0001209191-18-052186.txt : 20180925 0001209191-18-052186.hdr.sgml : 20180925 20180925175413 ACCESSION NUMBER: 0001209191-18-052186 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20180925 FILED AS OF DATE: 20180925 DATE AS OF CHANGE: 20180925 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lurie Alexander J CENTRAL INDEX KEY: 0001421413 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38664 FILM NUMBER: 181086491 MAIL ADDRESS: STREET 1: 235 SECOND STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94105 FORMER NAME: FORMER CONFORMED NAME: Lurie Zander DATE OF NAME CHANGE: 20071214 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SVMK Inc. CENTRAL INDEX KEY: 0001739936 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] IRS NUMBER: 800765058 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE CURIOSITY WAY CITY: SAN MATEO STATE: CA ZIP: 94403 BUSINESS PHONE: 650-543-8400 MAIL ADDRESS: STREET 1: ONE CURIOSITY WAY CITY: SAN MATEO STATE: CA ZIP: 94403 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2018-09-25 0 0001739936 SVMK Inc. SVMK 0001421413 Lurie Alexander J C/O SVMK INC. ONE CURIOSITY WAY SAN MATEO CA 94403 1 1 0 0 Chief Executive Officer Common Stock 1925346 D Common Stock 24330 I See footnote Common Stock 24330 I See footnote Common Stock 16219 I See footnote Employee Stock Option (Right to buy) 11.00 2021-12-09 Common Stock 28258 D Employee Stock Option (Right to buy) 16.03 2025-05-19 Common Stock 210000 D Employee Stock Option (Right to buy) 16.03 2025-08-06 Common Stock 190000 D Employee Stock Option (Right to buy) 16.03 2026-01-16 Common Stock 2200000 D Employee Stock Option (Right to buy) 13.20 2028-03-05 Common Stock 561000 D Certain of these securities are restricted stock units. Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock, subject to the applicable vesting schedule and conditions. The shares are held by the Jason and Jennifer Lurie Family 2018 Irrevocable Trust dated May 31, 2018, of which the Reporting Person's spouse is the trustee. The shares are held by the Eliza and Larry Becker Family 2018 Irrevocable Trust dated May 31, 2018, of which the Reporting Person's spouse is the trustee. The shares are held by the Scott and Caitlin Vogelsong Family 2018 Irrevocable Trust dated May 31, 2018, of which the Reporting Person's spouse is the trustee. The shares subject to the option are fully vested and exercisable. One forty-eighth of the shares subject to the option vested on January 15, 2015 and one forty-eighth of the shares subject to the option vest each month thereafter, subject to the Reporting Person continuing as a service provider through each such date. One forty-eighth of the shares subject to the option vested on September 6, 2015 and one forty-eighth of the shares subject to the option vest each month thereafter, subject to the Reporting Person continuing as a service provider through each such date. One-fourth of the shares subject to the option vested on January 16, 2017 and one forty-eighth of the shares subject to the option vest each month thereafter, subject to the Reporting Person continuing as a service provider through each such date. One-twelfth of the shares subject to the option vested on May 15, 2018 and one-twelfth of the shares subject to the option vest each quarter thereafter, subject to the Reporting Person continuing as a service provider through each such date. Exhibit 24 - Power of Attorney /s/ Adam M. Inglis, by power of attorney 2018-09-25 EX-24 2 attachment1.htm EX-24 DOCUMENT

POWER OF ATTORNEY

      The undersigned, as a Section 16 reporting person of SVMK Inc.
(the "Company"), hereby constitutes and appoints Lora D. Blum, Adam Inglis,
Michael J. McKay, and Lanson Wan,  and each of them, the undersigned's true and
lawful attorney-in-fact, to:
      1.	Prepare, execute in the undersigned's name and on the undersigned's
behalf, and submit to the Securities and Exchange Commission (the "SEC") a Form
ID, including amendments thereto, and any other documents necessary or
appropriate to obtain EDGAR codes and passwords enabling the undersigned to make
electronic filings with the SEC of reports required by Section 16(a) of the
Securities Exchange Act of 1934 or any rule or regulation of the SEC;
      2.	Complete and execute Forms 3, 4 and 5 and other forms and all
amendments thereto as such attorney-in-fact shall in his or her discretion
determine to be required or advisable pursuant to Section 16 of the Securities
Exchange Act of 1934 (as amended) and the rules and regulations promulgated
thereunder, or any successor laws and regulations, as a consequence of the
undersigned's ownership, acquisition or disposition of securities of the
Company; and
      3.	Do all acts necessary in order to file such forms with the SEC, any
securities exchange or national association, the Company and such other person
or agency as the attorney-in-fact shall deem appropriate.
      The undersigned hereby ratifies and confirms all that said
attorneys-in-fact and agent shall do or cause to be done by virtue hereof.  The
undersigned acknowledges that the foregoing attorneys-in-fact, in serving in
such capacity at the request of the undersigned, are not assuming, nor is the
Company assuming, any of the undersigned's responsibilities to comply with
Section 16 of the Securities Exchange Act of 1934 (as amended).
      This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4 and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
Company and the foregoing attorneys-in-fact.
      IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of this 11th day of September, 2018.


      					Signature: 	/s/ Alexander J. Lurie
      					Print Name: 	Alexander J. Lurie