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