of the Issuer through such vesting date.
/s/ Seth Gottlieb, Attorney-in-Fact for Richard Daniels
2021-11-03