0000899243-22-028798.txt : 20220816 0000899243-22-028798.hdr.sgml : 20220816 20220816163016 ACCESSION NUMBER: 0000899243-22-028798 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220812 FILED AS OF DATE: 20220816 DATE AS OF CHANGE: 20220816 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: 221170556 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: 221170554 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: 221170555 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: 221170553 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: 221170549 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: 221170552 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: 221170551 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: 221170550 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 2022-08-12 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 Class B Common Stock 2022-08-12 4 J 0 3612016 0.00 D Class A Common Stock 3612016 14666976 I Mayfield XIV, a Cayman Islands Exempted Limited Partnership Class B Common Stock 2022-08-12 4 J 0 458185 0.00 D Class A Common Stock 458185 1860508 I Mayfield Select, a Cayman Islands Exempted Limited Partnership Class B Common Stock Class A Common Stock 345778 345778 I MF Leaders H-E, L.P. 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. Represents a pro-rata distribution in-kind by Mayfield XIV, a Cayman Islands Exempted Limited Partnership, or MF XIV, to its partners for no consideration. Represents a pro-rata distribution in-kind by Mayfield Select, a Cayman Islands Exempted Limited Partnership, or MF Select, to its partners for no consideration. 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. 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. 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. 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 2022-08-16 MAYFIELD XIV MANAGEMENT (EGP), L.P., By: MAYFIELD XIV MANAGEMENT (UGP), LTD., its General Partner, By: /s/ Paul Kohli, Authorized Signatory 2022-08-16 MAYFIELD XIV MANAGEMENT (UGP), LTD., By: /s/ Paul Kohli, Authorized Signatory 2022-08-16 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 2022-08-16 MAYFIELD SELECT MANAGEMENT (EGP), L.P., By: MAYFIELD SELECT MANAGEMENT (UGP), LTD., its General Partner, By: /s/ Paul Kohli, Authorized Signatory 2022-08-16 MAYFIELD SELECT MANAGEMENT (UGP), LTD., By: /s/ Paul Kohli, Authorized Signatory 2022-08-16 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 2022-08-16 MF Leaders Management, L.L.C., By: /s/ Paul Kohli, Authorized Signatory 2022-08-16