0000899243-21-036085.txt : 20210915
0000899243-21-036085.hdr.sgml : 20210915
20210915171321
ACCESSION NUMBER: 0000899243-21-036085
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210915
FILED AS OF DATE: 20210915
DATE AS OF CHANGE: 20210915
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ELLIS MICHAEL J
CENTRAL INDEX KEY: 0001791056
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40787
FILM NUMBER: 211256040
MAIL ADDRESS:
STREET 1: 5757 N. GREEN BAY AVENUE
CITY: MILWAUKEE
STATE: WI
ZIP: 53209
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ForgeRock, Inc.
CENTRAL INDEX KEY: 0001543916
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 331223363
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 201 MISSION STREET
STREET 2: SUITE 2900
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
BUSINESS PHONE: (415) 599-1100
MAIL ADDRESS:
STREET 1: 201 MISSION STREET
STREET 2: SUITE 2900
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2021-09-15
0
0001543916
ForgeRock, Inc.
FORG
0001791056
ELLIS MICHAEL J
5757 N. GREEN BAY AVENUE
MILWAUKEE
WI
53209
0
0
1
0
Common Stock
1259068
D
Prior to the closing of the initial public offering of Class A common stock, par value $0.001 per share ("Class A Common Stock"), of ForgeRock, Inc. (the "Issuer"), each share of the Issuer's common stock, par value $0.001 per share ("Common Stock") will be reclassified into one share of the Issuer's Class B common stock, par value $0.001 per share ("Class B Common Stock"). Each share of Class B Common Stock is convertible at any time at the option of the holder into one share of Class A Common Stock. Additionally, each share of Class B Common Stock will, subject to certain exceptions, convert automatically into one share of Class A Common Stock upon any transfer.
/s/ Michael J. Ellis
2021-09-15