0001288847-17-000089.txt : 20170517 0001288847-17-000089.hdr.sgml : 20170517 20170517125601 ACCESSION NUMBER: 0001288847-17-000089 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170515 FILED AS OF DATE: 20170517 DATE AS OF CHANGE: 20170517 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Five9, Inc. CENTRAL INDEX KEY: 0001288847 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 943394123 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4000 EXECUTIVE PKWY. STREET 2: SUITE 400 CITY: SAN RAMON STATE: CA ZIP: 94583 BUSINESS PHONE: 9252012000 MAIL ADDRESS: STREET 1: 4000 EXECUTIVE PKWY. STREET 2: SUITE 400 CITY: SAN RAMON STATE: CA ZIP: 94583 FORMER COMPANY: FORMER CONFORMED NAME: Five 9 Inc DATE OF NAME CHANGE: 20040428 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Welsh David S. CENTRAL INDEX KEY: 0001603743 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36383 FILM NUMBER: 17850860 MAIL ADDRESS: STREET 1: C/O ADAMS STREET PARTNERS, LLC STREET 2: ONE NORTH WACKER DR., SUITE 2200 CITY: CHICAGO STATE: IL ZIP: 60606 4 1 wf-form4_149504014701630.xml FORM 4 X0306 4 2017-05-15 0 0001288847 Five9, Inc. FIVN 0001603743 Welsh David S. C/O FIVE9, INC., BISHOP RANCH 8 4000 EXECUTIVE PARKWAY, SUITE 400 SAN RAMON CA 94583 1 0 0 0 Common Stock 2017-05-15 4 A 0 7155 0 A 38631 D Common Stock 2017-05-16 4 J 0 12182 0 D 41449 D Due to an arrangement with Adams Street Partners, LLC ("ASP"), of which Mr. Welsh was previously a partner, Mr. Welsh is transferring to ASP 12,182 of 15,000 shares received pursuant to a grant of RSUs on May 18, 2016, and is retaining the remaining 2,818 shares as directly held securities. Mr. Welsh is no longer affiliated with ASP. /s/ David Hill 2017-05-16