0001209191-19-058319.txt : 20191127
0001209191-19-058319.hdr.sgml : 20191127
20191127160839
ACCESSION NUMBER: 0001209191-19-058319
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191125
FILED AS OF DATE: 20191127
DATE AS OF CHANGE: 20191127
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: 191257912
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: 191257913
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: 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: 191257914
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
2019-11-25
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
Class A Common Stock
2019-11-25
4
C
0
1200000
0.00
A
1200000
I
See Footnote
Class A Common Stock
2019-11-25
4
C
0
325072
0.00
A
325072
I
See Footnote
Class A Common Stock
2019-11-25
4
J
0
1200000
0.00
D
0
I
See Footnote
Class A Common Stock
2019-11-25
4
J
0
325072
0.00
D
0
I
See Footnote
Class A Common Stock
2019-11-25
4
J
0
36702
0.00
A
36702
I
See Footnote
Class A Common Stock
2019-11-25
4
J
0
36702
0.00
D
0
I
See Footnote
Class B Common Stock
2019-11-25
4
C
0
1200000
0.00
D
Class A Common Stock
1200000
5298407
I
See Footnote
Class B Common Stock
2019-11-25
4
C
0
325072
0.00
D
Class A Common Stock
325072
1435298
I
See Footnote
Each share of Class B Common Stock converted into Class A Common Stock upon the election of the reporting person.
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.
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.
The reporting person distributed, for no consideration, the shares of Class A Common Stock to its partners, representing each such partner's pro rata interest in such shares.
These shares are held directly by 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 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. 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.
Amplify GP Partners, LLC, By: /s/ Steve Agelopoulos, Chief Financial Officer
2019-11-27
Amplify Partners, L.P., By: Amplify GP Partners, LLC, its sole general partner, By: /s/ Steve Agelopoulos, Chief Financial Officer
2019-11-27
AP Opportunity Fund LLC, By: Amplify GP Partners, LLC, its sole general partner, By: /s/ Steve Agelopoulos, Chief Financial Officer
2019-11-27