0000899243-18-008203.txt : 20180320
0000899243-18-008203.hdr.sgml : 20180320
20180320205813
ACCESSION NUMBER: 0000899243-18-008203
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180320
FILED AS OF DATE: 20180320
DATE AS OF CHANGE: 20180320
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Chaudhry Jagtar Singh
CENTRAL INDEX KEY: 0001374436
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38413
FILM NUMBER: 18703182
MAIL ADDRESS:
STREET 1: C/O ZSCALER, INC.
STREET 2: 110 ROSE ORCHARD WAY
CITY: SAN JOSE
STATE: CA
ZIP: 95134
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CHAUDHRY P JYOTI
CENTRAL INDEX KEY: 0001075092
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38413
FILM NUMBER: 18703181
MAIL ADDRESS:
STREET 1: C/O ZSCALER, INC.
STREET 2: 110 ROSE ORCHARD WAY
CITY: SAN JOSE
STATE: CA
ZIP: 95134
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Zscaler, Inc.
CENTRAL INDEX KEY: 0001713683
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371]
IRS NUMBER: 261173892
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0731
BUSINESS ADDRESS:
STREET 1: 110 ROSE ORCHARD WAY
CITY: SAN JOSE
STATE: CA
ZIP: 95134
BUSINESS PHONE: (408) 533-0288
MAIL ADDRESS:
STREET 1: 110 ROSE ORCHARD WAY
CITY: SAN JOSE
STATE: CA
ZIP: 95134
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-03-20
0
0001713683
Zscaler, Inc.
ZS
0001374436
Chaudhry Jagtar Singh
C/O ZSCALER, INC.
110 ROSE ORCHARD WAY
SAN JOSE
CA
95134
1
1
1
0
President, CEO & Chairman
0001075092
CHAUDHRY P JYOTI
C/O ZSCALER, INC.
110 ROSE ORCHARD WAY
SAN JOSE
CA
95134
0
0
1
0
Common Stock
2018-03-20
4
C
0
2127760
A
2177994
D
Common Stock
2018-03-20
4
C
0
23040199
A
24617379
I
See footnote.
Common Stock
33333
I
See footnote.
Common Stock
13332
I
See footnote.
Common Stock
6666
I
See footnote.
Series A Convertible Preferred Stock
2018-03-20
4
C
0
875453
D
Common Stock
875453
0
D
Series A Convertible Preferred Stock
2018-03-20
4
C
0
9479740
D
Common Stock
9479740
0
I
See footnote.
Series B Convertible Preferred Stock
2018-03-20
4
C
0
1169704
D
Common Stock
1169704
0
D
Series B Convertible Preferred Stock
2018-03-20
4
C
0
12665999
D
Common Stock
12665999
0
I
See footnote.
Series C Convertible Preferred Stock
2018-03-20
4
C
0
82603
D
Common Stock
82603
0
D
Series C Convertible Preferred Stock
2018-03-20
4
C
0
894460
D
Common Stock
894460
0
I
See footnote.
The Series A Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and had no expiration date.
The shares are held of record by P. Jyoti Chaudhry.
The Series B Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and had no expiration date.
The Series C Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and had no expiration date.
The shares are held of record by The Chaudhry Family Trust dated August 1, 2014 for which Surjit Kaur serves as trustee.
The shares are held of record by The Chaudhry Family Trust f/b/o Manpreet Bains for which Ms. Kaur serves as trustee.
The shares are held of record by The P. Jyoti Chaudhry Family Trust dated March 1, 2000 for which Ms. Kaur serves as trustee.
/s/ Torrie Nute, by power of attorney for Jagtar S. Chaudhry
2018-03-20
/s/ Torrie Nute, by power of attorney for P. Jyoti Chaudhry
2018-03-20