0001209191-20-041821.txt : 20200708
0001209191-20-041821.hdr.sgml : 20200708
20200708185659
ACCESSION NUMBER: 0001209191-20-041821
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200706
FILED AS OF DATE: 20200708
DATE AS OF CHANGE: 20200708
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Pelion Opportunity Fund I, LLC
CENTRAL INDEX KEY: 0001751625
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39039
FILM NUMBER: 201019246
BUSINESS ADDRESS:
STREET 1: 2750 E. COTTONWOOD PARKWAY, SUITE 620
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84121
BUSINESS PHONE: (650) 843-5000
MAIL ADDRESS:
STREET 1: 2750 E. COTTONWOOD PARKWAY, SUITE 620
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84121
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Pelion Opportunities Partners I, L.L.C
CENTRAL INDEX KEY: 0001787874
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39039
FILM NUMBER: 201019247
BUSINESS ADDRESS:
STREET 1: 2750 E. COTTONWOOD PARKWAY, SUITE 620
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84121
BUSINESS PHONE: 801-365-0262
MAIL ADDRESS:
STREET 1: 2750 E. COTTONWOOD PARKWAY, SUITE 620
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84121
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Modersitzki Blake G
CENTRAL INDEX KEY: 0001366065
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39039
FILM NUMBER: 201019248
MAIL ADDRESS:
STREET 1: 2755 EAST COTTONWOOD PARKWAY
STREET 2: SUITE 520
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84121
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Cloudflare, Inc.
CENTRAL INDEX KEY: 0001477333
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 270805829
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 101 TOWNSEND ST.
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
BUSINESS PHONE: 888.993.5273
MAIL ADDRESS:
STREET 1: 101 TOWNSEND ST.
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
FORMER COMPANY:
FORMER CONFORMED NAME: CloudFlare, Inc.
DATE OF NAME CHANGE: 20091120
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-07-06
0
0001477333
Cloudflare, Inc.
NET
0001751625
Pelion Opportunity Fund I, LLC
2750 E. COTTONWOOD PARKWAY, SUITE 600
SALT LAKE CITY
UT
84121
0
0
1
0
0001787874
Pelion Opportunities Partners I, L.L.C
2750 E. COTTONWOOD PARKWAY, SUITE 600
SALT LAKE CITY
UT
84121
0
0
1
0
0001366065
Modersitzki Blake G
2750 E. COTTONWOOD PARKWAY, SUITE 600
SALT LAKE CITY
UT
84121
0
0
1
0
Class A Common Stock
2020-07-06
4
C
0
622265
A
3576811
I
footnote
Class A Common Stock
2020-07-06
4
J
0
3576791
D
20
I
footnote
Class A Common Stock
2020-07-06
4
J
0
299023
A
299023
I
footnote
Class A Common Stock
2020-07-06
4
J
0
299023
A
0
I
footnote
Class A Common Stock
2020-07-06
4
J
0
59805
A
1020467
I
footnote
Class A Common Stock
1
I
footnote
Class B Common Stock
2020-07-06
4
C
0
622265
0.00
D
Class A Common Stock
622265
0
I
footnote
Class B Common Stock
Class A Common Stock
11146299
11146299
I
footnote
Class B Common Stock
Class A Common Stock
3617202
3617202
I
footnote
Class B Common Stock
Class A Common Stock
6870862
6870862
I
footnote
Class B Common Stock
Class A Common Stock
2245810
2245810
I
footnote
Class B Common Stock
Class A Common Stock
571422
571422
I
footnote
Class B Common Stock
Class A Common Stock
682000
682000
I
footnote
Class B Common Stock
Class A Common Stock
497996
497996
I
footnote
Class B Common Stock
Class A Common Stock
34051
34051
I
footnote
Represents conversion of shares of the Issuer's Class B Common Stock into shares of the Issuer's Class A Common Stock on a 1-for-1 basis. The convertibility of the Class B Common Stock has no expiration date.
The shares are held of record by Pelion Opportunity Fund I, LLC ("POF I"). Pelion Opportunities Partners I, L.L.C. ("POP I") is the Manager of POF I, and Blake Modersitzki is the Manager Member of POP I. Mr. Modersitzki exercises voting and dispositive power with respect to the shares held of record by POF I, but disclaims beneficial ownership of the securities held by of record by POF I except to the extent of his individual pecuniary interest therein.
Represents in-kind distribution by POF I without consideration to its members (including POP I).
