SEC Form 4 · accession 0001104659-18-032292
Carbon Black, Inc. · CBLK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael Viscuso
Officer — Chief Technology Officer
Period of report
May 8, 2018
Accepted (ET)
May 10, 2018 · 9:08 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001366527
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | May 8, 2018 | C | 263,902 | — | A | 263,902 | D | |
| Common StockF2 | May 8, 2018 | A | 18,750 | $0.00 | A | 282,652 | D | |
| Common StockF1,F3 | May 8, 2018 | C | 1,056,132 | — | A | 1,056,132 | I | By Legion Capital, LLC |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series E-1 Convertible PreferredF1 | — | May 8, 2018 | C | 527,804 | D | — | — | Common Stock | 263,902 | 0 | D |
| Stock Option (right to buy)F4 | — | May 8, 2018 | C | 449,841 | D | — | Mar 15, 2022 | Series E-1 Convertible Preferred Stock | 449,841 | 0 | D |
| Stock Option (right to buy)F4 | $0.08 | May 8, 2018 | A | 224,920 | A | — | Mar 15, 2022 | Common Stock | 224,920 | 224,920 | D |
| Stock Option (right to buy)F5 | $3.10 | May 8, 2018 | C | 68,129 | A | — | Jan 26, 2027 | Series A Redeemable Preferred Stock | 68,129 | 68,129 | D |
| Stock Option (right to buy)F5 | $3.10 | May 8, 2018 | C | 68,129 | D | — | Jan 26, 2027 | Series A Redeemable Preferred Stock | 68,129 | 0 | D |
| Stock Option (right to buy)F5 | $7.64 | May 8, 2018 | C | 27,645 | A | — | Jan 26, 2027 | Common Stock | 27,645 | 27,645 | D |
| Series E-1 Convertible PreferredF1,F3 | — | May 8, 2018 | C | 2,112,265 | D | — | — | Common Stock | 1,056,132 | 0 | I |
Explanation of responses
- F1Each share of Series E-1 Convertible Preferred Stock was convertible and automatically converted into shares of Common Stock on a 1-for-2 basis upon the closing of the Issuer's initial public offering and has no expiration date.
- F2The shares were acquired pursuant to a restricted stock unit award under the Carbon Black 2012 Stock Option and Grant Plan. Each restricted stock unit represents a contingent right to receive one share of Carbon Black, Inc. common stock. The restricted stock unit vests 25% on January 1, 2019, and thereafter in twelve equal quarterly installments beginning June 2, 2019.
- F3The shares are held directly by Legion Capital, LLC ("Legion Capital"). Kyrus Holdings, Inc. ("Kyrus Holdings") is an entity that controls Legion Capital. Mr. Viscuso is a member of the board of directors and a stockholder of Kyrus Holdings. Mr. Viscuso disclaims beneficial ownership of all shares except to the extent of his pecuniary interest, if any, therein.
- F4Each stock option to buy Series E-1 Convertible Preferred Stock was convertible into and automatically converted into a stock option to buy Common Stock on a 1-for-2 basis upon the closing of the Issuer's initial public offering. This stock option is fully vested.
- F5Each stock option to buy Series A Redeemable Preferred Stock became exercisable for a fixed number of shares and automatically converted into a stock option to buy Common Stock on approximately a 0.406-for-1 basis upon the closing of the Issuer's initial public offering. The stock option vested 25% on January 1, 2018 and the remainder vests in equal monthly installments such that the option will be fully vested on January 1, 2021.