SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Accel London V L.P.

(Last) (First) (Middle)
500 UNIVERSITY AVENUE

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
UiPath, Inc. [ PATH ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
04/23/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock 04/23/2021 C 62,132,346 A (1) 62,132,346 D(2)
Class A Common Stock 04/23/2021 S 3,106,618 D $56 59,025,728 D(2)
Class A Common Stock 04/23/2021 C 946,418 A (1) 946,418 I By Accel London V Strategic Partners L.P.(2)
Class A Common Stock 04/23/2021 S 47,321 D $56 899,097 I By Accel London V Strategic Partners L.P.(2)
Class A Common Stock 04/23/2021 C 6,003,207 A (1) 6,003,207 I By Accel London Investors 2016 L.P.(3)
Class A Common Stock 04/23/2021 S 300,161 D $56 5,703,046 I By Accel London Investors 2016 L.P.(3)
Class A Common Stock 04/23/2021 C 28,470,054 A (1) 28,470,054 I By Accel Growth Fund IV L.P.(4)
Class A Common Stock 04/23/2021 S 1,765,783 D $56 26,704,271 I By Accel Growth Fund IV L.P.(4)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series A-1 Preferred Stock (1) 04/23/2021 C 58,774,710 (1) (1) Class A Common Stock 58,774,710 $0.00 0 D(2)
Series B-1 Preferred Stock (1) 04/23/2021 C 2,570,880 (1) (1) Class A Common Stock 2,570,880 $0.00 0 D(2)
Series B-2 Preferred Stock (1) 04/23/2021 C 762,570 (1) (1) Class A Common Stock 762,570 $0.00 0 D(2)
Series E Preferred Stock (1) 04/23/2021 C 24,186 (1) (1) Class A Common Stock 24,186 $0.00 0 D(2)
Series A-1 Preferred Stock (1) 04/23/2021 C 895,290 (1) (1) Class A Common Stock 895,290 $0.00 0 I By Accel London V Strategic Partners L.P.(2)
Series B-1 Preferred Stock (1) 04/23/2021 C 39,150 (1) (1) Class A Common Stock 39,150 $0.00 0 I By Accel London V Strategic Partners L.P.(2)
Series B-2 Preferred Stock (1) 04/23/2021 C 11,610 (1) (1) Class A Common Stock 11,610 $0.00 0 I By Accel London V Strategic Partners L.P.(2)
Series E Preferred Stock (1) 04/23/2021 C 368 (1) (1) Class A Common Stock 368 $0.00 0 I By Accel London V Strategic Partners L.P.(2)
Series A-1 Preferred Stock (1) 04/23/2021 C 5,678,790 (1) (1) Class A Common Stock 5,678,790 $0.00 0 I By Accel London Investors 2016 L.P.(3)
Series B-1 Preferred Stock (1) 04/23/2021 C 248,400 (1) (1) Class A Common Stock 248,400 $0.00 0 I By Accel London Investors 2016 L.P.(3)
Series B-2 Preferred Stock ( (1) 04/23/2021 C 73,680 (1) (1) Class A Common Stock 73,680 $0.00 0 I By Accel London Investors 2016 L.P.(3)
Series E Preferred Stock (1) 04/23/2021 C 2,337 (1) (1) Class A Common Stock 2,337 $0.00 0 I By Accel London Investors 2016 L.P.(3)
Series B-1 Preferred Stock (1) 04/23/2021 C 20,642,310 (1) (1) Class A Common Stock 20,642,310 $0.00 0 I By Accel Growth Fund IV L.P.(4)
Series B-2 Preferred Stock (1) 04/23/2021 C 6,122,730 (1) (1) Class Class A Common Stock 6,122,730 $0.00 0 I By Accel Growth Fund IV L.P.(4)
Series C-1 Preferred Stock (1) 04/23/2021 C 827,211 (1) (1) Class A Common Stock 827,211 $0.00 0 I By Accel Growth Fund IV L.P.(4)
Series C-2 Preferred Stock (1) 04/23/2021 C 660,711 (1) (1) Class A Common Stock 660,711 $0.00 0 I By Accel Growth Fund IV L.P.(4)
Series D-1 Preferred Stock (1) 04/23/2021 C 185,880 (1) (1) Class A Common Stock 185,880 $0.00 0 I By Accel Growth Fund IV L.P.(4)
Series D-2 Preferred Stock (1) 04/23/2021 C 31,212 (1) (1) Class A Common Stock 31,212 $0.00 0 I By Accel Growth Fund IV L.P.(4)
1. Name and Address of Reporting Person*
Accel London V L.P.

