0001209191-21-039308.txt : 20210609 0001209191-21-039308.hdr.sgml : 20210609 20210609200311 ACCESSION NUMBER: 0001209191-21-039308 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210607 FILED AS OF DATE: 20210609 DATE AS OF CHANGE: 20210609 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bergman Artur CENTRAL INDEX KEY: 0001769490 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38897 FILM NUMBER: 211006553 MAIL ADDRESS: STREET 1: C/O FASTLY, INC. STREET 2: 475 BRANNAN STREET, SUITE 300 CITY: SAN FRANCISCO STATE: CA ZIP: 94107 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 2021-06-07 0 0001517413 Fastly, Inc. FSLY 0001769490 Bergman Artur C/O FASTLY, INC. 475 BRANNAN STREET, SUITE 300 SAN FRANCISCO CA 94107 1 1 0 0 Chief Architect, Exec. Chair Class A Common Stock 2021-06-07 4 C 0 14423 0.00 A 313944 D Class A Common Stock 2021-06-07 4 S 0 1000 46.93 D 312944 D Class A Common Stock 2021-06-07 4 S 0 1100 47.89 D 311844 D Class A Common Stock 2021-06-07 4 S 0 1200 48.99 D 310644 D Class A Common Stock 2021-06-07 4 S 0 4300 49.99 D 306344 D Class A Common Stock 2021-06-07 4 S 0 6823 50.84 D 299521 D Class B Common Stock 2021-06-02 5 G 0 E 1511447 0.00 D Class A Common Stock 1511447 0 I See Footnote Class B Common Stock 2021-06-02 5 G 0 E 711269 0.00 D Class A Common Stock 711269 0 I See Footnote Class B Common Stock 2021-06-02 5 G 0 E 840005 0.00 A Class A Common Stock 840005 840005 I See Footnote Class B Common Stock 2021-06-02 5 G 0 E 209686 0.00 A Class A Common Stock 209686 209686 I See Footnote Class B Common Stock 2021-06-02 5 G 0 E 209686 0.00 A Class A Common Stock 209686 209686 I See Footnote Class B Common Stock 2021-06-02 5 G 0 E 963339 0.00 A Class A Common Stock 963339 6788363 D Class B Common Stock 2021-06-04 5 G 0 E 1000000 0.00 D Class A Common Stock 1000000 5788363 D Class B Common Stock 2021-06-04 5 G 0 E 1000000 0.00 A Class A Common Stock 1000000 1000000 I See Footnote Class B Common Stock 2021-06-07 4 C 0 14423 0.00 D Class A Common Stock 14423 5773940 D Each share of Class B Common Stock converted into Class A Common Stock upon the election of the reporting person. The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $46.38 to $47.31, inclusive. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the SEC, upon request, full information regarding the number of shares sold at each separate price within the rangesin Footnotes (3) and (7) of this Form 4. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $47.39 to $48.30, inclusive. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $48.45 to $49.43, inclusive. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $49.49 to $50.48, inclusive. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $50.51 to $51.27, inclusive. Each share of Class B Common Stock will convert automatically into Class A Common Stock upon (a) nine months following the death of the reporting person, or (b) 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 seven years after the Effective Time as defined in the Issuer's amended and restated certificate of incorporation, as amended. Upon termination of The Artur Bergman 2019 Annuity Trust One, on June 2, 2021, 840,005 shares were distributed to The Arthur Bergman Remainder Trust One DTD 5/2/2019 and 209,686 shares were distributed to The Arthur Bergman Remainder Trust Two DTD 5/2/2019. 461,756 shares were distributed to the reporting person and continue to be reported in this Form 4 as directly owned. The shares were held by The Artur Bergman 2019 Annuity Trust One, of which the reporting person is trustee. Upon termination of The Artur Bergman 2019 Annuity Trust Two, on June 2, 2021, 209,686 shares were distributed to The Arthur Bergman Remainder Trust Three DTD 5/2/2019. 501,583 shares were distributed to the reporting person and continue to be reported in this Form 4 as directly held. The shares were held by The Artur Bergman 2019 Annuity Trust Two, of which the reporting person is trustee. The shares are held by The Artur Bergman Remainder Trust One DTD 5/2/2019, of which the reporting person is the investment advisor. The shares are held by The Artur Bergman Remainder Trust Two DTD 5/2/2019, of which the reporting person is the investment advisor. The shares are held by The Artur Bergman Remainder Trust Three DTD 5/2/2019, of which the reporting person is the investment advisor. On June 4, 2021, the reporting person transferred the shares to The Per Artur Bergman Grantor Retained Annuity Trust No. 1, of which the reporting person is trustee. The shares are held by The Per Artur Bergman Grantor Retained Annuity Trust No. 1, of which the reporting person is trustee. /s/ Seth Gottlieb, Attorney-in-Fact 2020-06-09