SEC Form 4 · accession 0001209191-15-087447

VEEVA SYSTEMS INC · VEEV

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

Matthew J Wallach

Officer — President

Period of report

Dec 28, 2015

Accepted (ET)

Dec 30, 2015 · 9:47 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001393052

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I
Class A Common Stock	Dec 28, 2015	C	60,289	$0.00	A	60,289	D
Class A Common Stock^F2	Dec 28, 2015	S	60,289	$28.869	D	0	D
Class A Common Stock	Dec 29, 2015	C	23,711	$0.00	A	23,711	D
Class A Common Stock^F3	Dec 29, 2015	S	23,711	$28.777	D	0	D

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	$3.92	Dec 28, 2015	M	60,289	A	—	Mar 29, 2023	Class A Common Stock	60,289	1,200,433	D
Class B Common Stock^F6,F5	—	Dec 28, 2015	A	60,289	D	—	—	Class A Common Stock	60,286	1,140,144	D
Class B Common Stock^F7,F5	—	Dec 28, 2015	C	60,289	D	—	—	Class A Common Stock	60,286	1,140,144	D
Class B Common Stock^F8,F5	—	Dec 29, 2015	C	23,711	D	—	—	Class B Common Stock	27,111	1,116,433	D

Explanation of responses

F1The sales reported on this Form 4 were effected pursuant to Rule 10b5-1 trading plans adopted by the Reporting Person.
F2The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $28.5800 to $28.9800 per share, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, 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 range set forth in this footnote (2).
F3The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $28.7200 to $28.9900 per share, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, 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 range set forth in this footnote (3).
F4The option shares are fully vested and may be exercised at any time.
F5Each share of Class B Common Stock is convertible, at any time at the option of the holder, into one (1) share of Class A Common Stock and has no expiration date. In addition, each share of Class B Common Stock will convert automatically into one (1) share of Class A Common Stock upon any transfer, whether or not for value, which occurs after the closing of the IPO, except for certain permitted transfers described in, and transfers to any "permitted transferee" as defined in, the Issuer's restated certificate of incorporation. All shares of Class A and Class B Common Stock will convert automatically into shares of a single class of Common Stock upon the earliest to occur of the following: (a) upon the election by the holders of a majority of the then outstanding shares of Class B Common Stock or (b) October 15, 2023.
F6Represents (i) 900,000 shares of Class B Common Stock held by the Reporting Person and Cristina Wallach as joint tenants with right of survivorship and (ii) 360,722 shares of Class B Common Stock held directly by the Reporting Person.
F7Represents (i) 900,000 shares of Class B Common Stock held by the Reporting Person and Cristina Wallach as joint tenants with right of survivorship and (ii) 300,433 shares of Class B Common Stock held directly by the Reporting Person.
F8Represents (i) 900,000 shares of Class B Common Stock held by the Reporting Person and Cristina Wallach as joint tenants with right of survivorship and (ii) 276,722 shares of Class B Common Stock held directly by the Reporting Person.