FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 04/24/2024 |
3. Issuer Name and Ticker or Trading Symbol
Rubrik, Inc. [ RBRK ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series B Preferred Stock | (1) | (1) | Class B Common Stock | 11,583,248 | (1) | I | By Greylock XIV Limited Partnership(2) |
Series B Preferred Stock | (1) | (1) | Class B Common Stock | 643,512 | (1) | I | By Greylock XIV-A Limited Partnership(3) |
Series B Preferred Stock | (1) | (1) | Class B Common Stock | 643,512 | (1) | I | By Greylock XIV Principals LLC(4) |
Series C Preferred Stock | (1) | (1) | Class B Common Stock | 1,950,165 | (1) | I | By Greylock XIV Limited Partnership(2) |
Series C Preferred Stock | (1) | (1) | Class B Common Stock | 108,342 | (1) | I | By Greylock XIV-A Limited Partnership(3) |
Series C Preferred Stock | (1) | (1) | Class B Common Stock | 108,342 | (1) | I | By Greylock XIV Principals LLC(4) |
Series D Preferred Stock | (1) | (1) | Class B Common Stock | 3,417,116 | (1) | I | By Greylock XIV Limited Partnership(2) |
Series D Preferred Stock | (1) | (1) | Class B Common Stock | 189,840 | (1) | I | By Greylock XIV-A Limited Partnership(3) |
Series D Preferred Stock | (1) | (1) | Class B Common Stock | 189,840 | (1) | I | By Greylock XIV Principals LLC(4) |
Series E Preferred Stock | (1) | (1) | Class B Common Stock | 955,260 | (1) | I | By Greylock XIV Limited Partnership(2) |
Series E Preferred Stock | (1) | (1) | Class B Common Stock | 53,070 | (1) | I | By Greylock XIV-A Limited Partnership(3) |
Series E Preferred Stock | (1) | (1) | Class B Common Stock | 53,070 | (1) | I | By Greylock XIV Principals LLC(4) |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. The Series B Preferred Stock, Series C Preferred Stock, Series D Preferred Stock and Series E Preferred Stock each is convertible on a one-for-one basis into Class B Common Stock at any time at the holder's election and will convert automatically upon the closing of the Issuer's initial public offering and has no expiration date.. |
2. The shares are held of record by Greylock XIV Limited Partnership, or Greylock XIV LP. Greylock XIV GP LLC, or Greylock XIV GP, is the general partner of Greylock XIV LP. Greylock XIV GP may be deemed to share voting and dispositive power with regard to the shares held directly by Greylock XIV LP. Greylock XIV GP disclaims beneficial ownership of the securities held by Greylock XIV LP except to the extent of any pecuniary interest therein and the inclusion of these securities in this report shall not be deemed an admission by Greylock XIV GP of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes. |
3. The shares are held of record by Greylock XIV-A Limited Partnership, or Greylock XIV-A LP. Greylock XIV GP is the general partner of Greylock XIV-A LP. Greylock XIV GP may be deemed to share voting and dispositive power with regard to the shares held directly by Greylock XIV-A LP. Greylock XIV GP disclaims beneficial ownership of the securities held by Greylock XIV-A LP except to the extent of any pecuniary interest therein and the inclusion of these securities in this report shall not be deemed an admission by Greylock XIV GP of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes. |
4. The shares are held of record by Greylock XIV Principals LLC, or Greylock XIV Principals. Greylock XIV GP is the manager of Greylock XIV Principals. Greylock XIV GP may be deemed to share voting and dispositive power with regard to the shares held directly by Greylock XIV Principals. Greylock XIV GP disclaims beneficial ownership of the securities held by Greylock XIV Principals except to the extent of any pecuniary interest therein and the inclusion of these securities in this report shall not be deemed an admission by Greylock XIV GP of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes. |
By: /s/ Donald A. Sullivan, as Administrative Partner of Greylock XIV GP LLC | 04/24/2024 | |
By: /s/ Donald A. Sullivan, as Administrative Partner of Greylock XIV GP LLC, the general partner of Greylock XIV Limited Partnership and Greylock XIV-A Limited Partnership | 04/24/2024 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |