0001628280-17-010288.txt : 20171026 0001628280-17-010288.hdr.sgml : 20171026 20171026211620 ACCESSION NUMBER: 0001628280-17-010288 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20171026 FILED AS OF DATE: 20171026 DATE AS OF CHANGE: 20171026 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOUW RANZETTA THERESIA CENTRAL INDEX KEY: 0001219234 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38253 FILM NUMBER: 171157694 MAIL ADDRESS: STREET 1: 428 UNIVERSITY AVE CITY: PALO ALTO STATE: CA ZIP: 94301 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 3 1 wf-form3_150906696627788.xml FORM 3 X0206 3 2017-10-26 0 0001145057 FORESCOUT TECHNOLOGIES, INC FSCT 0001219234 GOUW RANZETTA THERESIA C/O FORESCOUT TECHNOLOGIES, INC. 190 WEST TASMAN DRIVE SAN JOSE CA 95134 1 0 0 0 Common Stock 74881 I See footnote Common Stock 15217 I See footnote Series F Convertible Preferred Stock Common Stock 89841.0 I See footnote Series F Convertible Preferred Stock Common Stock 18258.0 I See footnote Series G Convertible Preferred Stock Common Stock 411134.0 I See footnote Series G Convertible Preferred Stock Common Stock 83552.0 I See footnote The reported shares are held of record by Aspect Ventures, L.P. ("Aspect Ventures"). As a managing partner of Aspect Ventures Management, LLC ("Aspect Management"), the general partner of Aspect Ventures, the reporting person shares voting and dispositive power with respect to the shares held by Aspect Ventures. The reporting person disclaims beneficial ownership of the securities reported herein, except to the extent of any individual pecuniary interest therein. The reported shares are held of record by Aspect Ventures 1-A, L.P. ("Aspect 1-A"). As a managing partner of Aspect Management, the general partner of Aspect 1-A, the reporting person shares voting and dispositive power with respect to the shares held by Aspect 1-A. The reporting person disclaims beneficial ownership of the securities reported herein, except to the extent of any individual pecuniary interest therein. The Series F Convertible Preferred Stock shall automatically convert into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and has no expiration date. Subject to certain adjustments, the Series G Convertible Preferred Stock shall automatically convert into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and has no expiration date. Exhibit 24 Power of Attorney /s/ Russell J. Wood, by power of attorney 2017-10-26 EX-24 2 forescout-poatheresiagouw.htm GOUW POA Document
Exhibit 24

POWER OF ATTORNEY
The undersigned, as a Section 16 reporting person of ForeScout Technologies, Inc. (the “Company”), hereby constitutes and appoints Christopher Harms, Darren J. Milliken and Russell J. Wood, and each of them, as the undersigned’s true and lawful attorney-in-fact to:
1.
complete and execute Forms 3, 4 and 5 and other forms and all amendments thereto as such attorneys-in-fact shall in their discretion determine to be required or advisable pursuant to Section 16 of the Securities Exchange Act of 1934 (as amended) and the rules and regulations promulgated thereunder, or any successor laws and regulations, as a consequence of the undersigned’s ownership, acquisition or disposition of securities of the Company; and
2.
do all acts necessary in order to file such forms with the Securities and Exchange Commission, any securities exchange or national association, the Company and such other person or agency as the attorneys-in-fact shall deem appropriate.
The undersigned hereby ratifies and confirms all that said attorneys‑in-fact and agent shall do or cause to be done by virtue hereof. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned’s responsibilities to comply with Section 16 of the Securities Exchange Act of 1934 (as amended).
This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned’s holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the Company and the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 10th day of October, 2017.
Signature: /s/ Theresia Gouw    

Print Name: Theresia Gouw