0001209191-21-064925.txt : 20211116 0001209191-21-064925.hdr.sgml : 20211116 20211116201802 ACCESSION NUMBER: 0001209191-21-064925 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211116 FILED AS OF DATE: 20211116 DATE AS OF CHANGE: 20211116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NASR KHALED CENTRAL INDEX KEY: 0001276600 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41065 FILM NUMBER: 211418042 MAIL ADDRESS: STREET 1: 467 FIRST STREET STREET 2: SUITE 201 CITY: LOS ALTOS STATE: X1 ZIP: 94022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kliman Gilbert H CENTRAL INDEX KEY: 0001293171 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41065 FILM NUMBER: 211418043 MAIL ADDRESS: STREET 1: C/O INTERWEST PARTNERS STREET 2: 467 FIRST STREET SUITE 201 CITY: LOS ALTOS STATE: CA ZIP: 94022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: INTERWEST PARTNERS X LP CENTRAL INDEX KEY: 0001443898 STATE OF INCORPORATION: CA FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41065 FILM NUMBER: 211418044 BUSINESS ADDRESS: STREET 1: C/O INTERWEST PARTNERS STREET 2: 467 FIRST STREET SUITE 201 CITY: LOS ALTOS STATE: CA ZIP: 94022 BUSINESS PHONE: 650-854-8585 MAIL ADDRESS: STREET 1: C/O INTERWEST PARTNERS STREET 2: 467 FIRST STREET SUITE 201 CITY: LOS ALTOS STATE: CA ZIP: 94022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: InterWest Management Partners X, LLC CENTRAL INDEX KEY: 0001460207 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41065 FILM NUMBER: 211418045 BUSINESS ADDRESS: STREET 1: 467 FIRST STREET STREET 2: SUITE 201 CITY: LOS ALTOS STATE: CA ZIP: 94022 BUSINESS PHONE: 650-854-8585 MAIL ADDRESS: STREET 1: 467 FIRST STREET STREET 2: SUITE 201 CITY: LOS ALTOS STATE: CA ZIP: 94022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Desai Keval CENTRAL INDEX KEY: 0001553019 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41065 FILM NUMBER: 211418041 MAIL ADDRESS: STREET 1: 467 FIRST STREET STREET 2: SUITE 201 CITY: LOS ALTOS STATE: X1 ZIP: 94022 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Braze, Inc. CENTRAL INDEX KEY: 0001676238 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 452505271 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 330 WEST 34TH STREET, FLOOR 18 CITY: NEW YORK STATE: NY ZIP: 10001 BUSINESS PHONE: (609) 964-0582 MAIL ADDRESS: STREET 1: 330 WEST 34TH STREET, FLOOR 18 CITY: NEW YORK STATE: NY ZIP: 10001 FORMER COMPANY: FORMER CONFORMED NAME: Appboy, Inc. DATE OF NAME CHANGE: 20160602 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2021-11-16 0 0001676238 Braze, Inc. BRZE 0001460207 InterWest Management Partners X, LLC 467 FIRST STREET, SUITE 201 LOS ALTOS CA 94022 0 0 1 0 0001443898 INTERWEST PARTNERS X LP 467 FIRST STREET, SUITE 201 LOS ALTOS CA 94022 0 0 1 0 0001293171 Kliman Gilbert H C/O INTERWEST PARTNERS 467 FIRST STREET, SUITE 201 LOS ALTOS CA 94022 0 0 1 0 0001276600 NASR KHALED C/O INTERWEST PARTNERS 467 FIRST STREET, SUITE 201 LOS ALTOS CA 94022 0 0 1 0 0001553019 Desai Keval C/O INTERWEST PARTNERS 467 FIRST STREET, SUITE 201 LOS ALTOS CA 94022 0 0 1 0 Series B Preferred Stock Common Stock 2824395 I By InterWest Partners X, L.P. Series C Preferred Stock Common Stock 1603848 I By InterWest Partners X, L.P. Series D Preferred Stock Common Stock 95976 I By InterWest Partners X, L.P. Each share of Series B Preferred Stock, Series C Preferred Stock and Series D Preferred Stock will automatically convert into shares of Common Stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering and have no expiration date. Each share of Common Stock shall be reclassified into one share of Class B Common Stock immediately prior to the completion of the Issuer's initial public offering. The reported securities are owned directly by InterWest Partners X, L.P. ("IW X"). The general partner of IW X is InterWest Management Partners X, LLC ("IMP X") and may be deemed to beneficially own the shares held by IW X. Gilbert H. Kliman is the managing director of IMP X and Keval Desai and Khaled A. Nasr are venture members of IMP X. The managing director and venture members of IMP X share voting and investment control with respect to the securities held by IW X. Each of IMP X, Mr. Kliman, Mr. Desai and Mr. Nasr disclaims beneficial ownership of these shares except to the extent of its or his respective pecuniary interest therein. /s/ Karen A. Wilson, as Attorney-in-Fact for InterWest Management Partners X, LLC 2021-11-16 /s/ Karen A. Wilson, as Attorney-in-Fact for InterWest Partners X, LP 2021-11-16 /s/ Karen A. Wilson, as Attorney-in-Fact for Gilbert H. Kliman 2021-11-16 /s/ Karen A. Wilson, as Attorney-in-Fact for Khalad A. Nasr 2021-11-16 /s/ Karen A. Wilson, as Attorney-in-Fact for Keval Desai 2021-11-16