0001628280-17-010671.txt : 20171102 0001628280-17-010671.hdr.sgml : 20171102 20171102160525 ACCESSION NUMBER: 0001628280-17-010671 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171031 FILED AS OF DATE: 20171102 DATE AS OF CHANGE: 20171102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOUW RANZETTA THERESIA CENTRAL INDEX KEY: 0001219234 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38253 FILM NUMBER: 171172238 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 4 1 wf-form4_150965310823748.xml FORM 4 X0306 4 2017-10-31 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 2017-10-31 4 C 0 500975 A 575856 I See footnote Common Stock 2017-10-31 4 C 0 101810 A 117027 I See footnote Series F Convertible Preferred Stock 2017-10-31 4 C 0 89841 0 D Common Stock 89841.0 0 I See footnote Series F Convertible Preferred Stock 2017-10-31 4 C 0 18258 0 D Common Stock 18258.0 0 I See footnote Series G Convertible Preferred Stock 2017-10-31 4 C 0 411134 0 D Common Stock 411134.0 0 I See footnote Series G Convertible Preferred Stock 2017-10-31 4 C 0 83552 0 D Common Stock 83552.0 0 I See footnote The Series F 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. Subject to certain adjustments, the Series G 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 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. /s/ Russell J. Wood, by power of attorney 2017-11-02