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