0000899243-19-027138.txt : 20191112
0000899243-19-027138.hdr.sgml : 20191112
20191112180307
ACCESSION NUMBER: 0000899243-19-027138
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191101
FILED AS OF DATE: 20191112
DATE AS OF CHANGE: 20191112
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ICONIQ STRATEGIC PARTNERS II, L.P.
CENTRAL INDEX KEY: 0001619710
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38897
FILM NUMBER: 191211153
BUSINESS ADDRESS:
STREET 1: 394 PACIFIC AVENUE, SECOND FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94118
BUSINESS PHONE: 415-967-7757
MAIL ADDRESS:
STREET 1: 394 PACIFIC AVENUE, SECOND FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94118
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ICONIQ STRATEGIC PARTNERS II-B, L.P.
CENTRAL INDEX KEY: 0001619682
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38897
FILM NUMBER: 191211154
BUSINESS ADDRESS:
STREET 1: 394 PACIFIC AVENUE, SECOND FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94118
BUSINESS PHONE: 415-967-7757
MAIL ADDRESS:
STREET 1: 394 PACIFIC AVENUE, SECOND FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94118
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ICONIQ Strategic Partners II Co-Invest, L.P., Series FT
CENTRAL INDEX KEY: 0001648713
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38897
FILM NUMBER: 191211155
BUSINESS ADDRESS:
STREET 1: 394 PACIFIC AVE.
STREET 2: FLOOR 2
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
BUSINESS PHONE: 4159677763
MAIL ADDRESS:
STREET 1: 394 PACIFIC AVE.
STREET 2: FLOOR 2
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ICONIQ Strategic Partners II GP, L.P.
CENTRAL INDEX KEY: 0001702932
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38897
FILM NUMBER: 191211156
BUSINESS ADDRESS:
STREET 1: 394 PACIFIC AVENUE 2ND FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
BUSINESS PHONE: 4159677763
MAIL ADDRESS:
STREET 1: 394 PACIFIC AVENUE 2ND FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ICONIQ Strategic Partners II TT GP, Ltd
CENTRAL INDEX KEY: 0001702831
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38897
FILM NUMBER: 191211157
BUSINESS ADDRESS:
STREET 1: 394 PACIFIC AVENUE 2ND FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
BUSINESS PHONE: 4159677763
MAIL ADDRESS:
STREET 1: 394 PACIFIC AVENUE 2ND FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Griffith William J.G.
CENTRAL INDEX KEY: 0001688124
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38897
FILM NUMBER: 191211158
MAIL ADDRESS:
STREET 1: 21300 VICTORY BLVD.
STREET 2: 12TH FLOOR
CITY: WOODLAND HILLS
STATE: CA
ZIP: 91367
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Makan Divesh
CENTRAL INDEX KEY: 0001688143
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38897
FILM NUMBER: 191211159
MAIL ADDRESS:
STREET 1: C/O ICONIQ CAPITAL
STREET 2: 394 PACIFIC AVENUE, 2ND FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Fastly, Inc.
CENTRAL INDEX KEY: 0001517413
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 275411834
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 475 BRANNAN
STREET 2: SUITE 300
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
BUSINESS PHONE: 415-525-3481
MAIL ADDRESS:
STREET 1: 475 BRANNAN
STREET 2: SUITE 300
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
FORMER COMPANY:
FORMER CONFORMED NAME: Skycache, Inc.(DE)
DATE OF NAME CHANGE: 20110405
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-11-01
0
0001517413
Fastly, Inc.
FSLY
0001619710
ICONIQ STRATEGIC PARTNERS II, L.P.
C/O ICONIQ STRATEGIC PARTNERS
394 PACIFIC AVENUE, 2ND FLOOR
SAN FRANCISCO
CA
94111
0
0
1
0
0001619682
ICONIQ STRATEGIC PARTNERS II-B, L.P.
C/O ICONIQ STRATEGIC PARTNERS
394 PACIFIC AVENUE, 2ND FLOOR
SAN FRANCISCO
CA
94111
0
0
1
0
0001648713
ICONIQ Strategic Partners II Co-Invest, L.P., Series FT
C/O ICONIQ STRATEGIC PARTNERS
394 PACIFIC AVENUE, 2ND FLOOR
SAN FRANCISCO
CA
94111
0
0
1
0
0001702932
ICONIQ Strategic Partners II GP, L.P.
