0001209191-22-048067.txt : 20220830 0001209191-22-048067.hdr.sgml : 20220830 20220830212247 ACCESSION NUMBER: 0001209191-22-048067 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220513 FILED AS OF DATE: 20220830 DATE AS OF CHANGE: 20220830 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SANDELL SCOTT D CENTRAL INDEX KEY: 0001237289 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40275 FILM NUMBER: 221216126 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Coursera, Inc. CENTRAL INDEX KEY: 0001651562 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 453560292 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 381 E. EVELYN AVE. CITY: MOUNTAIN VIEW STATE: CA ZIP: 94041 BUSINESS PHONE: 6509639884 MAIL ADDRESS: STREET 1: 381 E. EVELYN AVE. CITY: MOUNTAIN VIEW STATE: CA ZIP: 94041 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2022-05-13 2022-05-16 0 0001651562 Coursera, Inc. COUR 0001237289 SANDELL SCOTT D 1954 GREENSPRING DRIVE SUITE 600 TIMONIUM MD 21093 1 0 1 0 Common Stock 37484 I See Note 1 The Reporting Person is the trustee of the SS 2021 COUR GRAT dated August 11, 2021, which is the direct beneficial owner of the securities. Effective August 18, 2021, the shares were transferred to the SS 2021 COUR GRAT from the Blue Mountain Trust, dated April 29, 2019, which transfer represented a change in form of beneficial ownership exempt from Section 16 of the Securities Exchange Act of 1934, as amended, pursuant to Rule 16a-13. The Reporting Person inadvertently omitted reflecting this transfer on the Form 4 filed on May 16, 2022. /s/ Louis Citron, attorney in fact 2022-08-30