0000899243-22-027153.txt : 20220801
0000899243-22-027153.hdr.sgml : 20220801
20220801161025
ACCESSION NUMBER: 0000899243-22-027153
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220728
FILED AS OF DATE: 20220801
DATE AS OF CHANGE: 20220801
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KHOSLA VINOD
CENTRAL INDEX KEY: 0001032453
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40895
FILM NUMBER: 221124827
MAIL ADDRESS:
STREET 1: 2128 SAND HILL RD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: VK Services, LLC
CENTRAL INDEX KEY: 0001501927
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40895
FILM NUMBER: 221124828
BUSINESS ADDRESS:
STREET 1: 2128 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 376-8526
MAIL ADDRESS:
STREET 1: 2128 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Khosla Ventures Seed C, L.P.
CENTRAL INDEX KEY: 0001627897
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40895
FILM NUMBER: 221124830
BUSINESS ADDRESS:
STREET 1: 2128 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-376-8526
MAIL ADDRESS:
STREET 1: 2128 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Khosla Ventures Seed Associates C, LLC
CENTRAL INDEX KEY: 0001627898
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40895
FILM NUMBER: 221124829
BUSINESS ADDRESS:
STREET 1: 2128 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-376-8526
MAIL ADDRESS:
STREET 1: 2128 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Gitlab Inc.
CENTRAL INDEX KEY: 0001653482
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 471861035
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0131
BUSINESS ADDRESS:
STREET 1: 268 BUSH STREET
STREET 2: #350
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94104
BUSINESS PHONE: 650-474-5175
MAIL ADDRESS:
STREET 1: 268 BUSH STREET
STREET 2: #350
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94104
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-07-28
0
0001653482
Gitlab Inc.
GTLB
0001627897
Khosla Ventures Seed C, L.P.
2128 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001627898
Khosla Ventures Seed Associates C, LLC
2128 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001501927
VK Services, LLC
2128 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001032453
KHOSLA VINOD
2128 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
Class A Common Stock
2022-07-28
4
C
0
194030
A
194030
I
See Footnote
Class A Common Stock
2022-07-28
4
J
0
194030
D
0
I
See Footnote
Class A Common Stock
194030
I
See Footnote
Class B Common Stock
2022-07-28
4
C
0
194030
0.00
D
Class A Common Stock
194030
12088674
I
See footnote
Each share of the Issuer's Class B Common Stock is convertible into one share of the Issuer's Class A Common Stock at any time and will convert automatically upon certain transfers and upon the earlier of (i) ten years from the date of the closing of the Issuer's initial public offering (the "IPO"), (ii) the death or disability of Sytse Sijbrandij, the chief executive officer of the Issuer, (iii) the first date following the completion of the IPO on which the number of shares of outstanding Class B Common Stock (including shares of Class B Common Stock subject to outstanding stock options) is less than 5% of the aggregate number of shares of the Issuer's common stock then outstanding, and (iv) the date specified by a vote of the holders of two-thirds of the then outstanding shares of Class B Common Stock.
On July 28, 2022, Khosla Ventures Seed C, L.P. ("KV Seed C") converted 194,030 shares of the Issuer's Class B Common Stock into 194,030 shares of the Issuer's Class A Common Stock.
Consists of securities held of record by KV Seed C, of which Khosla Ventures Seed Associates C, LLC ("KVA Seed C") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the sole manager of KVA Seed C. Each of KVA Seed C, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities held by KV Seed C, and each of KVA Seed C, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities held by KV Seed C. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its respective pecuniary interests therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
On July 28, 2022, KV Seed C transferred 194,030 shares of the Issuer's Class A Common Stock to an entity over which Vinod Khosla possesses power to direct the voting and disposition of shares. Vinod Khosla disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
/s/ John J. Demeter, as attorney in fact for Vinod Khosla, as Managing Member of VK Services, LLC, in its capacity as Manager of Khosla Ventures Seed Associates C, LLC, in its capacity as general partner of Khosla Ventures Seed C, L.P.
2022-08-01
/s/ John J. Demeter, as attorney in fact for Vinod Khosla, as Managing Member of VK Services, LLC, in its capacity as Manager of Khosla Ventures Seed Associates C, LLC
2022-08-01
/s/ John J. Demeter, as attorney in fact for Vinod Khosla, as Managing Member of VK Services, LLC
2022-08-01
/s/ John J. Demeter, as attorney in fact for Vinod Khosla
2022-08-01