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