0001209191-21-056661.txt : 20210917
0001209191-21-056661.hdr.sgml : 20210917
20210917165306
ACCESSION NUMBER: 0001209191-21-056661
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210915
FILED AS OF DATE: 20210917
DATE AS OF CHANGE: 20210917
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Fernandez Juan P
CENTRAL INDEX KEY: 0001882631
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40787
FILM NUMBER: 211261079
MAIL ADDRESS:
STREET 1: 201 MISSION STREET
STREET 2: SUITE 2900
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ForgeRock, Inc.
CENTRAL INDEX KEY: 0001543916
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 331223363
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 201 MISSION STREET
STREET 2: SUITE 2900
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
BUSINESS PHONE: (415) 599-1100
MAIL ADDRESS:
STREET 1: 201 MISSION STREET
STREET 2: SUITE 2900
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-09-15
0
0001543916
ForgeRock, Inc.
FORG
0001882631
Fernandez Juan P
C/O FORGEROCK, INC.
201 MISSION STREET, SUITE 2900
SAN FRANCISCO
CA
94105
0
1
0
0
CFO, Executive VP - Global
Common Stock
2021-09-15
4
F
0
51785
25.00
D
234553
D
Stock Option (right to buy)
25.00
2021-09-15
4
A
0
87346
0.00
A
2031-09-14
Class A Common Stock
87346
87346
D
Immediately prior to the completion of the initial public offering of the Class A common stock, par value $0.001 per share ("Class A Common Stock") of ForgeRock, Inc. (the "Issuer"), each share of the Issuer's common stock, par value $0.001 per share ("Common Stock"), will be reclassified into one share of the Issuer's Class B common stock, par value $0.001 per share ("Class B Common Stock"). Each share of Class B Common Stock is convertible at any time at the option of the holder into one share of Class A Common Stock. Additionally, each share of Class B Common Stock will, subject to certain exceptions, convert automatically into one share of Class A Common Stock upon any transfer.
Represents shares that have been withheld by the Issuer to satisfy tax withholding and remittance obligations in connection with the vesting of restricted stock units.
One-fourth (1/4th) of the shares subject to the option will vest on September 15, 2022, and one forty-eighth (1/48th) of the shares subject to the option will vest each month thereafter, subject to the Reporting Person continuing as a service provider through each such date.
/s/ Samuel J. Fleischmann, by Power of Attorney for Juan P. Fernandez
2021-09-17