0001209191-16-130039.txt : 20160629 0001209191-16-130039.hdr.sgml : 20160629 20160629160643 ACCESSION NUMBER: 0001209191-16-130039 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160628 FILED AS OF DATE: 20160629 DATE AS OF CHANGE: 20160629 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: VEEVA SYSTEMS INC CENTRAL INDEX KEY: 0001393052 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 208235463 FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 4280 HACIENDA DRIVE CITY: PLEASANTON STATE: CA ZIP: 94588 BUSINESS PHONE: 925-452-6500 MAIL ADDRESS: STREET 1: 4280 HACIENDA DRIVE CITY: PLEASANTON STATE: CA ZIP: 94588 FORMER COMPANY: FORMER CONFORMED NAME: VERTICALS ONDEMAND INC DATE OF NAME CHANGE: 20070313 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wallach Matthew J CENTRAL INDEX KEY: 0001585819 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36121 FILM NUMBER: 161738909 MAIL ADDRESS: STREET 1: C/O VEEVA SYSTEMS INC. STREET 2: 4637 CHABOT DRIVE STE. 210 CITY: PLEASANTON STATE: CA ZIP: 94588 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-06-28 0 0001393052 VEEVA SYSTEMS INC VEEV 0001585819 Wallach Matthew J C/O VEEVA SYSTEMS INC. 4280 HACIENDA DRIVE PLEASANTON CA 94588 0 1 0 0 President Class A Common Stock 2016-06-28 4 C 0 50 0.00 A 50 D Class A Common Stock 2016-06-28 4 G 0 50 0.00 D 0 D Class B Common Stock 2016-06-28 4 C 0 50 0.00 D Class A Common Stock 50 708615 D Transaction exempt from Section 16(b) of the Securities Exchange Act of 1934 (the "Act") pursuant to Rule 16b-6(b) promulgated under the Act. This was a bona fide gift with no payment in consideration. Each share of Class B Common Stock is convertible, at any time at the option of the holder, into one (1) share of Class A Common Stock and has no expiration date. In addition, each share of Class B Common Stock will convert automatically into one (1) share of Class A Common Stock upon any transfer, whether or not for value, which occurs after the closing of the IPO, except for certain permitted transfers described in, and transfers to any "permitted transferee" as defined in, the Issuer's restated certificate of incorporation. All shares of Class A and Class B Common Stock will convert automatically into shares of a single class of Common Stock upon the earliest to occur of the following: (a) upon the election by the holders of a majority of the then outstanding shares of Class B Common Stock or (b) October 15, 2023. Represents 708,615 shares of Class B Common Stock held by the Reporting Person and Cristina Wallach as joint tenants with right of survivorship. /s/ Brian N. Savage, attorney-in-fact 2016-06-29