SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
MADERA PAUL S

(Last) (First) (Middle)
201 MISSION STREET, SUITE 2900

(Street)
SAN FRANCISCO CA 94105

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/15/2021
3. Issuer Name and Ticker or Trading Symbol
ForgeRock, Inc. [ FORG ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock(1) 387,896 I By: Meritech Capital Partners IV L.P.(2)(3)
Common Stock(1) 9,579 I By: Meritech Capital Affiliates IV L.P.(3)(4)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Series C Preferred Stock(1) (5) (5) Common Stock(1)(5) 2,732,442 (5) I By: Meritech Capital Partners IV L.P.(2)(3)
Series C Preferred Stock(1) (5) (5) Common Stock(1)(5) 67,478 (5) I By: Meritech Capital Affiliates IV L.P.(3)(4)
Series D Preferred Stock(1) (5) (5) Common Stock(1)(5) 375,867 (5) I By: Meritech Capital Partners IV L.P.(2)(3)
Series D Preferred Stock(1) (5) (5) Common Stock(1)(5) 9,282 (5) I By: Meritech Capital Affiliates IV L.P.(3)(4)
Series E Preferred Stock(1) (5) (5) Common Stock(1)(5) 458,532 (5) I By: Meritech Capital Partners IV L.P.(2)(3)
Series E Preferred Stock(1) (5) (5) Common Stock(1)(5) 11,324 (5) I By: Meritech Capital Affiliates IV L.P.(3)(4)
Explanation of Responses:
1. All shares of Series C Preferred Stock, par value $0.001 per share ("Series C Preferred Stock"), Series D Preferred Stock, par value $0.001 per share ("Series D Preferred Stock") and Series E Preferred Stock, par value $0.001 per share ("Series E Preferred Stock"), of ForgeRock, Inc. (the "Issuer") will automatically be converted on a one-for-one basis to shares of the Issuer's common stock, par value $0.001 per share ("Common Stock") immediately prior to the closing of the Issuer's initial public offering (the "IPO") of its Class A common stock, par value $0.001 per share ("Class A Common Stock"), without payment of consideration. Immediately thereafter, but still prior to the closing of the IPO, all shares of Common Stock will be reclassified into shares of the Issuer's Class B common stock, par value $0.001 per share ("Class B Common Stock").
2. Shares are held by Meritech Capital Partners IV L.P. ("MCP IV"). Meritech Capital Associates IV L.L.C. ("GP IV"), the general partner of MCP IV, has sole voting and dispositive power with respect to the shares held by MCP IV. The Reporting Person is a managing member of GP IV and shares voting and dispositive power with respect to the shares held by MCP IV.
3. The Reporting Person disclaims the existence of a "group" and disclaims beneficial ownership of the securities reported herein, except to the extent of the Reporting Person's pecuniary interest therein. The filing of this statement shall not be deemed to be an admission that, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the Reporting Person is the beneficial owner of any securities reported herein.
4. Shares are held by Meritech Capital Affiliates IV L.P. ("MCA IV"). GP IV, the general partner of MCA IV, has sole voting and dispositive power with respect to the shares held by MCP IV. The Reporting Person is a managing member of GP IV and shares voting and dispositive power with respect to the shares held by MCP IV.
5. Each share of Class B Common Stock is convertible at any time at the option of the holder into one share of Class A Common Stock. Additionally, each share of Class B Common Stock will, subject to certain exceptions, convert automatically into one share of Class A Common Stock upon any transfer. Each of the Series C Preferred Stock, Series D Preferred Stock and Series E Preferred Stock has no expiration date.
Remarks:
Exhibit 24 - Power of Attorney
/s/ Samuel J. Fleischmann, by Power of Attorney for Paul S. Madera 09/15/2021
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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