0001209191-22-009116.txt : 20220214 0001209191-22-009116.hdr.sgml : 20220214 20220214130916 ACCESSION NUMBER: 0001209191-22-009116 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220214 DATE AS OF CHANGE: 20220214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hartenbaum Howard CENTRAL INDEX KEY: 0001547424 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39748 FILM NUMBER: 22628635 MAIL ADDRESS: STREET 1: 2480 SAND HILL ROAD, SUITE 101 CITY: MENLO PARK STATE: CA ZIP: 94025 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 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2021-12-31 1 0 0 0001422930 PubMatic, Inc. PUBM 0001547424 Hartenbaum Howard C/O AUGUST CAPITAL 893A FOLSOM STREET SAN FRANCISCO CA 94107 0 0 1 0 Class A Common Stock 2021-09-01 5 G 0 20000 0.00 D 109443 D Class A Common Stock 20000 I See footnote On September 1, 2021, the Reporting Person transferred 20,000 shares of PubMatic, Inc. Class A common stock to family trusts of which the Reporting Person is a trustee. The Reporting Person's immediate family are the sole beneficiaries of the trusts. /s/ Abigail Hipps, Attorney-in-Fact for Howard Hartenbaum 2022-02-14