0001213900-20-006603.txt : 20200316
0001213900-20-006603.hdr.sgml : 20200316
20200316213600
ACCESSION NUMBER: 0001213900-20-006603
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: Livshitz Victoria
CENTRAL INDEX KEY: 0001805543
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38685
FILM NUMBER: 20719090
MAIL ADDRESS:
STREET 1: C/O GRID DYNAMICS HOLDINGS INC
STREET 2: 5000 EXECUTIVE PARKWAY, SUITE 520
CITY: SAN RAMON
STATE: CA
ZIP: 94583
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
0001805543
Livshitz Victoria
C/O GRID DYNAMICS HOLDINGS, INC.
5000 EXECUTIVE PARKWAY, SUITE 520
SAN RAMON,
CA
94583
0
1
0
0
EVP of Customer Success
Common Stock
2020-03-13
4
A
0
129500
0.00
A
129500
D
Common Stock
576732
I
See footnote
Common Stock
189804
I
See footnote
Common Stock
81343
I
See footnote
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.
The shares are held of record by VLSK 2019 LLC for which the reporting person serves as a member.
The shares are held of record by the Victoria Livschitz Charitable Trust for which the reporting person serves as trustee.
The shares are held of record by the Livschitz Children's Charitable Trust for which the reporting person serves as trustee.
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