0001441816-22-000199.txt : 20221221 0001441816-22-000199.hdr.sgml : 20221221 20221221162000 ACCESSION NUMBER: 0001441816-22-000199 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221220 FILED AS OF DATE: 20221221 DATE AS OF CHANGE: 20221221 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MERRIMAN DWIGHT A CENTRAL INDEX KEY: 0001237858 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38240 FILM NUMBER: 221478671 MAIL ADDRESS: STREET 1: C/O MONGODB, INC. STREET 2: 229 WEST 43RD STREET, 5TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10036 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MongoDB, Inc. CENTRAL INDEX KEY: 0001441816 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 1633 BROADWAY STREET 2: 38TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10019 BUSINESS PHONE: 866-237-8815 MAIL ADDRESS: STREET 1: 1633 BROADWAY STREET 2: 38TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10019 FORMER COMPANY: FORMER CONFORMED NAME: 10GEN INC DATE OF NAME CHANGE: 20080801 4 1 wf-form4_167165758515870.xml FORM 4 X0306 4 2022-12-20 0 0001441816 MongoDB, Inc. MDB 0001237858 MERRIMAN DWIGHT A C/O MONGODB, INC. 1633 BROADWAY, 38TH FLOOR NEW YORK NY 10019 1 0 0 0 Class A Common Stock 2022-12-20 5 G 0 E 95000 0 D 1227954 D Class A Common Stock 540896 I By Trust Represents shares of MongoDB, Inc. Class A Common Stock donated as a gift by the Reporting Person to the Dwight A. Merriman Charitable Foundation, a Delaware nonstock nonprofit corporation. The Reporting Person is deemed to have voting and investment power over the shares of MongoDB, Inc. Class A Common Stock held by the Dwight A. Merriman Charitable Foundation, but has no pecuniary interest in these shares. These shares are held by The Dwight A. Merriman 2012 Trust for the benefit of the Reporting Person's children. /s/ Paul Johnston, Attorney-in-Fact 2022-12-21