0001653482-22-000002.txt : 20220104
0001653482-22-000002.hdr.sgml : 20220104
20220104162644
ACCESSION NUMBER: 0001653482-22-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211230
FILED AS OF DATE: 20220104
DATE AS OF CHANGE: 20220104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ROBINS BRIAN G
CENTRAL INDEX KEY: 0001431768
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40895
FILM NUMBER: 22506403
MAIL ADDRESS:
STREET 1: 21355 RIDGETOP CIRCLE
STREET 2: ATTN: GENERAL COUNSEL
CITY: DULLES
STATE: VA
ZIP: 20166
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Gitlab Inc.
CENTRAL INDEX KEY: 0001653482
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 471861035
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0131
BUSINESS ADDRESS:
STREET 1: 268 BUSH STREET
STREET 2: #350
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94104
BUSINESS PHONE: 650-474-5175
MAIL ADDRESS:
STREET 1: 268 BUSH STREET
STREET 2: #350
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94104
4
1
wf-form4_164133157098421.xml
FORM 4
X0306
4
2021-12-30
0
0001653482
Gitlab Inc.
GTLB
0001431768
ROBINS BRIAN G
C/O GITLAB INC.
NOT APPLICABLE
DE
0
1
0
0
Chief Financial Officer
Class A Common Stock
2021-12-30
4
C
0
400000
A
400000
D
Class A Common Stock
2021-12-30
4
C
0
100000
A
100000
I
See Footnote
Class B Common Stock
2021-12-30
4
C
0
400000
0
D
Class A Common Stock
400000.0
0
D
Class B Common Stock
2021-12-30
4
C
0
100000
0
D
Class A Common Stock
100000.0
0
I
See footnote
Each share of the Issuer's Class B Common Stock is convertible into one share of Class A Common Stock at any time, at the election of the holder or automatically upon certain transfers. On the date set forth in the table above, the reporting person converted all of his Class B Common Stock into Class A Common Stock.
Each share of the Issuer's Class B Common Stock is convertible into one share of Class A Common Stock at any time, at the election of the holder or automatically upon certain transfers. On the date set forth in the table above, the reporting person, as trustee of The Robins Family Trust, converted all shares of Class B Common Stock owned by the trust into Class A Common Stock.
These securities are held directly by The Robins Family Trust.
A holder's shares of the Issuer's Class B Common Stock convert automatically upon certain transfers. Additionally, all of the Issuer's Class B Common Stock will convert automatically upon the earliest of: (i) ten years from the date of the Issuer's initial public offering (the "IPO"); (ii) the death or disability of Sytse Sijbrandij; (iii) the first date following the completion of the IPO on which the number of shares of outstanding Class B Common Stock (including shares of Class B Common Stock subject to outstanding stock options) is less than 5% of the aggregate number of shares of the Issuer's common stock then outstanding; and (iv) the date specified by a vote of the holders of two-thirds of the then outstanding shares of Class B Common Stock.
/s/ Robin Schulman, Attorney-in-Fact for Brian G. Robins
2022-01-04