0001104659-17-064973.txt : 20171031 0001104659-17-064973.hdr.sgml : 20171031 20171031161856 ACCESSION NUMBER: 0001104659-17-064973 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171031 FILED AS OF DATE: 20171031 DATE AS OF CHANGE: 20171031 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hadley Harbor Master Investors (Cayman) L.P. CENTRAL INDEX KEY: 0001641080 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38253 FILM NUMBER: 171165925 BUSINESS ADDRESS: STREET 1: ELIAN FIDUCIARY SERVICES (CAYMAN) LTD STREET 2: 89 NEXUS WAY, CAMANA BAY CITY: GRAND CAYMAN STATE: E9 ZIP: KY1-9007 BUSINESS PHONE: 617-790-7163 MAIL ADDRESS: STREET 1: ELIAN FIDUCIARY SERVICES (CAYMAN) LTD STREET 2: 89 NEXUS WAY, CAMANA BAY CITY: GRAND CAYMAN STATE: E9 ZIP: KY1-9007 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FORESCOUT TECHNOLOGIES, INC CENTRAL INDEX KEY: 0001145057 STANDARD INDUSTRIAL CLASSIFICATION: COMPUTER PERIPHERAL EQUIPMENT, NEC [3577] IRS NUMBER: 510406800 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 900 E. HAMILTON AVE #300 CITY: CAMPBELL STATE: CA ZIP: 95008 BUSINESS PHONE: 866-377-8771 MAIL ADDRESS: STREET 1: 900 E. HAMILTON AVE #300 CITY: CAMPBELL STATE: CA ZIP: 95008 FORMER COMPANY: FORMER CONFORMED NAME: FORESCOUT TECHNOLOGIES INC DATE OF NAME CHANGE: 20010717 4 1 a4.xml 4 X0306 4 2017-10-31 1 0001145057 FORESCOUT TECHNOLOGIES, INC FSCT 0001641080 Hadley Harbor Master Investors (Cayman) L.P. C/O WELLINGTON MANAGEMENT COMPANY LLP 280 CONGRESS STREET BOSTON MA 02210 0 0 1 0 Common Stock 2017-10-31 4 C 0 1978749 A 1978749 D Series G Convertible Preferred Stock 2017-10-31 4 C 0 1685346 0 D Common Stock 1978749 0 D As a result of a conversion price adjustment upon the consummation of the Issuer's initial public offering, the Reporting Person's shares of the Issuer's Series G Convertible Preferred Stock converted into 1,978,749 shares of the Issuer's Common Stock. The shares had no expiration date. Hadley Harbor Master Investors (Cayman) L.P. By: Wellington Alternative Investments LLC, as General Partner By: /s/ Matthew N. Shea, Title: Authorized Person 2017-10-31