0001517413-24-000015.txt : 20240205 0001517413-24-000015.hdr.sgml : 20240205 20240205173035 ACCESSION NUMBER: 0001517413-24-000015 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240201 FILED AS OF DATE: 20240205 DATE AS OF CHANGE: 20240205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bergman Artur CENTRAL INDEX KEY: 0001769490 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38897 FILM NUMBER: 24596992 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] ORGANIZATION NAME: 06 Technology 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 wk-form4_1707172211.xml FORM 4 X0508 4 2024-02-01 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 0 Class A Common Stock 2024-02-01 4 A 0 14015 0 A 6094009 D Class A Common Stock 840005 I See Footnote Class A Common Stock 109686 I See Footnote Class A Common Stock 717691 I See Footnote Class A Common Stock 282309 I See Footnote The shares are represented by RSUs. Each RSU represents a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement. 100% of the RSUs are initially subject to vesting. 25% of the number of RSUs will vest on February 15, 2024 and 25% of the number of RSUs vest on May 15, 2024, August 15, 2024, and November 15, 2024), respectively, in each case subject to the Reporting Person's continued service with the Issuer through each applicable vesting date. 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 Three DTD 5/2/2019, of which the reporting person is the investment advisor. The shares are held by The Per Artur Bergman Grantor Retained Annuity Trust No. 2, of which the reporting person is trustee. The shares are held by The Per Artur Bergman Grantor Retained Annuity Trust No. 3, of which the reporting person is trustee. /s/ Karen Greenstein, Attorney-in-Fact 2024-02-05