SEC Form 4 · accession 0001104659-17-064973
FORESCOUT TECHNOLOGIES, INC · FSCT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Period of report
Oct 31, 2017
Accepted (ET)
Oct 31, 2017 · 4:18 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001145057
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Oct 31, 2017 | C | 1,978,749 | — | A | 1,978,749 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series G Convertible Preferred StockF1 | — | Oct 31, 2017 | C | 1,685,346 | D | — | — | Common Stock | 1,978,749 | 0 | D |
Explanation of responses
- F1As a result of a conversion price adjustment upon the consummation of the Issuer's initial public offering, the Reporting Person's shares of the Issuer's Series G Convertible Preferred Stock converted into 1,978,749 shares of the Issuer's Common Stock. The shares had no expiration date.