0001845022-22-000073.txt : 20220706
0001845022-22-000073.hdr.sgml : 20220706
20220706191950
ACCESSION NUMBER: 0001845022-22-000073
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220623
FILED AS OF DATE: 20220706
DATE AS OF CHANGE: 20220706
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Epstein Jeff
CENTRAL INDEX KEY: 0001228718
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40601
FILM NUMBER: 221070259
MAIL ADDRESS:
STREET 1: C/O PRICELINE COM INC
STREET 2: 800 CONNECTICUT AVENUE
CITY: NORWALK
STATE: CT
ZIP: 06854
FORMER NAME:
FORMER CONFORMED NAME: Epstein Jeff E.
DATE OF NAME CHANGE: 20210505
FORMER NAME:
FORMER CONFORMED NAME: EPSTEIN JEFFREY E
DATE OF NAME CHANGE: 20030423
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
wf-form4_165714957123509.xml
FORM 4
X0306
4
2022-06-23
0
0001845022
Couchbase, Inc.
BASE
0001228718
Epstein Jeff
C/O COUCHBASE, INC.
3250 OLCOTT STREET
SANTA CLARA
CA
95054
1
0
0
0
Common Stock
2022-06-23
4
A
0
11659
0
A
11659
D
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 will, subject to the Reporting Person's continued service with the Issuer through such vesting date, 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.
/s/ Margaret Chow, by Power of Attorney for Jeff Epstein
2022-07-06