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