0001209191-18-054596.txt : 20181009
0001209191-18-054596.hdr.sgml : 20181009
20181009183051
ACCESSION NUMBER: 0001209191-18-054596
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181009
FILED AS OF DATE: 20181009
DATE AS OF CHANGE: 20181009
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Levensohn Pascal
CENTRAL INDEX KEY: 0001394300
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38107
FILM NUMBER: 181114588
MAIL ADDRESS:
STREET 1: C/O LEVENSOHN VENTURE PARTNERS
STREET 2: 260 TOWNSEND STREET, SUITE 600
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SHOTSPOTTER, INC
CENTRAL INDEX KEY: 0001351636
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 470949915
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 7979 GATEWAY BLVD., STE. 210
CITY: NEWARK
STATE: CA
ZIP: 94560
BUSINESS PHONE: (510) 794-3100
MAIL ADDRESS:
STREET 1: 7979 GATEWAY BLVD., STE. 210
CITY: NEWARK
STATE: CA
ZIP: 94560
FORMER COMPANY:
FORMER CONFORMED NAME: SHOTSPOTTER INC
DATE OF NAME CHANGE: 20110517
FORMER COMPANY:
FORMER CONFORMED NAME: Shotspotter Inc
DATE OF NAME CHANGE: 20060131
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-10-09
0
0001351636
SHOTSPOTTER, INC
SSTI
0001394300
Levensohn Pascal
1971 VALLEJO STREET
SAINT HELENA
CA
94574
1
0
0
0
Common Stock
2018-10-09
4
M
0
7843
0.85
A
26645
D
Common Stock
226
I
By Limited Liability Company
Common Stock
13214
I
By Trust
Common Stock
6675
I
By Trust
Stock Option (Right to Buy)
0.85
2018-10-09
4
M
0
7843
0.00
D
2026-02-02
Common Stock
7843
3922
D
Shares are held directly by Levensohn Venture Partners, LLC, of which Reporting Person is a member.
Shares are held directly by Pascal Levensohn Revocable Trust, over which Reporting Person holds voting and dispositive power.
Shares are held directly by Levensohn 2000 Children's Trust, over which Reporting Person holds voting and dispositive power. On May 17, 2018, the Reporting Person caused the trust to distribute 3,044 shares of Issuer's common stock to the beneficiary of the trust.
1/48th of the grant vests monthly for 48 months from February 1, 2016.
Pascal Levensohn, by /s/ Ron A. Metzger, Attorney-in-Fact
2018-10-09