SEC Form 4 · accession 0001209191-16-142318
EVERBRIDGE, INC. · EVBG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jaime Wallace Ellertson
Officer — President, CEO and Chairman · Director
Period of report
Sep 21, 2016
Accepted (ET)
Sep 21, 2016 · 6:10 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 | Sep 21, 2016 | C | 200,591 | — | A | 2,533,920 | D | |
| Common StockF2 | Sep 21, 2016 | S | 236,548 | $11.16 | D | 2,297,372 | D | |
| Common Stock | holding | — | — | — | 86,956 | I | Held of record by one of the Reporting Person's children |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A-1 Preferred StockF1 | — | Sep 21, 2016 | C | 200,591 | D | — | — | Common Stock | 200,591 | 0 | D |
Explanation of responses
- F1The 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.
- F2The 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.