0001209191-20-032170.txt : 20200526
0001209191-20-032170.hdr.sgml : 20200526
20200526185148
ACCESSION NUMBER: 0001209191-20-032170
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200521
FILED AS OF DATE: 20200526
DATE AS OF CHANGE: 20200526
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DHALIWAL SUNIL
CENTRAL INDEX KEY: 0001354177
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38897
FILM NUMBER: 20912324
MAIL ADDRESS:
STREET 1: 20 WILLIAM STREET
STREET 2: SUITE 200
CITY: WELLESLEY
STATE: MA
ZIP: 02481
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Fastly, Inc.
CENTRAL INDEX KEY: 0001517413
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 275411834
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 475 BRANNAN
STREET 2: SUITE 300
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
BUSINESS PHONE: 415-525-3481
MAIL ADDRESS:
STREET 1: 475 BRANNAN
STREET 2: SUITE 300
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
FORMER COMPANY:
FORMER CONFORMED NAME: Skycache, Inc.(DE)
DATE OF NAME CHANGE: 20110405
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-05-21
0
0001517413
Fastly, Inc.
FSLY
0001354177
DHALIWAL SUNIL
800 MENLO AVENUE
SUITE 220
MENLO PARK
CA
94025
1
0
0
0
Class A Common Stock
2020-05-21
4
C
0
2323805
0.00
A
2323805
I
See Footnote
Class A Common Stock
2020-05-21
4
C
0
629500
0.00
A
629500
I
See Footnote
Class A Common Stock
2020-05-21
4
J
0
2323805
0.00
D
0
I
See Footnote
Class A Common Stock
2020-05-21
4
J
0
629500
0.00
D
0
I
See Footnote
Class A Common Stock
2020-05-21
4
J
0
655468
0.00
A
655468
I
See Footnote
Class A Common Stock
2020-05-21
4
J
0
655468
0.00
D
0
I
See Footnote
Class A Common Stock
2020-05-21
4
J
0
448174
0.00
A
551861
D
Class B Common Stock
2020-05-21
4
C
0
2323805
0.00
D
Class A Common Stock
2323805
774602
I
See Footnote
Class B Common Stock
2020-05-21
4
C
0
629500
0.00
D
Class A Common Stock
629500
209834
I
See Footnote
Each share of Class B Common Stock converted into Class A Common Stock upon the election of the reporting person.
These shares are held directly by Amplify Partners, L.P. The sole general partner is Amplify GP Partners, LLC. Sunil Dhaliwal, a member of the Issuer's Board of Directors, is a managing member of Amplify GP Partners, LLC, and may be deemed to have voting and investment power with respect to these securities. Amplify GP Partners, LLC and Sunil Dhaliwal disclaim beneficial ownership of the securities except to the extent of its or his pecuniary interest therein.
These shares are held directly by AP Opportunity Fund LLC. The sole general partner is Amplify GP Partners, LLC. Sunil Dhaliwal, a member of the Issuer's Board of Directors, is a managing member of Amplify GP Partners, LLC, and may be deemed to have voting and investment power with respect to these securities. Amplify GP Partners, LLC and Sunil Dhaliwal disclaim beneficial ownership of the securities except to the extent of its or his pecuniary interest therein.
The reporting person distributed, for no consideration, the shares of Class A Common Stock to its partners, representing each such partner's pro rata interest in such shares.
The reporting person distributed, for no consideration, the shares of Class A Common Stock to its members.
These shares are held directly by Amplify GP Partners, LLC. Sunil Dhaliwal, a member of the Issuer's Board of Directors, is a managing member of Amplify GP Partners, LLC, and may be deemed to have voting and investment power with respect to these securities. Amplify GP Partners, LLC and Sunil Dhaliwal disclaim beneficial ownership of the securities except to the extent of its or his pecuniary interest therein.
Distribution, for no consideration, from Amplify GP Partners, LLC.
Each share of Class B Common Stock will convert automatically into Class A Common Stock upon any transfer except certain "Permitted Transfers" described in the Issuer's amended and restated certificate of incorporation. All outstanding shares of Class B Common Stock will convert into shares of Class A Common Stock upon the earliest of (i) the first trading day falling nine months after the date on which the shares of Class B Common Stock represent less than 10% of the aggregate number of outstanding shares of Class A Common Stock and Class B Common Stock, (ii) the date specified by the vote of the holders of Class B Common Stock representing at least a majority of the outstanding shares of Class B Common Stock, or (iii) the first trading day falling ten years after the Effective Time as defined in the Issuer's amended and restated certificate of incorporation.
/s/ Seth Gottlieb, Attorney-in-Fact
2020-05-26