SEC Form 4 · accession 0001209191-17-066372
VEEVA SYSTEMS INC · VEEV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Timothy S Cabral
Officer — Chief Financial Officer
Period of report
Dec 18, 2017
Accepted (ET)
Dec 19, 2017 · 4:35 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 | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1 | Dec 18, 2017 | C | 50,000 | $0.00 | A | 50,000 | D | |
| Class A Common StockF2 | Dec 18, 2017 | S | 50,000 | $55.7381 | 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 purchase)F1,F3 | $3.92 | Dec 18, 2017 | M | 77,000 | D | — | Mar 9, 2023 | Class B Common Stock | 77,000 | 406,634 | D |
| Class B Common StockF1,F4 | — | Dec 18, 2017 | A | 50,000 | A | — | — | Class A Common Stock | 50,000 | 120,000 | D |
| Class B Common StockF1,F4 | — | Dec 18, 2017 | C | 50,000 | D | — | — | Class A Common Stock | 50,000 | 70,000 | D |
| Class B Common StockF1,F5,F6,F4 | — | Dec 18, 2017 | A | 27,000 | A | — | — | Class A Common Stock | 27,000 | 291,934 | I |
Explanation of responses
- F1Transaction exempt from Section 16(b) of the Securities Exchange Act of 1934 (the "Act") pursuant to Rule 16b-6(b) promulgated under the Act.
- F2The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $55.5600 to $56.0300 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.
- F3The option shares are fully vested and may be exercised at any time.
- F4Each 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 in effect after the closing of the IPO. 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.
- F5Represents 27,000 shares of Class B Common Stock transferred from the Reporting Person to the Cabral Family Trust dated April 17, 2001 (the "Cabral Family Trust"), subsequent to the exercise of Stock Options by the Reporting Person on December 18, 2017.
- F6Shares held by the Cabral Family Trust. The Reporting Person is a trustee and beneficiary of the Cabral Family Trust and may be deemed to share voting and dispositive power with regard to the reported shares held by the Cabral Family Trust.