(Last) (First) (Middle)
500 UNIVERSITY AVENUE

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Accel London V Strategic Partners L.P.

(Last) (First) (Middle)
500 UNIVERSITY AVENUE

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Accel London Investors 2016 L.P.

(Last) (First) (Middle)
500 UNIVERSITY AVENUE

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Accel London V Associates L.P.

(Last) (First) (Middle)
500 UNIVERSITY AVENUE

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Accel London V Associates L.L.C.

(Last) (First) (Middle)
500 UNIVERSITY AVENUE

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Accel Growth Fund IV L.P.

(Last) (First) (Middle)
500 UNIVERSITY AVENUE

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Accel Growth Fund IV Associates L.L.C.

(Last) (First) (Middle)
500 UNIVERSITY AVENUE

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Each share of Series A-1 Preferred Stock, Series B-1 Preferred Stock, Series B-2 Preferred Stock, Series C-1 Preferred Stock, Series C-2 Preferred Stock, Series D-1 Preferred Stock, Series D-2 Preferred Stock, Series E Preferred Stock automatically converted into one share of Class A Common Stock, without payment of additional consideration, immediately prior to the closing of the Issuer's initial public offering.
2. These shares are held by Accel London V L.P. Accel London V Associates L.L.C., or ALA L.L.C., is the General Partner of Accel London V Associates L.P., which is the general partner of each of Accel London V L.P., and Accel London V Strategic Partners L.P. ALA L.L.C. has sole voting and investment power. Philippe Botteri, Hendrik Nelis, and Sonali de Rycker are the managers of ALA L.L.C. and share such powers. Such managers disclaim beneficial ownership except to the extent of their pecuniary interest therein.
3. ALA L.L.C. is the General Partner of Accel London Investors 2016 L.P. and has sole voting and investment power. Philippe Botteri, Hendrik Nelis, and Sonali de Rycker are the managers of ALA L.L.C. and share such powers. Such managers disclaim beneficial ownership except to the extent of their pecuniary interest therein
4. Accel Growth Fund IV Associates L.L.C., or AGF4A, is the General Partner of both Accel Growth Fund IV L.P. and Accel Growth Fund IV Strategic Partners L.P., and has sole voting and investment power. Andrew G. Braccia, Sameer K. Gandhi, Ping Li, Tracy L. Sedlock, Ryan J. Sweeney, and Richard P. Wong are the Managing Members of AGF4A and share such powers. Such managers disclaim beneficial ownership except to the extent of their pecuniary interest therein.
Remarks:
This Form 4 is the first of two Form 4s filed relating to the same event. Combined, the two reports report the holdings for the following reporting persons: Accel London V L.P., Accel London V Strategic Partners L.P., Accel London Investors 2016 L.P., Accel London V Associates L.P., Accel London V Associates L.L.C., Accel Leaders Fund L.P., Accel Leaders Fund Associates L.L.C., Accel Leaders Fund Investor 2016 L.L.C., Accel Growth Fund IV, L.P., Accel Growth Fund IV Strategic Partners L.P., Accel Growth Fund IV Associates L.L.C. and Accel Growth Fund Investors 2016 L.L.C. This Form 4 has been split into two filings because there are more than 10 reporting persons in total, and the SEC's EDGAR filing system limits a single Form 4 to a maximum of 10 reporting persons and 30 reportable holdings. Each Form 4 is filed by designated filer Accel London V L.P.
/s/ Tracy L. Sedlock, as Attorney-in-Fact, For Accel London V L.P. 04/23/2021
/s/ Tracy L. Sedlock, as Attorney-in-Fact, For Accel London V Strategic Partners L.P. 04/23/2021
/s/ Tracy L. Sedlock, as Attorney-in-Fact, For Accel London Investors 2016 L.P. 04/23/2021
/s/ Tracy L. Sedlock, as Attorney-in-Fact, For Accel London V Associates L.P. 04/23/2021
/s/ Tracy L. Sedlock, as Attorney-in-Fact, For Accel London V Associates L.L.C. 04/23/2021
/s/ Tracy L. Sedlock, as Attorney-in-Fact, For Accel Growth Fund IV L.P. 04/23/2021
/s/ Tracy L. Sedlock, as Attorney-in-Fact, For Accel Growth Fund IV Associates L.L.C. 04/23/2021
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.