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