0001845022-23-000080.txt : 20230616 0001845022-23-000080.hdr.sgml : 20230616 20230616172359 ACCESSION NUMBER: 0001845022-23-000080 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230615 FILED AS OF DATE: 20230616 DATE AS OF CHANGE: 20230616 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: 231022360 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_1686950632.xml FORM 4 X0407 4 2023-06-15 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 2023-06-15 4 A 0 543 0 A 55851 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 scheduled to vest on June 15, 2023, the vesting commencement date, but settlement has been deferred under our non-employee director RSU deferral program. /s/ Margaret Chow, by Power of Attorney for Edward T. Anderson 2023-06-16