0000899243-21-002988.txt : 20210122
0000899243-21-002988.hdr.sgml : 20210122
20210122175332
ACCESSION NUMBER: 0000899243-21-002988
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210120
FILED AS OF DATE: 20210122
DATE AS OF CHANGE: 20210122
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SHAH AJAY
CENTRAL INDEX KEY: 0001008036
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38102
FILM NUMBER: 21547286
MAIL ADDRESS:
STREET 1: 2775 SAND HILL ROAD, SUITE 100
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SMART Global Holdings, Inc.
CENTRAL INDEX KEY: 0001616533
STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674]
IRS NUMBER: 981013909
STATE OF INCORPORATION: E9
FISCAL YEAR END: 0828
BUSINESS ADDRESS:
STREET 1: 39870 EUREKA DRIVE
CITY: NEWARK
STATE: CA
ZIP: 94560-4809
BUSINESS PHONE: (510) 623-1231
MAIL ADDRESS:
STREET 1: 39870 EUREKA DRIVE
CITY: NEWARK
STATE: CA
ZIP: 94560-4809
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-01-20
0
0001616533
SMART Global Holdings, Inc.
SGH
0001008036
SHAH AJAY
C/O SILVER LAKE
2775 SAND HILL ROAD, SUITE 100
MENLO PARK
CA
94025
1
1
0
0
Executive Chairman
Ordinary Shares
2021-01-20
4
F
0
3078
41.28
D
80047
D
Ordinary Shares
2021-01-20
4
G
0
5234
0.00
D
74813
D
Ordinary Shares
2021-01-20
4
G
0
5234
0.00
A
542185
I
See footnotes
Ordinary Shares
4752228
I
Held through Silver Lake Partners III Cayman (AIV III), L.P.
Ordinary Shares
25610
I
Held through Silver Lake Technology Investors III Cayman, L.P.
Ordinary Shares
2360179
I
Held through Silver Lake Sumeru Fund Cayman, L.P.
Ordinary Shares
28738
I
Held through Silver Lake Technology Investors Sumeru Cayman, L.P.
Reflects shares withheld from delivery by SMART Global Holdings, Inc. (the "Issuer") in connection with the satisfaction of tax withholding obligations upon vesting of a portion of the restricted stock units granted to Mr. Shah in May 2019. No shares were sold by Mr. Shah. The shares delivered upon vesting were transferred by Mr. Shah to a trust for the benefit of Mr. Shah and his family.
These securities are held by Mr. Shah directly.
These securities are held through trusts for the benefit of Mr. Shah and his family.
These securities are directly held by Silver Lake Partners III Cayman (AIV III), L.P. ("SLP III Cayman").
These securities are directly held by Silver Lake Technology Investors III Cayman, L.P. ("SLTI III Cayman").
Silver Lake Technology Associates III Cayman, L.P. ("SLTA III Cayman") is the general partner of SLP III Cayman and SLTI III Cayman. Silver Lake (Offshore) AIV GP III, Ltd. is the general partner of SLTA III Cayman.
These securities are directly held by Silver Lake Sumeru Fund Cayman, L.P. ("SLS Cayman").
These securities are directly held by Silver Lake Technology Investors Sumeru Cayman, L.P. ("SLTI Sumeru Cayman").
Silver Lake Technology Associates Sumeru Cayman, L.P. ("SLTA Sumeru Cayman") is the general partner of SLS Cayman and SLTI Sumeru Cayman. SLTA Sumeru (GP) Cayman, L.P. ("SLTA Sumeru GP Cayman") is the general partner of SLTA Sumeru Cayman, and the general partner of SLTA Sumeru GP Cayman is Silver Lake Sumeru (Offshore) AIV GP, Ltd. ("SL Sumeru Offshore Ltd.").
Mr. Shah serves as Executive Chairman of the Board of the Issuer, and as a director of SL Sumeru Offshore Ltd. and/or Silver Lake (Offshore) AIV GP III, Ltd. and may be deemed to beneficially own any securities beneficially owned by SL Sumeru Offshore Ltd. and/or Silver Lake (Offshore) AIV GP III, Ltd. but disclaims beneficial ownership of such securities, except to the extent of his pecuniary interest therein.
This filing shall not be deemed an admission that for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or otherwise, that Mr. Shah is the beneficial owner of any equity securities in excess of his pecuniary interest, and Mr. Shah disclaims beneficial ownership of the securities reported herein, except to the extent of his pecuniary interest therein, if any.
/s/ Ajay Shah
2021-01-22