0000899243-17-011945.txt : 20170504 0000899243-17-011945.hdr.sgml : 20170504 20170504214212 ACCESSION NUMBER: 0000899243-17-011945 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170503 FILED AS OF DATE: 20170504 DATE AS OF CHANGE: 20170504 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Cloudera, Inc. CENTRAL INDEX KEY: 0001535379 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 262922329 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 1001 PAGE MILL ROAD, BUILDING 3 CITY: PALO ALTO STATE: CA ZIP: 94304 BUSINESS PHONE: 650 644 3950 MAIL ADDRESS: STREET 1: 1001 PAGE MILL ROAD, BUILDING 3 CITY: PALO ALTO STATE: CA ZIP: 94304 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: INTEL CORP CENTRAL INDEX KEY: 0000050863 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38069 FILM NUMBER: 17815971 BUSINESS ADDRESS: STREET 1: 2200 MISSION COLLEGE BLVD STREET 2: RNB-4-151 CITY: SANTA CLARA STATE: CA ZIP: 95054 BUSINESS PHONE: 4087658080 MAIL ADDRESS: STREET 1: 2200 MISSION COLLEGE BLVD STREET 2: RNB-4-151 CITY: SANTA CLARA STATE: CA ZIP: 95054 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-05-03 0 0001535379 Cloudera, Inc. CLDR 0000050863 INTEL CORP 2200 MISSION COLLEGE BLVD SANTA CLARA CA 95054 0 0 1 0 Common Stock 2017-05-03 4 C 0 20545130 A 24865827 D Common Stock 2017-05-03 4 P 0 1200000 15.00 A 26065827 D Series A Preferred Stock 2017-05-03 4 C 0 2988629 D Common Stock 2988629 0 D Series B Preferred Stock 2017-05-03 4 C 0 3043433 D Common Stock 3043433 0 D Series C Preferred Stock 2017-05-03 4 C 0 844564 D Common Stock 844564 0 D Series D Preferred Stock 2017-05-03 4 C 0 928693 D Common Stock 928693 0 D Series E Preferred Stock 2017-05-03 4 C 0 745143 D Common Stock 745143 0 D Series F-1 Preferred Stock 2017-05-03 4 C 0 11994668 D Common Stock 11994668 0 D Each share of Cloudera, Inc. ("Issuer") Series A Preferred Stock, Series B Preferred Stock, Series C Preferred Stock, Series D Preferred Stock, Series E Preferred Stock and Series F-1 Preferred Stock was convertible by the Reporting Person into one share of Issuer Common Stock at any time, had no expiration date and automatically converted into one share of Issuer Common Stock immediately prior to the completion of the Issuer's initial public offering of Common Stock on May 3,2017. INTEL CORP., By: /s/ Suzan A, Miller, Name: Suzan A. Miller, Title: Corporate Vice President, Deputy General Counsel and Corporate Secretary 2017-05-04