0001845022-23-000068.txt : 20230605
0001845022-23-000068.hdr.sgml : 20230605
20230605174814
ACCESSION NUMBER: 0001845022-23-000068
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230601
FILED AS OF DATE: 20230605
DATE AS OF CHANGE: 20230605
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: 23994105
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
wk-form4_1686001685.xml
FORM 4
X0407
4
2023-06-01
0
0001845022
Couchbase, Inc.
BASE
0001218581
ANDERSON EDWARD T
C/O COUCHBASE, INC.
3250 OLCOTT STREET
SANTA CLARA
CA
95054
1
0
1
0
0
Common Stock
2023-06-01
4
A
0
9874
0
A
55308
D
Common Stock
2689172
I
North Bridge VenturePartners 7, L.P.
Common Stock
1987084
I
North Bridge VenturePartners VI, L.P.
This represents an award of restricted stock units to the Issuer's non-employee director. Each unit represents a contingent right to receive one share of the Issuer's common stock upon vesting. One hundred percent (100%) of the restricted stock units was, subject to the Reporting Person's continued service with the Issuer through such vesting date, scheduled to vest on the earlier of (i) the one-year anniversary of the date the annual award is granted or (ii) the day prior to the date of the Annual Meeting next following the date the annual award is granted, but settlement has been deferred under our non-employee director RSU deferral program.
/s/ Margaret Chow, by Power of Attorney for Edward T. Anderson
2023-06-05