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