0000899243-21-048443.txt : 20211215
0000899243-21-048443.hdr.sgml : 20211215
20211215202505
ACCESSION NUMBER: 0000899243-21-048443
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211213
FILED AS OF DATE: 20211215
DATE AS OF CHANGE: 20211215
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MAYFIELD XIV, A CAYMAN ISLANDS EXEMPTED LIMITED PARTNERSHIP
CENTRAL INDEX KEY: 0001551568
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41121
FILM NUMBER: 211495604
BUSINESS ADDRESS:
STREET 1: 2484 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650.854.5560
MAIL ADDRESS:
STREET 1: 2484 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mayfield XIV Management (UGP), Ltd.
CENTRAL INDEX KEY: 0001648252
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41121
FILM NUMBER: 211495602
BUSINESS ADDRESS:
STREET 1: 2484 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 6508545560
MAIL ADDRESS:
STREET 1: 2484 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mayfield XIV Management (EGP), L.P.
CENTRAL INDEX KEY: 0001648253
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41121
FILM NUMBER: 211495603
BUSINESS ADDRESS:
STREET 1: 2484 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 6508545560
MAIL ADDRESS:
STREET 1: 2484 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MAYFIELD SELECT, A CAYMAN ISLANDS EXEMPTED LIMITED PARTNERSHIP
CENTRAL INDEX KEY: 0001667217
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41121
FILM NUMBER: 211495601
BUSINESS ADDRESS:
STREET 1: 2484 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650.854.5560
MAIL ADDRESS:
STREET 1: 2484 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MF Leaders Management, L.L.C.
CENTRAL INDEX KEY: 0001883973
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41121
FILM NUMBER: 211495597
BUSINESS ADDRESS:
STREET 1: C/O MAYFIELD
STREET 2: 2484 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 854-5560
MAIL ADDRESS:
STREET 1: C/O MAYFIELD
STREET 2: 2484 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mayfield Select Management (EGP), L.P.
CENTRAL INDEX KEY: 0001708789
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41121
FILM NUMBER: 211495600
BUSINESS ADDRESS:
STREET 1: 2484 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 6508545560
MAIL ADDRESS:
STREET 1: 2484 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mayfield Select Management (UGP), Ltd.
CENTRAL INDEX KEY: 0001708788
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41121
FILM NUMBER: 211495599
BUSINESS ADDRESS:
STREET 1: 2484 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 6508545560
MAIL ADDRESS:
STREET 1: 2484 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MF Leaders H-E, L.P.
CENTRAL INDEX KEY: 0001807009
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41121
FILM NUMBER: 211495598
BUSINESS ADDRESS:
STREET 1: 2484 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 854-5560
MAIL ADDRESS:
STREET 1: 2484 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: HashiCorp, Inc.
CENTRAL INDEX KEY: 0001720671
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371]
IRS NUMBER: 320410665
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0131
BUSINESS ADDRESS:
STREET 1: 101 2ND STREET, SUITE 700
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
BUSINESS PHONE: 415-301-3227
MAIL ADDRESS:
STREET 1: 101 2ND STREET, SUITE 700
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-12-13
0
0001720671
HashiCorp, Inc.
HCP
0001551568
MAYFIELD XIV, A CAYMAN ISLANDS EXEMPTED LIMITED PARTNERSHIP
2484 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001648253
Mayfield XIV Management (EGP), L.P.
2484 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001648252
Mayfield XIV Management (UGP), Ltd.
2484 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001667217
MAYFIELD SELECT, A CAYMAN ISLANDS EXEMPTED LIMITED PARTNERSHIP
2484 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001708789
Mayfield Select Management (EGP), L.P.
2484 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001708788
Mayfield Select Management (UGP), Ltd.
2484 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001807009
MF Leaders H-E, L.P.
2484 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001883973
MF Leaders Management, L.L.C.
2484 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
Common Stock
2021-12-13
4
C
0
25743304
A
26216776
I
Mayfield XIV, a Cayman Islands Exempted Limited Partnership
Common Stock
2021-12-13
4
C
0
3325602
A
3325602
I
Mayfield Select, a Cayman Islands Exempted Limited Partnership
Common Stock
2021-12-13
4
C
0
345778
A
345778
I
MF Leaders H-E, L.P.
Common Stock
2021-12-13
4
J
0
26216776
D
0
I
Mayfield XIV, a Cayman Islands Exempted Limited Partnership
Common Stock
2021-12-13
4
J
0
3325602
D
0
I
Mayfield Select, a Cayman Islands Exempted Limited Partnership
Common Stock
2021-12-13
4
J
0
345778
D
0
I
MF Leaders H-E, L.P.
