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