0001628280-22-032515.txt : 20221222 0001628280-22-032515.hdr.sgml : 20221222 20221222214627 ACCESSION NUMBER: 0001628280-22-032515 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221221 FILED AS OF DATE: 20221222 DATE AS OF CHANGE: 20221222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gassner Peter P CENTRAL INDEX KEY: 0001585821 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36121 FILM NUMBER: 221483245 MAIL ADDRESS: STREET 1: C/O VEEVA SYSTEMS INC. STREET 2: 4280 HACIENDA DRIVE CITY: PLEASANTON STATE: CA ZIP: 94588 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: 925-264-8887 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 4 1 wf-form4_167176357057554.xml FORM 4 X0306 4 2022-12-21 0 0001393052 VEEVA SYSTEMS INC VEEV 0001585821 Gassner Peter P C/O VEEVA SYSTEMS INC. 4280 HACIENDA DRIVE PLEASANTON CA 94588 1 1 0 0 Chief Executive Officer Class A Common Stock 2022-12-21 4 C 0 139000 0 A 139000 D Class A Common Stock 2022-12-22 4 G 0 139000 0 D 0 D Class A Common Stock 41000 I By family member Class A Common Stock 41000 I By family member Class B Common Stock 2022-12-21 4 C 0 139000 0 D Class A Common Stock 139000.0 12987333 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. Transactions exempt from Section 16(b) of the Act pursuant to Rule 16b-5 promulgated under the Act. The Reporting Person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. 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 in effect after the closing of the IPO. 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. /s/ Jonathan Faddis, attorney-in-fact 2022-12-22