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