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