0001684552-17-000001.txt : 20170413
0001684552-17-000001.hdr.sgml : 20170413
20170413161712
ACCESSION NUMBER: 0001684552-17-000001
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170411
FILED AS OF DATE: 20170413
DATE AS OF CHANGE: 20170413
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: PUTRA CINTAWATI W.
CENTRAL INDEX KEY: 0001684552
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37874
FILM NUMBER: 17760831
MAIL ADDRESS:
STREET 1: C/O EVERBRIDGE, INC.
STREET 2: 25 CORPORATE DRIVE, SUITE 400
CITY: BURLINGTON
STATE: MA
ZIP: 01803
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2017-04-11
0
0001437352
EVERBRIDGE, INC.
EVBG
0001684552
PUTRA CINTAWATI W.
C/O EVERBRIDGE, INC.
25 CORPORATE DRIVE, SUITE 400
BURLINGTON
MA
01803
1
0
0
0
Common Stock
2017-04-11
4
S
0
580000
18.8575
A
361417
I
See Footnote
Common Stock
23179
D
Common Stock
521739
I
See Footnote
Common Stock
521739
I
See Footnote
Common Stock
1304
I
By spouse
The shares were sold in a public offering by the Issuer, pursuant to a Form S-1 Registration Statement which was declared effective on April
5, 2017. The reported sale price reflects the price at which the shares were sold to the underwriters.
The shares are held by the Steven T. Kirchmeier and Cintawati W. Putra Living Trust Dated May 5, 2015, of which the reporting person and her spouse are trustee.
The shares are held by the Cintawati W. Putra 2015 Grantor Retained Annuity Trust, of which the reporting person and her spouse are trustee.
The shares are held by the Steven T. Kirchmeier 2015 Grantor Retained Annuity Trust, of which the reporting person and her spouse are trustee.
/s/ Elliot J. Mark, Attorney-in-Fact
2017-04-13