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