0001209191-20-047390.txt : 20200818
0001209191-20-047390.hdr.sgml : 20200818
20200818213546
ACCESSION NUMBER: 0001209191-20-047390
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200814
FILED AS OF DATE: 20200818
DATE AS OF CHANGE: 20200818
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CRUSCO KATHLEEN M
CENTRAL INDEX KEY: 0001237508
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39449
FILM NUMBER: 201115192
MAIL ADDRESS:
STREET 1: C/O CALIX, INC.
STREET 2: 1035 N. MCDOWELL BLVD
CITY: PETALUMA
STATE: CA
ZIP: 94954
FORMER NAME:
FORMER CONFORMED NAME: CRUSCO KATHY
DATE OF NAME CHANGE: 20030531
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: DUCK CREEK TECHNOLOGIES, INC.
CENTRAL INDEX KEY: 0001160951
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 843723837
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 22 BOSTON WHARF ROAD, FLOOR 10
CITY: BOSTON
STATE: MA
ZIP: 02210
BUSINESS PHONE: (833) 798-7789
MAIL ADDRESS:
STREET 1: 22 BOSTON WHARF ROAD, FLOOR 10
CITY: BOSTON
STATE: MA
ZIP: 02210
FORMER COMPANY:
FORMER CONFORMED NAME: DUCK CREEK TECHNOLOGIES INC
DATE OF NAME CHANGE: 20011016
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-08-14
0
0001160951
DUCK CREEK TECHNOLOGIES, INC.
DCT
0001237508
CRUSCO KATHLEEN M
C/O DUCK CREEK TECHNOLOGIES, INC.
22 BOSTON WHARF ROAD
BOSTON
MA
02210
1
0
0
0
Common Stock, par value $0.01 per share
2020-08-14
4
A
0
5555
0.00
A
5555
D
Common Stock, par value $0.01 per share
2020-08-18
4
A
0
27758
A
33313
D
Option
27.00
2020-08-14
4
A
0
31207
A
2020-08-18
2030-08-14
Common Stock, par value $0.01 per share
31207
31207
D
Pursuant to the reorganization transactions, as described in the Registration Statement on Form S-1 (File No. 333-240050) (the "Registration Statement") of Duck Creek Technologies, Inc. (the "Company"), in connection with the initial public offering, the reporting person contracted to contribute Class D Units in Disco Topco Holdings (Cayman) L.P. (the "Operating Partnership") to the Company partially in exchange for shares of common stock of the Company.
Pursuant to the reorganization transactions, as described in the Registration Statement of the Company, in connection with the initial public offering, the reporting person contracted to contribute Class D Units of the Operating Partnership to the Company partially in exchange for vested options to acquire shares of common stock of the Company.
/s/ Christopher R. Stone as Attorney-in-Fact
2020-08-18