0001144204-18-012861.txt : 20180305 0001144204-18-012861.hdr.sgml : 20180305 20180305171312 ACCESSION NUMBER: 0001144204-18-012861 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180226 FILED AS OF DATE: 20180305 DATE AS OF CHANGE: 20180305 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GRAYSON BRUNS H CENTRAL INDEX KEY: 0001204899 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37874 FILM NUMBER: 18667278 MAIL ADDRESS: STREET 1: 950 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EVERBRIDGE, INC. CENTRAL INDEX KEY: 0001437352 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 25 CORPORATE DRIVE STREET 2: SUITE 400 CITY: BURLINGTON STATE: MA ZIP: 01803 BUSINESS PHONE: 818-230-9700 MAIL ADDRESS: STREET 1: 25 CORPORATE DRIVE STREET 2: SUITE 400 CITY: BURLINGTON STATE: MA ZIP: 01803 FORMER COMPANY: FORMER CONFORMED NAME: 3N GLOBAL INC DATE OF NAME CHANGE: 20080611 4 1 tv487796_4.xml OWNERSHIP DOCUMENT X0306 4 2018-02-26 0 0001437352 EVERBRIDGE, INC. EVBG 0001204899 GRAYSON BRUNS H C/O ABS VENTURES IX, L.P. 950 WINTER STREET WALTHAM MA 02451 1 0 0 0 Common Stock 2018-02-26 4 J 0 780834 0.00 D 0 I See footnote Common Stock 219166 I See footnote Common Stock 2018-02-26 4 J 0 118250 0.00 D 0 I See footnote Common Stock 138958 D Common Stock 33229 I By trust for daughter Common Stock 6645 I See footnote Refers to shares held in the name of ABS Ventures IX, L.P. ("ABS"). The reporting person is a managing member of Calvert Capital V LLC ("CCV"), the general partner of ABS, and has shared voting and dispositive power with respect to the shares held by ABS. ABS made a pro-rata distribution for no consideration of Common Stock of Everbridge, Inc. (the "Issuer") to its general partner and limited partners on February 26, 2018. The limited partners received 780,834 shares in the distribution. CCV, general partner of ABS, received 219,166 shares in the distribution (a change of form of beneficial ownership without a change of pecuniary interest exempt from reporting under Rule 16a-13). The total number of shares distributed was 1,000,000 shares. Refers to shares held by CCV (see footnote 2). CCV, a limited liability company organized in a manner similar to a limited partnership, made a pro rata distribution for no consideration to its members on February 26, 2018. 118,250 shares were distributed to certain non-managing members and 100,916 shares were distributed as follows: (i) CCV managing member R. William Burgess, Jr. ("Burgess") received 48,922 shares and his IRA received 1,775 shares (a change of form of beneficial ownership without a change of pecuniary interest exempt from reporting under Rule 16a-13), (ii) Calvert Capital Management Company ("CCMC"), a company which is controlled by Burgess and the reporting person, received 2,078 shares (a change of form of beneficial ownership without a change of pecuniary interest exempt from reporting under Rule 16a-13). (continued from footnote 4) (iii) the reporting person received 37,750 shares and a trust for his daughter (of which he is the sole trustee) received 10,391 shares (a change of form of beneficial ownership without a change of pecuniary interest exempt from reporting under Rule 16a-13). The total number of shares distributed was 219,166 shares. Refers to shares held by CCMC (see footnote 4). /s/ Bruns H. Grayson 2018-03-05