0001209191-23-059608.txt : 20231222 0001209191-23-059608.hdr.sgml : 20231222 20231222172617 ACCESSION NUMBER: 0001209191-23-059608 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231220 FILED AS OF DATE: 20231222 DATE AS OF CHANGE: 20231222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Solomon Glenn CENTRAL INDEX KEY: 0001479296 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41121 FILM NUMBER: 231510896 MAIL ADDRESS: STREET 1: C/O GGV CAPITAL STREET 2: 3000 SAND HILL ROAD, SUITE 4-230 CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HashiCorp, Inc. CENTRAL INDEX KEY: 0001720671 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371] ORGANIZATION NAME: 06 Technology IRS NUMBER: 320410665 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 101 2ND STREET, SUITE 700 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: 415-301-3227 MAIL ADDRESS: STREET 1: 101 2ND STREET, SUITE 700 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 4 1 doc4.xml FORM 4 SUBMISSION X0508 4 2023-12-20 0 0001720671 HashiCorp, Inc. HCP 0001479296 Solomon Glenn C/O HASHICORP, INC. 101 SECOND STREET, SUITE 700 SAN FRANCISCO CA 94105 1 0 0 0 0 Class A Common Stock 2023-12-20 4 M 0 484 A 484 D Class A Common Stock 174152 I By GGV Capital V L.L.C. Class A Common Stock 375289 I By Family Trust Class A Common Stock 32629 I By Family Trust Class A Common Stock 476666 I By GGV Capital Select L.P. Class A Common Stock 8172 I By GGV Capital LLC Restricted Stock Units 2023-12-20 4 M 0 484 0.00 D Class A Common Stock 484 0 D Each restricted stock unit, or RSU, represents a contingent right to receive one share of Issuer Class A Common Stock. The shares are held of record by GGV Capital V L.L.C. ("GGV V LLC"). As a managing member of GGV V LLC, the Reporting Person may be deemed to have voting and dispositive power over the shares held by GGV V LLC. The Reporting Person disclaims beneficial ownership of such shares, except to the extent of his proportionate pecuniary interest therein. The shares are held of record by a family trust, as a trustee, the Reporting Person may be deemed to have voting and dispositive power over these shares. The Reporting Person disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest therein. The shares are held of record by GGV Capital Select L.P. ("GGV Select LP"). As a managing member of GGV Capital Select L.L.C. ("GGV Select LLC"), the general partner of GGV Select LP, the Reporting Person may be deemed to have voting and dispositive power over the shares held by GGV Select LP. The Reporting Person disclaims beneficial ownership of such shares, except to the extent of his proportionate pecuniary interest therein. The shares are held of record by GGV Capital LLC. As a managing member of GGV LLC, the Reporting Person may be deemed to have voting and dispositive power over the shares held by GGV Capital LLC. The Reporting Person disclaims beneficial ownership of such shares, except to the extent of his proportionate pecuniary interest therein. The RSUs vested on December 20, 2023. /s/ Paul Warenski, by power of attorney 2023-12-22