0001209191-21-060635.txt : 20211015 0001209191-21-060635.hdr.sgml : 20211015 20211015183500 ACCESSION NUMBER: 0001209191-21-060635 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211013 FILED AS OF DATE: 20211015 DATE AS OF CHANGE: 20211015 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Institutional Venture Partners XV Executive Fund, L.P. CENTRAL INDEX KEY: 0001661321 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40817 FILM NUMBER: 211326988 BUSINESS ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650 854 0132 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Amplitude, Inc. CENTRAL INDEX KEY: 0001866692 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 201 THIRD STREET, SUITE 200 CITY: SAN FRANCISCO STATE: CA ZIP: 94103 BUSINESS PHONE: 510 473-5668 MAIL ADDRESS: STREET 1: 201 THIRD STREET, SUITE 200 CITY: SAN FRANCISCO STATE: CA ZIP: 94103 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-10-13 0 0001866692 Amplitude, Inc. AMPL 0001661321 Institutional Venture Partners XV Executive Fund, L.P. 300 SAND HILL ROAD, BUILDING 2 SUITE 250 MENLO PARK CA 94025 0 0 1 0 Class A Common Stock 2021-10-13 4 J 0 248677 0.00 D 7104972 I See footnote Class A Common Stock 2021-10-13 4 J 0 1323 0.00 D 37785 I See footnote Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by IVP XV LP to its general partner and limited partners without additional consideration. The general partner further distributed the shares received in this distribution to its members on a pro rata basis for no consideration. These shares are owned directly by Institutional Venture Partners XV, L.P. (IVP XV LP"), of which Institutional Venture Management XV, LLC ("IVM XV") is the sole general partner and exercises voting and investment power over these shares. The managing directors of IVM XV are Todd C. Chaffee, Somesh Dash, Norman A. Fogelsong, Stephen J. Harrick, Eric Liaw, Jules A. Maltz, J. Sanford Miller and Dennis B. Phelps, Jr. The reporting persons disclaim beneficial ownership of these securities, except to the extent of their respective proportionate pecuniary interest therein and this report shall not be deemed an admission that any reporting person is the beneficial owner of such securities for Section 16 or any other purpose. Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by IVP XV EF to its general partner and limited partners without additional consideration. The general partner further distributed the shares received in this distribution to its members on a pro rata basis for no consideration. These shares are owned directly by Institutional Venture Partners XV Executive Fund, L.P. ("IVP XV EF"), of which IVM XV is the sole general partner and exercises voting and investment power over these shares. The managing directors of IVM XV are Todd C. Chaffee, Somesh Dash, Norman A. Fogelsong, Stephen J. Harrick, Eric Liaw, Jules A. Maltz, J. Sanford Miller and Dennis B. Phelps, Jr. The reporting persons disclaim beneficial ownership of these securities, except to the extent of their respective proportionate pecuniary interest therein and this report shall not be deemed an admission that any reporting person is the beneficial owner of such securities for Section 16 or any other purpose. 2 of 2: The number of joint filers exceeds the EDGAR maximum of 10 joint filers per Form. This Form 3 is being filed in conjunction with a Form 3 being filed by Institutional Venture Management XV, LLC. /s/ Tracy Hogan, as Attorney-in-Fact for Institutional Venture Partners XV Executive Fund, L.P. 2021-10-15