SEC Form 4 · accession 0001628280-18-009098
Huckleberry.ai, Inc. · DOMO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
D Fraser Bullock
Director
Period of report
Jul 3, 2018
Accepted (ET)
Jul 3, 2018 · 8:18 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001505952
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class B Common StockF1,F2 | Jul 3, 2018 | C | 18,783 | — | A | 27,572 | I | See footnote |
| Class B Common StockF1,F2 | Jul 3, 2018 | C | 70,190 | — | A | 97,762 | I | See footnote |
| Class B Common StockF1 | holding | — | — | — | 8,666 | I | See footnote | |
| Class B Common Stock | holding | — | — | — | 20,000 | 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 StockF2,F3 | — | Jul 3, 2018 | C | 18,783 | D | — | — | Class B Common Stock | 18,783 | 0 | I |
| Series C Preferred StockF2,F3 | — | Jul 3, 2018 | C | 70,190 | D | — | — | Class B Common Stock | 70,190 | 0 | I |
Explanation of responses
- F1The reported securities are held directly by the Bullock Family 2003 Gift Trust. Jennifer Bullock serves as trustee to the Bullock Family 2003 Gift Trust. The Reporting Person disclaims beneficial ownership of the securities held by the Bullock Family 2003 Gift Trust except to the extent of any pecuniary interest therein.
- F2The reported securities are held directly by the Bullock Family 101 Trust. Robert Gardner serves as trustee to the Bullock Family 101 Trust. The Reporting Person disclaims beneficial ownership of the securities held by the Bullock Family 101 Trust except to the extent of any pecuniary interest therein.
- F3Each of the Series A Preferred Stock and Series C Preferred Stock automatically converted into shares of Class B Common Stock on a one to one basis immediately prior to the completion of the Issuer's initial public offering of Class B Common Stock and has no expiration date.