0001209191-21-070114.txt : 20211216 0001209191-21-070114.hdr.sgml : 20211216 20211216215400 ACCESSION NUMBER: 0001209191-21-070114 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211214 FILED AS OF DATE: 20211216 DATE AS OF CHANGE: 20211216 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: 211499394 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 2021-12-14 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 Class A Common Stock 2021-12-14 4 C 0 8000 A 8000 D Stock Option (right to buy) 0.43 2021-12-14 4 M 0 8000 0.00 D 2023-07-25 Class B Common Stock 8000 268685 D Class B Common Stock 2021-12-14 4 M 0 8000 0.00 A Class A Common Stock 8000 242553 D Class B Common Stock 2021-12-14 4 C 0 8000 0.00 D Class A Common Stock 8000 234553 D Each share of Class B Common Stock is convertible at any time into Class A Common Stock on a one-for-one basis at the reporting person's election and has no expiration date. All of the shares subject to the option are fully vested and exercisable as of the date hereof. /s/ Samuel J. Fleischmann, by Power of Attorney for Juan P. Fernandez 2021-12-16