SEC Form 4 · accession 0001209191-16-142316
EVERBRIDGE, INC. · EVBG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owners
ABS VENTURES IX L P
10% Owner
R William Burgess Jr.
10% Owner
CALVERT CAPITAL V L.L.C.
10% Owner
Period of report
Sep 21, 2016
Accepted (ET)
Sep 21, 2016 · 6:09 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001437352
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Sep 21, 2016 | C | 3,106,459 | — | A | 3,106,459 | D | |
| Common StockF3,F2 | Sep 21, 2016 | C | 3,331,153 | — | A | 6,437,612 | D | |
| Common StockF4,F2 | Sep 21, 2016 | S | 563,275 | $11.16 | D | 5,874,337 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Preferred StockF1,F2 | — | Sep 21, 2016 | C | 3,106,459 | D | — | — | Common Stock | 3,106,459 | 0 | D |
| Series A-1 Preferred StockF3,F2 | — | Sep 21, 2016 | C | 3,331,153 | D | — | — | Common Stock | 3,331,153 | 0 | D |
Explanation of responses
- F1The Series A Preferred Stock, which had no expiration date, automatically converted to common stock on a 1-for-1 basis upon the completion of the Issuer's initial public offering.
- F2The shares are held in the name of ABS Ventures IX, L.P. ("ABS"). Calvert Capital V LLC ("CCV"), the general partner of ABS, and R. William Burgess, Jr., a managing member of CCV, have indirect beneficial ownership of the shares held by ABS.
- F3The Series A-1 Preferred Stock, which had no expiration date, automatically converted to common stock on a 1-for-1 basis upon the completion of the Issuer's initial public offering.
- F4The shares were sold in the Issuer's initial public offering, pursuant to a Form S-1 Registration Statement which was declared effective on September 15, 2016. The reported sale price reflects the price at which the shares were sold to the underwriters.