0001209191-21-027650.txt : 20210420
0001209191-21-027650.hdr.sgml : 20210420
20210420191718
ACCESSION NUMBER: 0001209191-21-027650
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20210420
FILED AS OF DATE: 20210420
DATE AS OF CHANGE: 20210420
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hammonds Kimberly
CENTRAL INDEX KEY: 0001650280
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40348
FILM NUMBER: 21839118
MAIL ADDRESS:
STREET 1: 100 EAST DAVIE STREET
CITY: RALEIGH
STATE: NC
ZIP: 27601
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: UiPath, Inc.
CENTRAL INDEX KEY: 0001734722
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 474333187
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0131
BUSINESS ADDRESS:
STREET 1: 90 PARK AVE
STREET 2: 20TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10016
BUSINESS PHONE: (844) 432-0455
MAIL ADDRESS:
STREET 1: 90 PARK AVE
STREET 2: 20TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10016
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2021-04-20
0
0001734722
UiPath, Inc.
PATH
0001650280
Hammonds Kimberly
C/O UIPATH, INC., 90 PARK AVE, 20TH FL
NEW YORK
NY
10016
1
0
0
0
Class A Common Stock
97874
D
Includes 80,688 Restricted Stock Units (RSUs). Each RSU represents a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement. Following the closing of the initial public offering, 1/16th of the RSUs vest for each quarter of continuous service by the Reporting Person to the Issuer following September 18, 2020 and subject to continuous service through each such vesting date, and in each case subject to a performance based vesting condition satisfied upon the closing of the Issuer's initial public offering.
Exhibit 24 - Power of Attorney
/s/ Brad Brubaker, Attorney-in-Fact
2021-04-20
EX-24.3_980154
2
poa.txt
POA DOCUMENT
AUTHORIZATION LETTER
April 20, 2021
Securities and Exchange Commission
100 F Street, NE
Washington, D.C. 20549
Attn: Filing Desk
To Whom It May Concern:
By means of this letter I authorize Brad Brubaker, Eileen McCarthy, and Eric
Topel, and Nicole Brookshire, Matthew Dubofsky and Owen Williams from Cooley
LLP, or any of them individually, to sign on my behalf all forms required under
Section 16(a) of the Securities Exchange Act of 1934, as amended, relating to
transactions involving the stock or derivative securities of UiPath, Inc. Any of
these individuals is accordingly authorized to sign any Form ID, Form 3, Form 4,
Form 5 or amendment to those forms that I am required to file with the same
effect as if I had signed them myself.
This authorization will remain in effect until revoked in writing by me.
Yours truly,
/s/ Kimberly Hammonds
POWER OF ATTORNEY
Know all by these presents, that the undersigned hereby constitutes and appoints
each of Brad Brubaker, Eileen McCarthy, and Eric Topel, and Nicole Brookshire,
Matthew Dubofsky and Owen Williams, signing individually, the undersigneds true
and lawful attorneys-in fact and agents to:
(1) execute for and on behalf of the undersigned, in the undersigneds capacity
as an executive officer, member of the Board of Directors and/or greater than
10% stockholder of UiPath, Inc. (the Company), Forms 3, 4 and 5 (including any
amendments thereto) in accordance with Section 16(a) of the Securities Exchange
Act of 1934, as amended (the Exchange Act), and the rules thereunder;
(2) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Forms 3, 4 or 5
(including any amendments thereto) and timely file such forms with the
Securities and Exchange Commission and any stock exchange or similar authority;
and
(3) take any other action of any nature whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-facts discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-facts substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigneds responsibilities to comply
with Section 16 of the Exchange Act.
This Power of Attorney shall remain in full force and effect until the earliest
to occur of (a) the undersigned is no longer required to file Forms 3, 4 and 5
with respect to the undersigneds holdings of and transactions in securities
issued by the Company, (b) revocation by the undersigned in a signed writing
delivered to the foregoing attorneys-in-fact, or (c) as to any attorney-in-fact
individually, until such attorney-in-fact is no longer employed by the Company
or employed by or a partner at Cooley LLP, as applicable.
The undersigned has caused this Power of Attorney to be executed as of April 20,
2021.
/s/ Kimberly Hammonds