0001104659-18-065452.txt : 20181101 0001104659-18-065452.hdr.sgml : 20181101 20181101165250 ACCESSION NUMBER: 0001104659-18-065452 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181030 FILED AS OF DATE: 20181101 DATE AS OF CHANGE: 20181101 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HANSEN THOMAS NEERGAARD CENTRAL INDEX KEY: 0001728084 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38478 FILM NUMBER: 181154534 MAIL ADDRESS: STREET 1: C/O CARBON BLACK, INC. STREET 2: 1100 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Carbon Black, Inc. CENTRAL INDEX KEY: 0001366527 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 550810166 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1100 WINTER ST. CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: 617-393-7400 MAIL ADDRESS: STREET 1: 1100 WINTER ST. CITY: WALTHAM STATE: MA ZIP: 02451 FORMER COMPANY: FORMER CONFORMED NAME: BIT9, INC. DATE OF NAME CHANGE: 20110407 FORMER COMPANY: FORMER CONFORMED NAME: BIT9 INC DATE OF NAME CHANGE: 20060619 4 1 a4.xml 4 X0306 4 2018-10-30 0 0001366527 Carbon Black, Inc. CBLK 0001728084 HANSEN THOMAS NEERGAARD C/O CARBON BLACK, INC. 1100 WINTER STREET WALTHAM MA 02451 0 1 0 0 See Remarks Common Stock 2018-10-30 4 A 0 50000 0.00 A 75000 D The shares were acquired pursuant to a restricted stock unit award under the Carbon Black, Inc. 2018 Stock Option and Incentive Plan. Each restricted stock unit represents a contingent right to receive one share of Carbon Black, Inc. common stock. The restricted stock unit vests 25% on September 4, 2019, and thereafter in twelve equal quarterly installments commencing on December 3, 2019. Executive Vice President and Chief Operating Officer Eric Pyenson, attorney-in-fact 2018-11-01