0001209191-21-068108.txt : 20211206 0001209191-21-068108.hdr.sgml : 20211206 20211206162136 ACCESSION NUMBER: 0001209191-21-068108 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211202 FILED AS OF DATE: 20211206 DATE AS OF CHANGE: 20211206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CARLBORG W ERIC CENTRAL INDEX KEY: 0001191203 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39748 FILM NUMBER: 211473456 MAIL ADDRESS: STREET 1: 1475 FOLSOM STREET, SUITE 200 CITY: SAN FRANCISCO STATE: CA ZIP: 94103 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PubMatic, Inc. CENTRAL INDEX KEY: 0001422930 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] IRS NUMBER: 205863224 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3 LAGOON DRIVE STREET 2: SUITE 180 CITY: REDWOOD CITY STATE: CA ZIP: 94065 BUSINESS PHONE: 650-331-3485 MAIL ADDRESS: STREET 1: 3 LAGOON DRIVE STREET 2: SUITE 180 CITY: REDWOOD CITY STATE: CA ZIP: 94065 FORMER COMPANY: FORMER CONFORMED NAME: PUBMATIC, INC. DATE OF NAME CHANGE: 20140306 FORMER COMPANY: FORMER CONFORMED NAME: Komli Inc DATE OF NAME CHANGE: 20080107 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-12-02 0 0001422930 PubMatic, Inc. PUBM 0001191203 CARLBORG W ERIC PMB #456, 660 4TH STREET SAN FRANCISCO CA 94107 1 0 0 0 Class A common stock 2021-12-02 4 C 0 1673750 A 2062987 I See footnote Class A common stock 2021-12-03 4 J 0 2062987 D 0 I See footnote Class A common stock 2021-12-03 4 J 0 77945 A 262555 D Class B common stock 2021-12-02 4 C 0 1673750 0.00 D Class A common stock 1673750 0 I See footnote Each share of Class B common stock held by the Issuer's executive officers, directors and their respective affiliates will convert automatically into one share of Class A common stock upon any transfer that occurs after the closing of the Issuer's initial public offering, except for certain permitted transfers. These securities are held by August Capital V Special Opportunities, L.P. (the "Fund"). August Capital Management V, L.L.C. is the general partner of the Fund (the "August General Partner") and may be deemed to have sole voting power and sole investment power over the shares held by the Fund. Howard Hartenbaum and David M. Hornik are the members of the August General Partner and they, along with W. Eric Carlborg as a voting party with respect to the Issuer's securities, may be deemed to share voting and investment power with respect to the shares held by the Fund. Represents a pro-rata in-kind distribution of Class A common stock to the partners of the Fund and the members and assignees of the August General Partner, and not a purchase or sale, without additional consideration. Shares held directly by W. Eric Carlborg. /s/ Abigail Hipps, Attorney-in-Fact 2021-12-06