0001209191-19-047561.txt : 20190827 0001209191-19-047561.hdr.sgml : 20190827 20190827174552 ACCESSION NUMBER: 0001209191-19-047561 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190826 FILED AS OF DATE: 20190827 DATE AS OF CHANGE: 20190827 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sandberg Sheryl CENTRAL INDEX KEY: 0001366010 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38664 FILM NUMBER: 191058651 MAIL ADDRESS: STREET 1: 1 FACEBOOK WAY CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SVMK Inc. CENTRAL INDEX KEY: 0001739936 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] IRS NUMBER: 800765058 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE CURIOSITY WAY CITY: SAN MATEO STATE: CA ZIP: 94403 BUSINESS PHONE: 650-543-8400 MAIL ADDRESS: STREET 1: ONE CURIOSITY WAY CITY: SAN MATEO STATE: CA ZIP: 94403 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-08-26 0 0001739936 SVMK Inc. SVMK 0001366010 Sandberg Sheryl C/O SVMK INC. ONE CURIOSITY WAY SAN MATEO CA 94403 1 0 0 0 Common Stock 10318577 I See footnote Common Stock 2019-08-26 4 J 0 3576 0.00 A 5256 I See footnote The shares are held of record by the Sheryl K. Sandberg Revocable Trust dated September 3, 2004, of which the Reporting Person is a trustee. Represents the shares received pursuant to a pro rata distribution without consideration and not a purchase or sale. The shares are held of record by the Reporting Person's investment LLC, whose sole member is the Sheryl K. Sandberg Revocable Trust. Adam M. Inglis, by power of attorney 2019-08-27