0001209191-16-142316.txt : 20160921
0001209191-16-142316.hdr.sgml : 20160921
20160921180907
ACCESSION NUMBER: 0001209191-16-142316
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160921
FILED AS OF DATE: 20160921
DATE AS OF CHANGE: 20160921
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Burgess R William JR
CENTRAL INDEX KEY: 0001366123
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37874
FILM NUMBER: 161896387
MAIL ADDRESS:
STREET 1: 950 WINTER STREET
CITY: WALTHAM
STATE: MA
ZIP: 02451
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CALVERT CAPITAL V L.L.C.
CENTRAL INDEX KEY: 0001684577
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37874
FILM NUMBER: 161896388
BUSINESS ADDRESS:
STREET 1: C/O EVERBRIDGE, INC.
STREET 2: 25 CORPORATE DRIVE, SUITE 400
CITY: BURLINGTON
STATE: MA
ZIP: 01803
BUSINESS PHONE: 818-230-9700
MAIL ADDRESS:
STREET 1: C/O EVERBRIDGE, INC.
STREET 2: 25 CORPORATE DRIVE, SUITE 400
CITY: BURLINGTON
STATE: MA
ZIP: 01803
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ABS VENTURES IX L P
CENTRAL INDEX KEY: 0001351784
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37874
FILM NUMBER: 161896389
BUSINESS ADDRESS:
STREET 1: 950 WINTER STREET
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 617-283-0418
MAIL ADDRESS:
STREET 1: 950 WINTER STREET
CITY: WALTHAM
STATE: MA
ZIP: 02451
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-09-21
0
0001437352
EVERBRIDGE, INC.
EVBG
0001351784
ABS VENTURES IX L P
950 WINTER STREET
WALTHAM
MA
02451
0
0
1
0
0001684577
CALVERT CAPITAL V L.L.C.
950 WINTER STREET
WALTHAM
MA
02451
0
0
1
0
0001366123
Burgess R William JR
950 WINTER STREET
WALTHAM
MA
02451
0
0
1
0
Common Stock
2016-09-21
4
C
0
3106459
A
3106459
D
Common Stock
2016-09-21
4
C
0
3331153
A
6437612
D
Common Stock
2016-09-21
4
S
0
563275
11.16
D
5874337
D
Series A Preferred Stock
2016-09-21
4
C
0
3106459
D
Common Stock
3106459
0
D
Series A-1 Preferred Stock
2016-09-21
4
C
0
3331153
D
Common Stock
3331153
0
D
The Series A Preferred Stock, which had no expiration date, automatically converted to common stock on a 1-for-1 basis upon the completion of the Issuer's initial public offering.
The shares are held in the name of ABS Ventures IX, L.P. ("ABS"). Calvert Capital V LLC ("CCV"), the general partner of ABS, and R. William Burgess, Jr., a managing member of CCV, have indirect beneficial ownership of the shares held by ABS.
The Series A-1 Preferred Stock, which had no expiration date, automatically converted to common stock on a 1-for-1 basis upon the completion of the Issuer's initial public offering.
The shares were sold in the Issuer's initial public offering, pursuant to a Form S-1 Registration Statement which was declared effective on September 15, 2016. The reported sale price reflects the price at which the shares were sold to the underwriters.
/s/ Richard Segal, Attorney-in-Fact for ABS Ventures IX, L.P.
2016-09-21
/s/ Richard Segal, Attorney-in-fact for Calvert Capital V L.L.C.
2016-09-21
/s/ Richard Segal, Attorney-in-Fact for R. William Burgess, Jr.
2016-09-21