0001209191-21-057263.txt : 20210922 0001209191-21-057263.hdr.sgml : 20210922 20210922163237 ACCESSION NUMBER: 0001209191-21-057263 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210920 FILED AS OF DATE: 20210922 DATE AS OF CHANGE: 20210922 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ott Alexander CENTRAL INDEX KEY: 0001496305 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40787 FILM NUMBER: 211270012 MAIL ADDRESS: STREET 1: C/O CROSS CONTINENTAL VENTURES STREET 2: 2122 INVERNESS LANE CITY: BERWYN STATE: PA ZIP: 19312 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ForgeRock, Inc. CENTRAL INDEX KEY: 0001543916 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 331223363 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 201 MISSION STREET STREET 2: SUITE 2900 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: (415) 599-1100 MAIL ADDRESS: STREET 1: 201 MISSION STREET STREET 2: SUITE 2900 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-09-20 0 0001543916 ForgeRock, Inc. FORG 0001496305 Ott Alexander C/O FORGEROCK, INC. 201 MISSION STREET, SUITE 2900 SAN FRANCISCO CA 94105 1 0 0 0 Common Stock 2021-09-20 4 C 0 384862 0.00 A 384862 I See Footnote Common Stock 2021-09-20 4 J 0 384862 0.00 D 0 I See Footnote Common Stock 2021-09-20 4 J 0 504286 0.00 D 0 D Series A Preferred Stock 2021-09-20 4 C 0 285714 0.00 D Common Stock 285714 0 I See Footnote Series B Preferred Stock 2021-09-20 4 C 0 99148 0.00 D Common Stock 99148 0 I See Footnote Class B Common Stock 2021-09-20 4 J 0 504286 0.00 A Class A Common Stock 504286 504286 D Class B Common Stock 2021-09-20 4 J 0 384862 0.00 A Class A Common Stock 384862 384862 I See Footnote Pursuant to a reclassification exempt under Rule 16b-7 (the "Reclassification"), each share of ForgeRock, Inc.'s (the "Issuer") common stock, par value $0.001 per share (the "Common Stock"), was automatically reclassified into one share of the Issuer's Class B common stock, par value $0.001 per share (the "Class B Common Stock"), immediately prior to the closing of the initial public offering (the "IPO") of the Issuer's Class A common stock, par value $0.001 per share (the "Class A Common Stock"). Each share of Class B Common Stock is convertible at any time at the option of the holder into one share of Class A Common Stock and has no expiration date. Additionally, each share of Class B Common Stock will, subject to certain conditions and exceptions, convert automatically into one share of Class A Common Stock upon any transfer. Each share of Series A Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the closing of the IPO and had no expiration date. Each share of Series B Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the closing of the IPO and had no expiration date. Shares held by CrossContinental Ventures. Mr. Ott has sole voting and dispositive control over the shares held by CrossContinental Ventures and thus may be deemed to beneficially own the shares held by CrossContinental Ventures. /s/ Samuel J. Fleischmann, by Power of Attorney for Alexander Ott 2021-09-22