0001209191-17-057945.txt : 20171025
0001209191-17-057945.hdr.sgml : 20171025
20171025170708
ACCESSION NUMBER: 0001209191-17-057945
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171023
FILED AS OF DATE: 20171025
DATE AS OF CHANGE: 20171025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: RYAN KEVIN P
CENTRAL INDEX KEY: 0001237861
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38240
FILM NUMBER: 171153587
MAIL ADDRESS:
STREET 1: C/O DOUBLECLICK INC.,
STREET 2: 111 EIGHTH AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10011
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: 229 W. 43RD STREET
STREET 2: 5TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10036
BUSINESS PHONE: 866-237-8815
MAIL ADDRESS:
STREET 1: 229 W. 43RD STREET
STREET 2: 5TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10036
FORMER COMPANY:
FORMER CONFORMED NAME: 10GEN INC
DATE OF NAME CHANGE: 20080801
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-10-23
0
0001441816
MongoDB, Inc.
MDB
0001237861
RYAN KEVIN P
C/O MONGODB, INC.
229 WEST 43RD STREET, 5TH FLOOR
NEW YORK
NY
10036
1
0
0
0
Series B Preferred Stock
2017-10-23
4
C
0
131661
D
Class B Common Stock
98745
0
D
Class B Common Stock
2017-10-23
4
C
0
98745
A
Class A Common Stock
98745
98745
D
Each share of Series B Preferred Stock automatically converted into approximately 0.75 shares of Class B Common Stock immediately prior to the closing of the Issuer's initial public offering and had no expiration date.
Each share of Class B Common Stock is convertible at any time at the option of the Reporting Person into one share of Class A Common Stock and has no expiration date. The Class B Common Stock will convert automatically into Class A Common Stock on the same basis upon the earlier of: (i) any transfer, whether or not for value, except for certain "Permitted Transfers" as defined in the Issuer's restated certificate of incorporation, and (ii) at such time as the outstanding shares of Class B common stock represent less than 10% of the aggregate number of shares of the Issuer's capital stock outstanding.
/s/ Alison Haggerty, Attorney-in-Fact
2017-10-25