0001845022-22-000059.txt : 20220617 0001845022-22-000059.hdr.sgml : 20220617 20220617171358 ACCESSION NUMBER: 0001845022-22-000059 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220615 FILED AS OF DATE: 20220617 DATE AS OF CHANGE: 20220617 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Simonson Richard A CENTRAL INDEX KEY: 0001370636 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40601 FILM NUMBER: 221024995 MAIL ADDRESS: STREET 1: C/O SILVER SPRING NETWORKS, INC. STREET 2: 230 W. TASMAN DRIVE CITY: SAN JOSE STATE: CA ZIP: 95134 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Couchbase, Inc. CENTRAL INDEX KEY: 0001845022 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 263576987 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 3250 OLCOTT STREET CITY: SANTA CLARA STATE: CA ZIP: 95054 BUSINESS PHONE: 6504177500 MAIL ADDRESS: STREET 1: 3250 OLCOTT STREET CITY: SANTA CLARA STATE: CA ZIP: 95054 4 1 wf-form4_165550040587837.xml FORM 4 X0306 4 2022-06-15 0 0001845022 Couchbase, Inc. BASE 0001370636 Simonson Richard A C/O COUCHBASE, INC. 3250 OLCOTT STREET SANTA CLARA CA 95054 1 0 0 0 Common Stock 2022-06-15 4 A 0 1235 0 A 1235 D This represents an award of restricted stock units to the Issuer's non-employee director. Each unit represents a contingent right to receive one share of the Issuer's common stock upon vesting. One hundred percent (100%) of the restricted stock units will be scheduled to vest on June 15, 2022, the vesting commencement date. /s/ Margaret Chow, by Power of Attorney for Richard A. Simonson 2022-06-17