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