0001209191-21-048262.txt : 20210726
0001209191-21-048262.hdr.sgml : 20210726
20210726213529
ACCESSION NUMBER: 0001209191-21-048262
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210726
FILED AS OF DATE: 20210726
DATE AS OF CHANGE: 20210726
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ANDERSON EDWARD T
CENTRAL INDEX KEY: 0001218581
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40601
FILM NUMBER: 211115726
MAIL ADDRESS:
STREET 1: 950 WINTER ST SUITE 4600
CITY: WATHAM
STATE: MA
ZIP: 02451
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Couchbase, Inc.
CENTRAL INDEX KEY: 0001845022
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 263576987
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0131
BUSINESS ADDRESS:
STREET 1: 3250 OLCOTT STREET
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
BUSINESS PHONE: 6504177500
MAIL ADDRESS:
STREET 1: 3250 OLCOTT STREET
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-07-26
0
0001845022
Couchbase, Inc.
BASE
0001218581
ANDERSON EDWARD T
3250 OLCOTT STREET
SANTA CLARA
CA
95094
1
0
1
0
Common Stock
2021-07-26
4
C
0
2402147
A
2594381
I
By: North Bridge Venture Partners 7, L.P.
Common Stock
2021-07-26
4
C
0
1864081
A
1946459
I
By: North Bridge Venture Partners VI, L.P.
Common Stock
2021-07-26
4
P
0
94791
24.00
A
2689172
I
By: North Bridge Venture Partners 7, L.P.
Common Stock
2021-07-26
4
P
0
40625
24.00
A
1987084
I
By: North Bridge Venture Partners VI, L.P.
Common Stock
2021-07-26
4
P
0
31250
24.00
A
31250
D
Series A Preferred Stock
2021-07-26
4
C
0
643708
0.00
D
Common Stock
643708
0
I
By: North Bridge Venture Partners 7, L.P.
Series A Preferred Stock
2021-07-26
4
C
0
643708
0.00
D
Common Stock
643708
0
I
By: North Bridge Venture Partners VI, L.P.
Series B Preferred Stock
2021-07-26
4
C
0
498927
0.00
D
Common Stock
498927
0
I
By: North Bridge Venture Partners 7, L.P.
Series B Preferred Stock
2021-07-26
4
C
0
498927
0.00
D
Common Stock
498927
0
I
By: North Bridge Venture Partners VI, L.P.
Series C Preferred Stock
2021-07-26
4
C
0
317901
0.00
D
Common Stock
317901
0
I
By: North Bridge Venture Partners 7, L.P.
Series C Preferred Stock
2021-07-26
4
C
0
317901
0.00
D
Common Stock
317901
0
I
By: North Bridge Venture Partners VI, L.P.
Series D Preferred Stock
2021-07-26
4
C
0
201031
0.00
D
Common Stock
201031
0
I
By: North Bridge Venture Partners 7, L.P.
Series D Preferred Stock
2021-07-26
4
C
0
86156
0.00
D
Common Stock
86156
0
I
By: North Bridge Venture Partners VI, L.P.
Series E Preferred Stock
2021-07-26
4
C
0
93999
0.00
D
Common Stock
98962
0
I
By: North Bridge Venture Partners 7, L.P.
Series E Preferred Stock
2021-07-26
4
C
0
40285
0.00
D
Common Stock
42411
0
I
By: North Bridge Venture Partners VI, L.P.
Series F Preferred Stock
2021-07-26
4
C
0
131840
0.00
D
Common Stock
131840
0
I
By: North Bridge Venture Partners 7, L.P.
Series F Preferred Stock
2021-07-26
4
C
0
56502
0.00
D
Common Stock
56502
0
I
By: North Bridge Venture Partners VI, L.P.
Series G Preferred Stock
2021-07-26
4
C
0
477888
0.00
D
Common Stock
509778
0
I
By: North Bridge Venture Partners 7, L.P.
Series G Preferred Stock
2021-07-26
4
C
0
204809
0.00
D
Common Stock
218476
0
I
By: North Bridge Venture Partners VI, L.P.
Each share of Series A Preferred Stock, Series B Preferred Stock, Series C Preferred Stock, Series D Preferred Stock and Series F Preferred Stock automatically converted into shares of the Issuer's Common Stock on a one-for-one basis immediately prior to the completion of the Issuer's initial public offering for no additional consideration. Each share of Series E Preferred Stock automatically converted into shares of the Issuer's Common Stock on a 1.05279880234039-for-one basis immediately prior to the completion of the Issuer's initial public offering for no additional consideration. Each share of Series G Preferred Stock automatically converted into shares of the Issuer's Common Stock on a 1.06673317089756-for-one basis immediately prior to the completion of the Issuer's initial public offering for no additional consideration. The Preferred Stock had no expiration date.
The reportable securities are owned directly by North Bridge Venture Partners 7, L.P. ("NBVP 7"). North Bridge Venture Management 7, L.P. ("NBVM 7") is the sole general partner of NBVP 7, and NBVM GP, LLC ("NBVM GP") is the sole general partner of NBVM 7. Each of the Reporting Person, a member of the Issuer's board of directors, and Richard A. D'Amore are the managing members of NBVM GP (collectively, the "Managing Members") and may be deemed to have shared voting and dispositive power over the shares held by NBVP 7. Each of NBVM 7, NBVM GP and the Managing Members disclaims beneficial ownership of these securities and this report shall not be deemed an admission that any one of them is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of their respective pecuniary interests therein.
The reportable securities are owned directly by North Bridge Venture Partners VI, L.P. ("NBVP VI"). North Bridge Venture Management VI, L.P. ("NBVM VI") is the sole general partner of NBVP VI, and NBVM GP is the sole general partner of NBVM VI. The Managing Members are the managers of NBVM GP and may be deemed to have shared voting and dispositive power over the shares held by NBVP VI. Each of NBVM VI, NBVM GP and the Managing Members disclaims beneficial ownership of these securities and this report shall not be deemed an admission that any one of them is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of their respective pecuniary interests therein.
In connection with the Issuer's initial public offering of Common Stock, NBVP 7 purchased additional shares of Common Stock from the underwriters at the initial public offering price as set forth herein.
In connection with the Issuer's initial public offering of Common Stock, NBVP VI purchased additional shares of Common Stock from the underwriters at the initial public offering price as set forth herein.
In connection with the Issuer's initial public offering of Common Stock, the Reporting Person purchased additional shares of Common Stock from the underwriters at the initial public offering price as set forth herein.
/s/ Margaret Chow, by Power of Attorney for Edward T. Anderson
2021-07-26