Series A Convertible Preferred Stock
2021-12-13
4
C
0
18490454
0.00
D
Common Stock
18490454
0
I
Mayfield XIV, a Cayman
Islands Exempted Limited Partnership
Series B Convertible Preferred Stock
2021-12-13
4
C
0
7173942
0.00
D
Common Stock
7173942
0
I
Mayfield XIV, a Cayman
Islands Exempted Limited Partnership
Series C Convertible Preferred Stock
2021-12-13
4
C
0
78908
0.00
D
Common Stock
78908
0
I
Mayfield XIV, a Cayman
Islands Exempted Limited Partnership
Series C Convertible Preferred Stock
2021-12-13
4
C
0
3235376
0.00
D
Common Stock
3235376
0
I
Mayfield Select, a Cayman
Islands Exempted Limited Partnership
Series D Convertible Preferred Stock
2021-12-13
4
C
0
90226
0.00
D
Common Stock
90226
0
I
Mayfield Select, a Cayman
Islands Exempted Limited Partnership
Series E Convertible Preferred Stock
2021-12-13
4
C
0
345778
0.00
D
Common Stock
345778
0
I
MF Leaders H-E, L.P.
Class B Common Stock
2021-12-13
4
J
0
26216776
A
Class A Common Stock
26216776
26216776
I
Mayfield XIV, a Cayman
Islands Exempted Limited Partnership
Class B Common Stock
2021-12-13
4
J
0
3325602
A
Class A Common Stock
3325602
3325602
I
Mayfield Select, a Cayman
Islands Exempted Limited Partnership
Class B Common Stock
2021-12-13
4
J
0
345778
A
Class A Common Stock
345778
345778
I
MF Leaders H-E, L.P.
Each share of Series A Convertible Preferred Stock automatically converted into Common Stock on a one-to-one basis immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock and had no expiration date.
Each share of Series B Convertible Preferred Stock automatically converted into Common Stock on a one-to-one basis immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock and had no expiration date.
Each share of Series C Convertible Preferred Stock automatically converted into Common Stock on a one-to-one basis immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock and had no expiration date.
Mayfield XIV Management (UGP), Ltd., a Cayman Islands Exempted Company (MF XIV UGP), is the general partner of Mayfield XIV Management (EGP), L.P., a Cayman Islands Exempted Limited Partnership (MF XIV EGP), which is the general partner of Mayfield XIV, a Cayman Islands Exempted Limited Partnership (MF XIV). Rajeev Batra, Navin Chaddha, and Urshit Parikh, the directors of MF XIV UGP, may be deemed to share beneficial ownership of the shares owned by MF XIV, but each of the individuals disclaims such beneficial ownership.
Each share of Series D Convertible Preferred Stock automatically converted into Common Stock on a one-to-one basis immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock and had no expiration date.
Mayfield Select Management (UGP), Ltd., a Cayman Islands Exempted Company (MF Select UGP), is the general partner of Mayfield Select Management (EGP), L.P., a Cayman Islands Exempted Limited Partnership (MF Select EGP), which is the general partner of Mayfield Select, a Cayman Islands Exempted Limited Partnership (MF Select). Messrs. Batra, Chaddha, and Parikh, the directors of MF Select UGP, may be deemed to share beneficial ownership of the shares owned by MF Select, but each of the individuals disclaims such beneficial ownership.
Each share of Series E Convertible Preferred Stock automatically converted into Common Stock on a one-to-one basis immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock and had no expiration date.
MF Leaders Management, L.L.C. (MF Leaders GP) is the general partner of MF Leaders H-E, L.P. (MF Leaders). Mr. Chaddha, the sole member of MF Leaders GP, may be deemed to share beneficial ownership of the shares owned by MF Leaders, but disclaims such beneficial ownership.
Pursuant to a reclassification exempt under Rule 16b-7, each share of Common Stock was automatically reclassified into one share of Class B Common Stock immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock.
Each share of Class B Common Stock is convertible at any time into Class A Common Stock on a one-to-one basis at the reporting person's election and has no expiration date.
MAYFIELD XIV, a Cayman Islands Exempted Limited Partnership, By: MAYFIELD XIV MANAGEMENT (EGP), L.P., its General Partner, By: MAYFIELD XIV MANAGEMENT (UGP), LTD., its General Partner, By: /s/ Paul Kohli, Authorized Signatory
2021-12-15
MAYFIELD XIV MANAGEMENT (EGP), L.P., By: MAYFIELD XIV MANAGEMENT (UGP), LTD., its General Partner, By: /s/ Paul Kohli, Authorized Signatory
2021-12-15
MAYFIELD XIV MANAGEMENT (UGP), LTD., By: /s/ Paul Kohli, Authorized Signatory
2021-12-15
MAYFIELD SELECT, a Cayman Islands Exempted Limited Partnership, By: MAYFIELD SELECT MANAGEMENT (EGP), L.P., its General Partner, By: MAYFIELD SELECT MANAGEMENT (UGP), LTD., its General Partner, By: /s/ Paul Kohli, Authorized Signatory
2021-12-15
MAYFIELD SELECT MANAGEMENT (EGP), L.P., By: MAYFIELD SELECT MANAGEMENT (UGP), LTD., its General Partner, By: /s/ Paul Kohli, Authorized Signatory
2021-12-15
MAYFIELD SELECT MANAGEMENT (UGP), LTD., By: /s/ Paul Kohli, Authorized Signatory
2021-12-15
MF LEADERS H-E, L.P., a Delaware limited partnership, By: MF Leaders Management, L.L.C., its General Partner, By: /s/ Paul Kohli, Authorized Signatory
2021-12-15
MF Leaders Management, L.L.C., By: /s/ Paul Kohli, Authorized Signatory
2021-12-15