0001209191-21-057496.txt : 20210923 0001209191-21-057496.hdr.sgml : 20210923 20210923185255 ACCESSION NUMBER: 0001209191-21-057496 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210921 FILED AS OF DATE: 20210923 DATE AS OF CHANGE: 20210923 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FOGELSONG NORMAN A CENTRAL INDEX KEY: 0001140932 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40817 FILM NUMBER: 211273512 MAIL ADDRESS: STREET 1: C/O IVP STREET 2: 3000 SAND HILL ROAD, 2-250 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Phelps Dennis B CENTRAL INDEX KEY: 0001299965 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40817 FILM NUMBER: 211273507 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: 2-250 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Harrick Stephen J CENTRAL INDEX KEY: 0001299975 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40817 FILM NUMBER: 211273511 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: 2-250 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chaffee Todd C CENTRAL INDEX KEY: 0001300134 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40817 FILM NUMBER: 211273514 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: 2-250 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miller J Sanford CENTRAL INDEX KEY: 0001359524 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40817 FILM NUMBER: 211273508 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 FORMER NAME: FORMER CONFORMED NAME: Miller J Sanford (Sandy) DATE OF NAME CHANGE: 20060414 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Maltz Jules A. CENTRAL INDEX KEY: 0001553254 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40817 FILM NUMBER: 211273509 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Institutional Venture Partners XV, L.P. CENTRAL INDEX KEY: 0001640274 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40817 FILM NUMBER: 211273515 BUSINESS ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650 854 0132 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Institutional Venture Management XV, LLC CENTRAL INDEX KEY: 0001640275 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40817 FILM NUMBER: 211273516 BUSINESS ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650 854 0132 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Liaw Eric CENTRAL INDEX KEY: 0001644264 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40817 FILM NUMBER: 211273510 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dash Somesh CENTRAL INDEX KEY: 0001843938 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40817 FILM NUMBER: 211273513 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Amplitude, Inc. CENTRAL INDEX KEY: 0001866692 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 201 THIRD STREET, SUITE 200 CITY: SAN FRANCISCO STATE: CA ZIP: 94103 BUSINESS PHONE: 510 473-5668 MAIL ADDRESS: STREET 1: 201 THIRD STREET, SUITE 200 CITY: SAN FRANCISCO STATE: CA ZIP: 94103 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-09-21 0 0001866692 Amplitude, Inc. AMPL 0001640275 Institutional Venture Management XV, LLC 300 SAND HILL ROAD, BUILDING 2 SUITE 250 MENLO PARK CA 94025 0 0 1 0 0001640274 Institutional Venture Partners XV, L.P. 300 SAND HILL ROAD, BUILDING 2 SUITE 250 MENLO PARK CA 94025 0 0 1 0 0001300134 Chaffee Todd C 300 SAND HILL ROAD, BUILDING 2 SUITE 250 MENLO PARK CA 94025 0 0 1 0 0001843938 Dash Somesh 300 SAND HILL ROAD, BUILDING 2 SUITE 250 MENLO PARK CA 94025 0 0 1 0 0001140932 FOGELSONG NORMAN A 300 SAND HILL ROAD, BUILDING2, SUITE 250 MENLO PARK CA 94025 0 0 1 0 0001299975 Harrick Stephen J 300 SAND HILL ROAD, BUILDING 2 SUITE 250 MENLO PARK CA 94025 0 0 1 0 0001644264 Liaw Eric 300 SAND HILL ROAD, BUILDING 2 SUITE 250 MENLO PARK CA 94025 0 0 1 0 0001553254 Maltz Jules A. 300 SAND HILL ROAD, BUILDING 2 SUITE 250 MENLO PARK CA 94025 0 0 1 0 0001359524 Miller J Sanford 300 SAND HILL ROAD, BUILDING 2 SUITE 250 MENLO PARK CA 94025 0 0 1 0 0001299965 Phelps Dennis B 300 SAND HILL ROAD, BUILDING 2 SUITE 250 MENLO PARK CA 94025 0 0 1 0 Class A Common Stock 2021-09-21 4 C 0 8661047 0.00 A 8661047 I See footnote Class A Common Stock 2021-09-21 4 C 0 46063 0.00 A 46063 I See footnote Class B Common Stock 2021-09-21 4 C 0 8661047 0.00 D Class A Common Stock 8661047 54954 I See footnote Class B Common Stock 2021-09-21 4 C 0 46063 0.00 D Class A Common Stock 46063 291 I See footnote These shares of Class B common stock were converted on a one-for-one basis into Class A common stock. These shares are owned directly by Institutional Venture Partners XV, L.P., of which Institutional Venture Management XV, LLC ("IVM XV") is the sole general partner and exercises voting and investment power over these shares. The managing directors of IVM XV are Todd C. Chaffee, Somesh Dash, Norman A. Fogelsong, Stephen J. Harrick, Eric Liaw, Jules A. Maltz, J. Sanford Miller and Dennis B. Phelps, Jr. The reporting persons disclaim beneficial ownership of these securities, except to the extent of their respective proportionate pecuniary interest therein and this report shall not be deemed an admission that any reporting person is the beneficial owner of such securities for Section 16 or any other purpose. These shares are owned directly by Institutional Venture Partners XV Executive Fund, L.P., of which IVM XV is the sole general partner and exercises voting and investment power over these shares. The managing directors of IVM XV are Todd C. Chaffee, Somesh Dash, Norman A. Fogelsong, Stephen J. Harrick, Eric Liaw, Jules A. Maltz, J. Sanford Miller and Dennis B. Phelps, Jr. The reporting persons disclaim beneficial ownership of these securities, except to the extent of their respective proportionate pecuniary interest therein and this report shall not be deemed an admission that any reporting person is the beneficial owner of such securities for Section 16 or any other purpose. The Class B Common Stock is convertible at any time at the option of the holder into the Issuer's Class A Common Stock on a one-to-one basis. The Class B Common Stock will convert automatically into shares of the Issuer's Class A Common Stock on a one-to-one basis upon the earlier of (a) any transfer of the Class B Common Stock by the holder, whether or not for value, subject to certain exceptions or (b) the date that is six months following the date on which none of the Issuer's founders is an employee or director of the Issuer (unless a founder has rejoined the Issuer during such six-month period). 1 of 2: The number of joint filers exceeds the EDGAR maximum of 10 joint filers per Form. This Form 4 is being filed in conjunction with a Form 4 being filed by Institutional Venture Partners XV Executive Fund, L.P. /s/ Tracy Hogan, as Attorney-in-Fact for Institutional Venture Management XV, LLC 2021-09-23 /s/ Tracy Hogan, as Attorney-in-Fact for Institutional Venture Partners XV, L.P. 2021-09-23 /s/ Tracy Hogan, as Attorney-in-Fact for Todd C. Chaffee 2021-09-23 /s/ Tracy Hogan, as Attorney-in-Fact for Somesh Dash 2021-09-23 /s/ Tracy Hogan, as Attorney-in-Fact for Norman A. Fogelsong 2021-09-23 /s/ Tracy Hogan, as Attorney-in-Fact for Stephen J. Harrick 2021-09-23 /s/ Tracy Hogan, as Attorney-in-Fact for Eric Liaw 2021-09-23 /s/ Tracy Hogan, as Attorney-in-Fact for Jules A. Maltz 2021-09-23 /s/ Tracy Hogan, as Attorney-in-Fact for J. Sanford Miller 2021-09-23 /s/ Tracy Hogan, as Attorney-in-Fact for Dennis B. Phelps, Jr. 2021-09-23