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