0001517413-23-000009.txt : 20230215
0001517413-23-000009.hdr.sgml : 20230215
20230215171615
ACCESSION NUMBER: 0001517413-23-000009
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230213
FILED AS OF DATE: 20230215
DATE AS OF CHANGE: 20230215
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: 23636333
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_167649935220125.xml
FORM 4
X0306
4
2023-02-13
0
0001517413
Fastly, Inc.
FSLY
0001769490
Bergman Artur
C/O FASTLY, INC.
475 BRANNAN STREET, SUITE 300
SAN FRANCISCO
CA
94107
1
1
0
0
Chief Architect, Exec. Chair
Class A Common Stock
2023-02-13
4
A
0
48286
0
A
6711883
D
Class A Common Stock
840005
I
See Footnote 2
Class A Common Stock
209686
I
See Footnote 3
Class A Common Stock
209686
I
See Footnote 4
Class A Common Stock
1000000
I
See Footnote
The shares are represented by 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 are initially subject to vesting. 25% of the number of RSUs vested on February 15, 2023 and 25% of the number of RSUs vest on May 15, 2023, August 15, 2023, and November 15, 2023, respectively, in each case subject to the Reporting Person's continued service with the Issuer through each applicable vesting date.
The shares are held by The Artur Bergman Remainder Trust One DTD 5/2/2019, of which the reporting person is the investment advisor.
The shares are held by The Artur Bergman Remainder Trust Two DTD 5/2/2019, of which the reporting person is the investment advisor.
The shares are held by The Artur Bergman Remainder Trust Three DTD 5/2/2019, of which the reporting person is the investment advisor.
The shares are held by The Per Artur Bergman Grantor Retained Annuity Trust No. 2, of which the reporting person is trustee.
/s/ Karen Greenstein, Attorney-in-Fact
2023-02-15