0001209191-20-054781.txt : 20201014 0001209191-20-054781.hdr.sgml : 20201014 20201014162945 ACCESSION NUMBER: 0001209191-20-054781 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201009 FILED AS OF DATE: 20201014 DATE AS OF CHANGE: 20201014 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Moskovitz Dustin A. CENTRAL INDEX KEY: 0001549917 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39495 FILM NUMBER: 201239306 MAIL ADDRESS: STREET 1: P.O. BOX 2929 CITY: SAN FRANCISCO STATE: CA ZIP: 94126 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Asana, Inc. CENTRAL INDEX KEY: 0001477720 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 263912448 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 1550 BRYANT STREET, SUITE 800 CITY: SAN FRANCISCO STATE: CA ZIP: 94103 BUSINESS PHONE: (415) 525-3888 MAIL ADDRESS: STREET 1: 1550 BRYANT STREET, SUITE 800 CITY: SAN FRANCISCO STATE: CA ZIP: 94103 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-10-09 0 0001477720 Asana, Inc. ASAN 0001549917 Moskovitz Dustin A. C/O ASANA, INC. 1550 BRYANT STREET, SUITE 200 SAN FRANCISCO CA 94103 1 1 1 0 President, CEO, & Chair Class B Common Stock 2020-10-09 4 J 0 42578 0.00 D Class A Common Stock 42578 0 I See footnote Class B Common Stock 2020-10-09 4 J 0 17988 0.00 A Class A Common Stock 17988 25017933 I See footnote Class B Common Stock Class A Common Stock 21395830 21395830 D Class B Common Stock Class A Common Stock 2604170 2604170 I See footnote Class B Common Stock Class A Common Stock 460000 460000 I See footnote Class B Common Stock Class A Common Stock 1229256 1229256 I See footnote Each share of Class B Common Stock is convertible into one share of Class A Common Stock upon the option of the holder and has no expiration date. Represents a pro rata distribution by Moskovitz Investment Holdings, LLC (Moskovitz Investment). Dustin Moskovitz, Adam Moskovitz, and Richard Druckman, the managing members of Moskovitz Investment, have shared voting and dispositive power with respect to these shares. The shares are held of record by Moskovitz Investment. Represents shares received by Dustin A. Moskovitz TTEE Dustin A. Moskovitz Trust DTD 12/27/05 (Moskovitz Trust) pursuant to a pro rata distribution by Moskovitz Investment, for no consideration, of shares of Class B Common Stock of the Issuer. The shares are held of record by Moskovitz Trust. The shares are held of record by Dustin Moskovitz Roth IRA. The shares are held of record by Justin Rosenstein Trust. Dustin Moskovitz is the trustee of the Justin Rosenstein Trust and may be deemed to have voting power and dispositive power over the shares held by the trust. The shares are held of record by Justin Rosenstein Trust 2. Dustin Moskovitz is the trustee of the Justin Rosenstein Trust 2 and may be deemed to have voting power and dispositive power over the shares held by the trust. /s/ Katie Colendich, Attorney-in-Fact 2020-10-14