0001209191-21-060751.txt : 20211018 0001209191-21-060751.hdr.sgml : 20211018 20211018184621 ACCESSION NUMBER: 0001209191-21-060751 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211018 FILED AS OF DATE: 20211018 DATE AS OF CHANGE: 20211018 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sijbrandij Sytse CENTRAL INDEX KEY: 0001886022 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40895 FILM NUMBER: 211329198 MAIL ADDRESS: STREET 1: C/O GITLAB, INC. STREET 2: 268 BUSH STREET, #350 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rients.org BV CENTRAL INDEX KEY: 0001888538 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40895 FILM NUMBER: 211329197 BUSINESS ADDRESS: STREET 1: ONDIEP 108 CITY: UTRECHT STATE: P7 ZIP: 3552EK BUSINESS PHONE: 31625588892 MAIL ADDRESS: STREET 1: ONDIEP 108 CITY: UTRECHT STATE: P7 ZIP: 3552EK ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Gitlab Inc. CENTRAL INDEX KEY: 0001653482 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 471861035 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 268 BUSH STREET STREET 2: #350 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 BUSINESS PHONE: 415-829-2854 MAIL ADDRESS: STREET 1: 268 BUSH STREET STREET 2: #350 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-10-18 0 0001653482 Gitlab Inc. GTLB 0001886022 Sijbrandij Sytse C/O GITLAB INC. NOT APPLICABLE DE 1 1 1 0 Chief Executive Officer 0001888538 Rients.org BV C/O GITLAB INC. NOT APPLICABLE DE 0 0 1 0 Class A Common Stock 2021-10-18 4 C 0 2500000 0.00 A 2500000 I See footnote Class A Common Stock 2021-10-18 4 S 0 2500000 77.00 D 0 I See footnote Class B Common Stock 0.00 2021-10-18 4 C 0 2500000 0.00 D Class A Common Stock 2500000 21690901 I See footnote Each share of the Issuer's Class B common stock (the "Class B Stock") is convertible into one share of the Issuer's Class A common stock at any time and will convert automatically upon certain transfers and upon the earlier of (i) ten years from the date of the Issuer's initial public offering ("IPO"), (ii) the death or disability of the Reporting Person, (iii) the first date following the completion of the IPO on which the number of shares of outstanding Class B Stock (including shares of Class B Stock subject to outstanding stock options) is less than 5% of the aggregate number of shares of the Issuer's common stock then outstanding and (iv) the date specified by a vote of the holders of two-thirds of the then outstanding shares of Class B Stock. These securities are held by Rients.org BV, of which the Reporting Person is the sole owner. /s/ Robin Schulman, Attorney-in-Fact for Sytse Sijbrandij 2021-10-18 /s/ Robin Schulman, Attorney-in-Fact for Rients.org BV 2021-10-18