0001209191-19-056777.txt : 20191115 0001209191-19-056777.hdr.sgml : 20191115 20191115170232 ACCESSION NUMBER: 0001209191-19-056777 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191113 FILED AS OF DATE: 20191115 DATE AS OF CHANGE: 20191115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hornik David CENTRAL INDEX KEY: 0001547378 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38897 FILM NUMBER: 191225246 MAIL ADDRESS: STREET 1: 2480 SAND HILL ROAD, SUITE 101 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 2019-11-13 0 0001517413 Fastly, Inc. FSLY 0001547378 Hornik David C/O AUGUST CAPITAL PMB #456, 600 4TH STREET SAN FRANCISCO CA 94107 1 0 1 0 Class A Common Stock 2019-11-13 4 C 0 2886970 0.00 A 2886970 I See Footnote Class A Common Stock 2019-11-13 4 C 0 2417883 0.00 A 2417883 I See Footnote Class A Common Stock 2019-11-13 4 J 0 2886970 0.00 D 0 I See Footnote Class A Common Stock 2019-11-13 4 J 0 2417883 0.00 D 0 I See Footnote Class A Common Stock 2019-11-13 4 J 0 166596 0.00 A 166596 D Class B Common Stock 2019-11-13 4 C 0 2886970 0.00 D Class A Common Stock 2886970 5861425 I See Footnote Class B Common Stock 2019-11-13 4 C 0 2417883 0.00 D Class A Common Stock 2417883 4909036 I See Footnote These shares are held directly by August Capital VI, L.P. ("August VI"). August Capital Management VI, L.L.C. ("ACM VI") is the general partner of August VI and may be deemed to have sole voting and investment power over the shares held by August VI. David M. Hornik, Howard Hartenbaum and W. Eric Carlborg are members of ACM VI, and may be deemed to have shared voting and investment power over the shares held by August VI. Each such person and entity disclaims the existence of a "group" and disclaims beneficial ownership of any securities, except to the extent of such person's or entity's pecuniary interest in such securities. These shares are held directly by August Capital VI Special Opportunities, L.P. ("August VI SO"). ACM VI is the general partner of August VI SO and may be deemed to have sole voting and investment power over the shares held by August VI SO. David M. Hornik, Howard Hartenbaum and W. Eric Carlborg are members of ACM VI, and may be deemed to have shared voting and investment power over the shares held by August VI SO. Each such person and entity disclaims the existence of a "group" and disclaims beneficial ownership of any securities, except to the extent of such person's or entity's pecuniary interest in such securities. Represents a pro-rata, in-kind distribution by August VI, without additional consideration, to its partners, members and assigns. Represents a pro-rata, in-kind distribution by August VI SO, without additional consideration, to its partners, members and assigns. Represents a pro-rata, in-kind distribution by August VI and August VI SO, without additional consideration, to their respective partners, members and assigns. 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. In addition, 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. This report is one of two reports, each on a separate Form 4, but relating to the same transactions being filed by the entities affiliated with August Capital and their applicable members. David Hornik, By: /s/ Abigail Hipps, Attorney-in-Fact 2019-11-15