SEC Form 4 · accession 0001209191-15-002166
Five9, Inc. · FIVN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael Burkland
Officer — CEO, President and Chairman · Director
Period of report
Jan 2, 2015
Accepted (ET)
Jan 6, 2015 · 4:12 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001288847
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jan 2, 2015 | M | 13,000 | $0.12 | A | 1,086,500 | D | |
| Common Stock | Jan 2, 2015 | G | 13,000 | $0.00 | D | 1,073,500 | D | |
| Common StockF2 | Jan 2, 2015 | G | 13,000 | $0.00 | A | 13,000 | I | By The Burkland Family Revocable Trust |
| Common StockF3,F2 | Jan 2, 2015 | S | 13,000 | $4.37 | D | 0 | I | By The Burkland Family Revocable Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F4 | $0.12 | Jan 2, 2015 | M | 13,000 | D | — | May 20, 2018 | Common Stock | 13,000 | 782,496 | D |
Explanation of responses
- F1The reporting person transferred these securities as a gift to a trust for the benefit of the reporting person's children.
- F2These securities are held in a trust for the benefit of the reporting person's children, who share the reporting person's household. The reporting person and his spouse are co-trustees of the trust.
- F3The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $4.29 to $4.45, inclusive. The reporting person undertakes to provide Five9, Inc., any security holder of Five9, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote.
- F4The original option grant was for 1,981,496 shares. Option began vesting with respect to 25% of shares subject to the option one year after January 24, 2008, and with respect to the remaining 75% of the shares subject to the option in 36 equal monthly installments thereafter
Remarks
The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by The Burkland Family Revocable Trust on May 16, 2014.