0001213900-20-006601.txt : 20200316 0001213900-20-006601.hdr.sgml : 20200316 20200316213447 ACCESSION NUMBER: 0001213900-20-006601 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200313 FILED AS OF DATE: 20200316 DATE AS OF CHANGE: 20200316 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Doradla Anil CENTRAL INDEX KEY: 0001731166 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38685 FILM NUMBER: 20719085 MAIL ADDRESS: STREET 1: C/O AIRGAIN, INC. STREET 2: 3611 VALLEY CENTRE DRIVE, SUITE 150 CITY: SAN DIEGO STATE: CA ZIP: 92130 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GRID DYNAMICS HOLDINGS, INC. CENTRAL INDEX KEY: 0001743725 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 830632724 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7660 FAY AVENUE STREET 2: SUITE H, UNIT 339 CITY: LA JOLLA STATE: CA ZIP: 92037 BUSINESS PHONE: (619) 736-6855 MAIL ADDRESS: STREET 1: 7660 FAY AVENUE STREET 2: SUITE H, UNIT 339 CITY: LA JOLLA STATE: CA ZIP: 92037 FORMER COMPANY: FORMER CONFORMED NAME: ChaSerg Technology Acquisition Corp DATE OF NAME CHANGE: 20180615 4 1 ownership.xml OWNERSHIP DOCUMENT X0306 4 2020-03-13 0 0001743725 GRID DYNAMICS HOLDINGS, INC. GDYN 0001731166 Doradla Anil C/O GRID DYNAMICS HOLDINGS, INC. 5000 EXECUTIVE PARKWAY, SUITE 520 SAN RAMON, CA 94583 0 1 0 0 Chief Financial Officer Common Stock 2020-03-13 4 A 0 129500 0.00 A 129500 D Stock Option (right to buy) 8.26 2020-03-13 4 A 0 140000 0 A 2030-03-12 Common Stock 140000 140000 D The reported shares are represented by restricted stock units, or RSUs, pursuant to which one-fourth of the RSUs vest on March 13, 2021 and the remaining RSUs vest in 12 equal quarterly installments thereafter. One-fourth of the shares subject to the option vest on March 13, 2021 and the remaining shares vest in 12 equal quarterly installments thereafter. /s/ Anil Doradla, by power of attorney 2020-03-16