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