SEC Form 4 · accession 0001288847-16-000144
Five9, Inc. · FIVN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Daniel P. Burkland
Officer — See Remarks
Period of report
Nov 14, 2016
Accepted (ET)
Nov 16, 2016 · 4:41 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 | Nov 14, 2016 | A | 39,958 | $0.00 | A | 160,190 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy)F1 | $14.39 | Nov 14, 2016 | A | 85,292 | A | — | Nov 14, 2026 | Common Stock | 85,292 | 85,292 | D |
Explanation of responses
- F1The option vests in 48 equal monthly installments beginning on the one month anniversary of November 14, 2016.
Remarks
EVP, Global Sales & Services