SEC Form 4 · accession 0001441816-18-000142

MongoDB, Inc. · MDB

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Dec 10, 2018

Accepted (ET)

Dec 11, 2018 · 4:44 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001441816

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Class A Common Stock^F1	Dec 10, 2018	C	20,000	$0.00	A	23,133	D
Class A Common Stock	Dec 10, 2018	G	20,000	$0.00	D	3,133	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Class B Common Stock^F1	—	Dec 10, 2018	C	20,000	D	—	—	Class A Common Stock	20,000	1,849,739	D
Class B Common Stock^F2,F1	—	holding	—	—	—	—	—	Class A Common Stock	970,166	970,166	I

F1Each share of Class B Common Stock is convertible at any time at the option of the reporting person into one share of Class A Common Stock and has no expiration date. The Class B Common Stock will convert automatically into Class A Common Stock on the same basis upon the earlier of: (i) any transfer, whether or not for value, except for certain "Permitted Transfers" as defined in the Issuer's restated certificate of incorporation, and (ii) at such time as the outstanding shares of Class B common stock represent less than 10% of the aggregate number of shares of the Issuer's capital stock outstanding.
F2These shares are held by The Kevin P. Ryan 2012 Trust (the "Trust") for the benefit of the reporting person's children. The reporting person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.