0001441816-18-000142.txt : 20181211 0001441816-18-000142.hdr.sgml : 20181211 20181211164419 ACCESSION NUMBER: 0001441816-18-000142 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181210 FILED AS OF DATE: 20181211 DATE AS OF CHANGE: 20181211 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: 181229227 MAIL ADDRESS: STREET 1: C/O MONGODB, INC. STREET 2: 1633 BROADWAY, 38TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10019 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_154456464172643.xml FORM 4 X0306 4 2018-12-10 0 0001441816 MongoDB, Inc. MDB 0001237861 RYAN KEVIN P C/O MONGODB, INC. 1633 BROADWAY, 38TH FLOOR NEW YORK NY 10019 1 0 0 0 Class A Common Stock 2018-12-10 4 C 0 20000 0 A 23133 D Class A Common Stock 2018-12-10 5 G 0 E 20000 0 D 3133 D Class B Common Stock 2018-12-10 4 C 0 20000 0 D Class A Common Stock 20000.0 1849739 D Class B Common Stock Class A Common Stock 970166.0 970166 I By Trust 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. These shares are held by The Kevin P. Ryan 2012 Trust (the "Trust") for the benefit of the reporting person's children. The reporting person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose. /s/ Sarah Ward, Attorney-in-Fact 2018-12-11