C/O ICONIQ STRATEGIC PARTNERS
394 PACIFIC AVENUE, 2ND FLOOR
SAN FRANCISCO
CA
94111
0
0
1
0
0001702831
ICONIQ Strategic Partners II TT GP, Ltd
C/O ICONIQ STRATEGIC PARTNERS
394 PACIFIC AVENUE, 2ND FLOOR
SAN FRANCISCO
CA
94111
0
0
1
0
0001688124
Griffith William J.G.
C/O ICONIQ STRATEGIC PARTNERS
394 PACIFIC AVENUE, 2ND FLOOR
SAN FRANCISCO
CA
94111
0
0
1
0
0001688143
Makan Divesh
C/O ICONIQ STRATEGIC PARTNERS
394 PACIFIC AVENUE, 2ND FLOOR
SAN FRANCISCO
CA
94111
0
0
1
0
Class A Common Stock
2019-11-01
4
C
0
4656170
0.00
A
4656170
I
See Footnotes
Class A Common Stock
2019-11-01
4
C
0
3644864
0.00
A
3644864
I
See Footnotes
Class A Common Stock
2019-11-01
4
C
0
1860465
0.00
A
1860465
I
See Footnotes
Class B Common Stock
2019-11-01
4
C
0
4656170
0.00
D
Class A Common Stock
4656170
0
I
See Footnotes
Class B Common Stock
2019-11-01
4
C
0
3644864
0.00
D
Class A Common Stock
3644864
0
I
See Footnotes
Class B Common Stock
2019-11-01
4
C
0
1860465
0.00
D
Class A Common Stock
1860465
0
I
See Footnotes
At the request of the holder, on November 1, 2019, each such share of the Issuer's Class B Common Stock was converted into one (1) share of the Issuer's Class A Common Stock.
These shares are held directly by ICONIQ Strategic Partners II, L.P. ("ICONIQ II"). ICONIQ Strategic Partners II GP, L.P. ("ICONIQ GP") is the general partner of ICONIQ II. ICONIQ Strategic Partners II TT GP, Ltd. ("ICONIQ Parent GP"), is the general partner of ICONIQ GP. Divesh Makan ("Makan") and William Griffith ("Griffith") are the sole equity holders and directors of ICONIQ Parent GP.
Each of ICONIQ GP, ICONIQ Parent GP, Makan and Griffith disclaims beneficial ownership of the securities reported herein for purposes of Section 16 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), except to the extent of its or his pecuniary interest therein, if any. This report shall not be deemed an admission that any of the Reporting Persons is a beneficial owner of such securities for the purpose of Section 16 of the Exchange Act, or for any other purpose.
These shares are held directly by ICONIQ Strategic Partners II-B, L.P. ("ICONIQ II-B"). ICONIQ GP is the general partner of ICONIQ II-B.
These shares are held directly by ICONIQ Strategic Partners II Co-Invest, L.P., Series FT ("ICONIQ II Series FT"). ICONIQ GP is the general partner of ICONIQ II Series FT.
ICONIQ Strategic Partners II, L.P., by ICONIQ Strategic Partners II GP, L.P., its General Partner, by ICONIQ Strategic Partners II TT GP, Ltd., its General Partner, /s/ Kevin Foster
2019-11-12
ICONIQ Strategic Partners II-B, L.P., by ICONIQ Strategic Partners II GP, L.P., its General Partner, by ICONIQ Strategic Partners II TT GP, Ltd., its General Partner, /s/ Kevin Foster
2019-11-12
ICONIQ Strategic Partners II Co-Invest L.P., Series FT, By: ICONIQ Strategic Partners II GP, L.P., its General Partner, By: ICONIQ Strategic Partners II TT GP, Ltd., its General Partner, By: /s/Kevin Foster
2019-11-12
ICONIQ Strategic Partners II GP, L.P., by ICONIQ Strategic Partners II TT GP, Ltd., its General Partner, /s/ Kevin Foster
2019-11-12
ICONIQ Strategic Partners II TT GP, Ltd., by Kevin Foster, its Senior Vice President, /s/ Kevin Foster
2019-11-12
/s/ William J.G. Griffith
2019-11-12
/s/ Divesh Makan
2019-11-12