SEC Form 4 · accession 0001140361-16-079366
FITBIT INC · FIT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Timothy M. Roberts
Officer — EVP, INTERACTIVE
Period of report
Sep 7, 2016
Accepted (ET)
Sep 9, 2016 · 4:38 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001447599
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1 | Sep 7, 2016 | C | 19,368 | — | A | 19,368 | I | By grantor retained annuity trust |
| Class A Common Stock | Sep 7, 2016 | G | 19,368 | $0.00 | D | 0 | I | By grantor retained annuity trust |
| Class A Common StockF1 | Sep 7, 2016 | C | 19,368 | — | A | 19,368 | I | By spouse's grantor retained annuity trust |
| Class A Common Stock | Sep 7, 2016 | G | 19,368 | $0.00 | D | 0 | I | By spouse's grantor retained annuity trust |
| Class A Common Stock | Sep 7, 2016 | G | 38,736 | $0.00 | A | 38,736 | I | By family trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class B Common StockF1 | — | Sep 7, 2016 | C | 19,368 | D | — | — | Class A Common Stock | 19,368 | 7,158 | I |
| Class B Common StockF1 | — | Sep 7, 2016 | C | 19,368 | D | — | — | Class A Common Stock | 19,368 | 7,158 | I |
| Class B Common StockF1 | — | holding | — | — | — | — | — | Class A Common Stock | 256,948 | 256,948 | D |
Explanation of responses
- 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 in effect as of the date hereof, (ii) the affirmative vote of the holders of Class B Common Stock representing not less than a majority of the outstanding shares of Class B Common Stock, or (iii) June 17, 2027.