The shares are held of record by POP I. POP I is the Manager of POF I, and Blake Modersitzki is the Manager Member of POP I. Mr. Modersitzki exercises voting and dispositive power with respect to the shares held of record by POF I, but disclaims beneficial ownership of the securities held by of record by POF I except to the extent of his individual pecuniary interest therein.
Represents in-kind distribution by POP I without consideration to its members.
The shares are held of record by Blake G. Modersitzki.
The shares are held of record by UV Partners IV GP, L.L.C. ("UVP IV GP").
UVP IV GP is the General Partner of UV Partners IV, L.P. ("UVP IV") and UV Partners IV-A, L.P. ("UVP IV-A"), but disclaims beneficial ownership of the securities held of record by UVP IV and UVP IV-A except to the extent of its pecuniary interest therein. Blake Modersitzki is the Managing Member of UVP IV GP. Mr. Modersitzki exercises voting and dispositive power with respect to the shares held of record by UVP IV, UVP IV-A and UVP IV GP, but disclaims beneficial ownership of the securities held by of record by UVP IV, UVP IV-A and UVP IV GP except to the extent of his individual pecuniary interest therein.
Each share of Class B Common Stock is convertible at any time into Class A Common Stock on a one-to-one basis at the reporting person's election and has no expiration date.
The shares are held of record by UVP IV.
The shares are held of record by UVP IV-A.
The shares are held of record by UV Partners IV Financial Institutions Fund, L.P. ("UVP IV FIF"). UV Partners IV Financial Institutions GP, L.L.C. ("UVP IV FIGP") is the General Partner of UVP IV FIF, but disclaims beneficial ownership of the securities held of record by UVP IV FIF except to the extent of its pecuniary interest therein. Blake Modersitzki is the Manager Member of UVP IV FIGP. Mr. Modersitzki exercises voting and dispositive power with respect to the shares held of record by UVP IV FIF and UVP IV FIGP, but disclaims beneficial ownership of the securities held of record by UVP IV FIF and UVP IV FIGP except to the extent of his individual pecuniary interest therein.
The shares are held of record by Pelion Ventures V, L.P. ("PV V").
Pelion Venture Partners V, L.L.C. ("PVP V") is the General Partner of PV V and PV V-A, but disclaims beneficial ownership of the securities held of record by PV V and PV V-A except to the extent of its pecuniary interest therein. Blake Modersitzki is the Managing Member of PVP V. Mr. Modersitzki exercises voting and dispositive power with respect to the shares held of record by PV V, PV V-A and PVP V, but disclaims beneficial ownership of the securities held by of record by PV V, PV V-A and PVP V except to the extent of his individual pecuniary interest therein.
The shares are held of record by Pelion Ventures V-A, L.P. ("PV V-A").
The shares are held of record by Pelion Ventures V Financial Institutions Fund, L.P. ("PV V FIF"). Pelion Ventures V Financial Institutions GP, L.L.C. ("PV V FIGP") is the General Partner of PV V FIF, but disclaims beneficial ownership of the securities held of record by PV V FIF except to the extent of its pecuniary interest therein. Blake Modersitzki is the Manager Member of PV V FIGP. Mr. Modersitzki exercises voting and dispositive power with respect to the shares held of record by PV V FIF and PV V FIGP, but disclaims beneficial ownership of the securities held of record by PV V FIF and PV V FIGP except to the extent of his individual pecuniary interest therein.
The shares are held of record by Pelion Ventures VI, L.P. ("PV VI"). Pelion Venture Partners VI, L.L.C. ("PVP VI") is the General Partner of PV VI, and Blake Modersitzki is the Manager Member of PVP VI. Mr. Modersitzki exercises voting and dispositive power with respect to the shares held of record by PV VI, but disclaims beneficial ownership of the securities held of record by PV VI except to the extent of his individual pecuniary interest therein.
The shares are held of record by Pelion Ventures VI-A, L.P. ("PV VI-A"). PVP VI is the General Partner of PV VI-A, and Blake Modersitzki is the Manager Member of PVP VI. Mr. Modersitzki exercises voting and dispositive power with respect to the shares held of record by PV VI-A, but disclaims beneficial ownership of the securities held of record by PV VI-A except to the extent of his individual pecuniary interest therein.
/s/ Blake Modersitzki, Managing Member of the General Partner of Pelion Opportunity Fund I, LLC
2020-07-08
/s/ Blake Modersitzki, Managing Member of Pelion Opportunities Partners I, L.L.C.
2020-07-08
/s/ Blake Modersitzki
2020-07-08