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