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