0001209191-23-059604.txt : 20231222
0001209191-23-059604.hdr.sgml : 20231222
20231222172038
ACCESSION NUMBER: 0001209191-23-059604
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231220
FILED AS OF DATE: 20231222
DATE AS OF CHANGE: 20231222
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ford Todd R
CENTRAL INDEX KEY: 0001324478
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41121
FILM NUMBER: 231510852
MAIL ADDRESS:
STREET 1: 3457 BRYANT STREET
CITY: PALO ALTO
STATE: CA
ZIP: 94306
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: HashiCorp, Inc.
CENTRAL INDEX KEY: 0001720671
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371]
ORGANIZATION NAME: 06 Technology
IRS NUMBER: 320410665
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0131
BUSINESS ADDRESS:
STREET 1: 101 2ND STREET, SUITE 700
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
BUSINESS PHONE: 415-301-3227
MAIL ADDRESS:
STREET 1: 101 2ND STREET, SUITE 700
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
4
1
doc4.xml
FORM 4 SUBMISSION
X0508
4
2023-12-20
0
0001720671
HashiCorp, Inc.
HCP
0001324478
Ford Todd R
C/O HASHICORP, INC.
101 SECOND STREET, SUITE 700
SAN FRANCISCO
CA
94105
1
0
0
0
0
Class A Common Stock
2023-12-20
4
M
0
645
A
47043
D
Class A Common Stock
2023-12-21
4
C
0
6250
A
53293
D
Restricted Stock Units
2023-12-20
4
M
0
645
0.00
D
Class A Common Stock
645
0
D
Restricted Stock Units
2023-12-20
4
M
0
6250
0.00
D
Class B Common Stock
6250
6250
D
Class B Common Stock
2023-12-20
4
M
0
6250
0.00
A
Class A Common Stock
6250
56250
D
Class B Common Stock
2023-12-21
4
C
0
6250
0.00
D
Class A Common Stock
6250
50000
D
Each restricted stock unit, or RSU, represents a contingent right to receive one share of Issuer Class A Common Stock.
Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.
The RSUs vested on December 20, 2023.
Each RSU represents a contingent right to receive one share of Issuer Class B Common Stock.
The remaining RSUs vest on March 20, 2024.
/s/ Paul Warenski, by power of attorney
2023-12-22