0001209191-21-058559.txt : 20211001
0001209191-21-058559.hdr.sgml : 20211001
20211001173412
ACCESSION NUMBER: 0001209191-21-058559
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210928
FILED AS OF DATE: 20211001
DATE AS OF CHANGE: 20211001
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: 211300177
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: 633 FOLSOM STREET
STREET 2: SUITE 100
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
BUSINESS PHONE: (415) 525-3888
MAIL ADDRESS:
STREET 1: 633 FOLSOM STREET
STREET 2: SUITE 100
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-09-28
0
0001477720
Asana, Inc.
ASAN
0001549917
Moskovitz Dustin A.
C/O ASANA, INC.
633 FOLSOM STREET, SUITE 100
SAN FRANCISCO
CA
94107
1
1
1
0
President, CEO, & Chair
Class B Common Stock
2021-09-28
5
G
0
E
50832
0.00
D
Class A Common Stock
50832
1178424
I
See footnote
Class B Common Stock
Class A Common Stock
21395830
21395830
D
Class B Common Stock
Class A Common Stock
42030755
42030755
I
See footnote
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
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.
The Reporting Person transferred the shares as a gift to Justin Rosenstein.
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.
The shares are held of record by Dustin A. Moskovitz TTEE Dustin A. Moskovitz Trust DTD 12/27/05.
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.
/s/ Katie Colendich, Attorney-in-Fact
2021-10-01