0001209191-21-014506.txt : 20210225
0001209191-21-014506.hdr.sgml : 20210225
20210225201157
ACCESSION NUMBER: 0001209191-21-014506
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210202
FILED AS OF DATE: 20210225
DATE AS OF CHANGE: 20210225
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: 21682958
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: 0831
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
2021-02-02
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
2021-02-02
4
A
0
3470
A
46032
D
Option
27.00
2021-02-02
4
A
0
3901
A
2021-02-02
2030-08-14
Common Stock, par value $0.01 per share
3901
35107
D
Represents vested restricted shares of Duck Creek Technologies, Inc. (the "Company") the reporting person acquired upon the satisfaction of a performance condition associated with previously awarded restricted share units in Disco Topco Holdings (Cayman) L.P. (the "Operating Partnership") that converted into unvested restricted shares in connection with the initial public offering, as described in the Registration Statement on Form S-1 (File No. 333-240050) (the "Registration Statement") of the Company pursuant to the Company's 2020 Omnibus Incentive Plan.
Represents vested options of the Company the reporting person acquired upon the satisfaction of a performance condition associated with previously awarded options to acquire restricted share units in the Operating Partnership that converted into unvested options to acquire shares of common stock of the Company in connection with the initial public offering, as described in the Registration Statement of the Company pursuant to the Company's 2020 Omnibus Incentive Plan.
/s/ Christopher R. Stone as Attorney-in-Fact
2021-02-24