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