0001209191-19-031844.txt : 20190521
0001209191-19-031844.hdr.sgml : 20190521
20190521190956
ACCESSION NUMBER: 0001209191-19-031844
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190521
FILED AS OF DATE: 20190521
DATE AS OF CHANGE: 20190521
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: AP Opportunity Fund LLC
CENTRAL INDEX KEY: 0001775996
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38897
FILM NUMBER: 19843682
BUSINESS ADDRESS:
STREET 1: 800 MENLO AVENUE
STREET 2: SUITE 220
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-445-0800
MAIL ADDRESS:
STREET 1: 800 MENLO AVENUE
STREET 2: SUITE 220
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Amplify Partners, L.P.
CENTRAL INDEX KEY: 0001562623
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38897
FILM NUMBER: 19843683
BUSINESS ADDRESS:
STREET 1: C/O SUNIL DHALIWAL
STREET 2: 32 BOWDOIN STREET
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
BUSINESS PHONE: 617-834-3512
MAIL ADDRESS:
STREET 1: C/O SUNIL DHALIWAL
STREET 2: 32 BOWDOIN STREET
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Amplify GP Partners, LLC
CENTRAL INDEX KEY: 0001775868
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38897
FILM NUMBER: 19843684
BUSINESS ADDRESS:
STREET 1: 800 MENLO AVENUE
STREET 2: SUITE 220
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-445-0800
MAIL ADDRESS:
STREET 1: 800 MENLO AVENUE
STREET 2: SUITE 220
CITY: MENLO PARK
STATE: CA
ZIP: 94025
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
2019-05-21
0
0001517413
Fastly, Inc.
FSLY
0001775868
Amplify GP Partners, LLC
800 MENLO AVENUE
SUITE 220
MENLO PARK
CA
94025
0
0
1
0
0001562623
Amplify Partners, L.P.
800 MENLO AVENUE
SUITE 220
MENLO PARK
CA
94025
0
0
1
0
0001775996
AP Opportunity Fund LLC
800 MENLO AVENUE
SUITE 220
MENLO PARK
CA
94025
0
0
1
0
Series Seed Convertible Preferred Stock
2019-05-21
4
C
0
3405502
0.00
D
Class B Common Stock
3405502
0
I
See Footnote
Series A Convertible Preferred Stock
2019-05-21
4
C
0
1101420
0.00
D
Class B Common Stock
1101420
0
I
See Footnote
Series B Convertible Preferred Stock
2019-05-21
4
C
0
777632
0.00
D
Class B Common Stock
777632
0
I
See Footnote
Series C Convertible Preferred Stock
2019-05-21
4
C
0
704589
0.00
D
Class B Common Stock
704589
0
I
See Footnote
Series C Convertible Preferred Stock
2019-05-21
4
C
0
1174315
0.00
D
Class B Common Stock
1174315
0
I
See Footnote
Series D Convertible Preferred Stock
2019-05-21
4
C
0
15504
0.00
D
Class B Common Stock
15504
0
I
See Footnote
Series D Convertible Preferred Stock
2019-05-21
4
C
0
522605
0.00
D
Class B Common Stock
522605
0
I
See Footnote
Series E Convertible Preferred Stock
2019-05-21
4
C
0
229175
0.00
D
Class B Common Stock
229175
0
I
See Footnote
Series E Convertible Preferred Stock
2019-05-21
4
C
0
66090
0.00
D
Class B Common Stock
66090
0
I
See Footnote
Series F Convertible Preferred Stock
2019-05-21
4
C
0
97803
0.00
D
Class B Common Stock
97803
0
I
See Footnote
Series F Convertible Preferred Stock
2019-05-21
4
C
0
24450
0.00
D
Class B Common Stock
24450
0
I
See Footnote
Class B Common Stock
2019-05-21
4
C
0
6331625
0.00
A
Class A Common Stock
6331625
6598407
I
See Footnote
Class B Common Stock
2019-05-21
4
C
0
1787460
0.00
A
Class A Common Stock
1787460
1787460
I
See Footnote
Each share of Series Seed Convertible Preferred Stock automatically converted into Class B Common Stock on a 1:1 basis immediately upon the closing of the Issuer's initial public offering. The Series Seed Convertible Preferred Stock has no expiration date.
Each share of Class B Common Stock will convert automatically into Class A Common Stock upon any transfer except certain "Permitted Transfers" described in the Issuer's amended and restated certificate of incorporation. Following the closing of the initial public offering, all outstanding shares of Class B Common Stock will convert into shares of Class A Common Stock upon the earliest of (i) the first trading day falling nine months after the date on which the shares of Class B Common Stock represent less than 10% of the aggregate number of outstanding shares of Class A Common Stock and Class B Common Stock, (ii) the date specified by the vote of the holders of Class B Common Stock representing at least a majority of the outstanding shares of Class B Common Stock, or (iii) the first trading day falling ten years after the Effective Time as defined in the Issuer's amended and restated certificate of incorporation.
These shares are held directly by Amplify Partners, L.P. The sole general partner is Amplify GP Partners, LLC. Sunil Dhaliwal, a member of the Issuer's Board of Directors, is a managing member of Amplify GP Partners, LLC, and may be deemed to have voting and investment power with respect to these securities. Amplify GP Partners, LLC and Sunil Dhaliwal disclaims beneficial ownership of the securities except to the extent of his or its pecuniary interest therein.
Each share of Series A Convertible Preferred Stock automatically converted into Class B Common Stock on a 1:1 basis immediately upon the closing of the Issuer's initial public offering. The Series A Convertible Preferred Stock has no expiration date.
Each share of Series B Convertible Preferred Stock automatically converted into Class B Common Stock on a 1:1 basis immediately upon the closing of the Issuer's initial public offering. The Series B Convertible Preferred Stock has no expiration date.
Each share of Series C Convertible Preferred Stock automatically converted into Class B Common Stock on a 1:1 basis immediately upon the closing of the Issuer's initial public offering. The Series C Convertible Preferred Stock has no expiration date.
These shares are held directly by AP Opportunity Fund LLC. The sole general partner is Amplify GP Partners, LLC. Sunil Dhaliwal, a member of the Issuer's Board of Directors, is a managing member of Amplify GP Partners, LLC, and may be deemed to have voting and investment power with respect to these securities. Amplify GP Partners, LLC and Sunil Dhaliwal disclaims beneficial ownership of the securities except to the extent of his or its pecuniary interest therein.
Each share of Series D Convertible Preferred Stock automatically converted into Class B Common Stock on a 1:1 basis immediately upon the closing of the Issuer's initial public offering. The Series D Convertible Preferred Stock has no expiration date.
Each share of Series E Convertible Preferred Stock automatically converted into Class B Common Stock on a 1:1 basis immediately upon the closing of the Issuer's initial public offering. The Series E Convertible Preferred Stock has no expiration date.
Each share of Series F Convertible Preferred Stock automatically converted into Class B Common Stock on a 1:1 basis immediately upon the closing of the Issuer's initial public offering. The Series F Convertible Preferred Stock has no expiration date.
Amplify GP Partners, LLC, By: /s/ Steve Agelopoulos, Chief Financial Officer
2019-05-21
Amplify Partners, L.P., By: Amplify GP Partners, LLC, its sole general partner, By: /s/ Steve Agelopoulos, Chief Financial Officer
2019-05-21
AP Opportunity Fund LLC, By: Amplify GP Partners, LLC, its sole general partner, By: /s/ Steve Agelopoulos, Chief Financial Officer
2019-05-21