SEC Form 4 · accession 0001288847-17-000150
Five9, Inc. · FIVN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Daniel P. Burkland
Officer — President
Period of report
Dec 18, 2017
Accepted (ET)
Dec 20, 2017 · 7:14 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 | Dec 18, 2017 | A | 37,478 | $0.00 | A | 168,291 | D | |
| Common Stock | Dec 20, 2017 | M | 10,000 | $0.28 | A | 178,291 | D | |
| Common StockF1,F2 | Dec 20, 2017 | S | 10,000 | $24.36 | D | 168,291 | D | |
| Common Stock | holding | — | — | — | 20,197 | I | by Trust |
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)F3 | $24.01 | Dec 18, 2017 | A | 76,332 | A | — | Dec 18, 2027 | Common Stock | 76,332 | 76,332 | D |
| Employee Stock Option (right to buy)F4 | $0.28 | Dec 20, 2017 | M | 10,000 | D | — | Dec 15, 2019 | Common Stock | 10,000 | 59,401 | D |
Explanation of responses
- F1The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on December 14, 2016.
- F2The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $24.26 to $24.47, 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.
- F3Option began vesting with respect to 25% of shares subject to the option one year after December 2, 2017, and with respect to the remaining 75% of the shares subject to the option in 36 equal monthly installments thereafter.
- F4The original option was for 376,901 shares. Option began vesting with respect to 25% of shares subject to the option one year after December 15, 2009, and with respect to the remaining 75% of the shares subject to the option in 36 equal monthly installments thereafter.