0001209191-16-142318.txt : 20160921
0001209191-16-142318.hdr.sgml : 20160921
20160921181005
ACCESSION NUMBER: 0001209191-16-142318
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160921
FILED AS OF DATE: 20160921
DATE AS OF CHANGE: 20160921
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: EVERBRIDGE, INC.
CENTRAL INDEX KEY: 0001437352
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 25 CORPORATE DRIVE
STREET 2: SUITE 400
CITY: BURLINGTON
STATE: MA
ZIP: 01803
BUSINESS PHONE: 818-230-9700
MAIL ADDRESS:
STREET 1: 25 CORPORATE DRIVE
STREET 2: SUITE 400
CITY: BURLINGTON
STATE: MA
ZIP: 01803
FORMER COMPANY:
FORMER CONFORMED NAME: 3N GLOBAL INC
DATE OF NAME CHANGE: 20080611
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ELLERTSON JAIME WALLACE
CENTRAL INDEX KEY: 0001215063
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37874
FILM NUMBER: 161896397
MAIL ADDRESS:
STREET 1: C/O SI CORP
STREET 2: 3500 LENOX ROAD SUITE 200
CITY: ATLANTA
STATE: GA
ZIP: 30326
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-09-21
0
0001437352
EVERBRIDGE, INC.
EVBG
0001215063
ELLERTSON JAIME WALLACE
C/O EVERBRIDGE, INC.
25 CORPORATE DRIVE, SUITE 400
BURLINGTON
MA
01803
1
1
0
0
President, CEO and Chairman
Common Stock
2016-09-21
4
C
0
200591
A
2533920
D
Common Stock
2016-09-21
4
S
0
236548
11.16
D
2297372
D
Common Stock
86956
I
Held of record by one of the Reporting Person's children
Series A-1 Preferred Stock
2016-09-21
4
C
0
200591
D
Common Stock
200591
0
D
The Series A-1 Preferred Stock, which had no expiration date, automatically converted to common stock on a 1-for-1 basis upon the completion of the Issuer's initial public offering.
The shares were sold in the Issuer's initial public offering, pursuant to a Form S-1 Registration Statement which was declared effective on September 15, 2016. The reported sale price reflects the price at which the shares were sold to the underwriters.
/s/ Richard Segal, Attorney-in-Fact
2016-09-21