0001209191-23-037541.txt : 20230615
0001209191-23-037541.hdr.sgml : 20230615
20230615183157
ACCESSION NUMBER: 0001209191-23-037541
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230613
FILED AS OF DATE: 20230615
DATE AS OF CHANGE: 20230615
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GGV Capital V L.P.
CENTRAL INDEX KEY: 0001605612
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41121
FILM NUMBER: 231018896
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD, SUITE 4-230
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 475-2150
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD, SUITE 4-230
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GGV Capital V L.L.C.
CENTRAL INDEX KEY: 0001766305
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41121
FILM NUMBER: 231018897
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 230
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-475-2131
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 4, SUITE 230
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GGV Capital V Entrepreneurs Fund L.P.
CENTRAL INDEX KEY: 0001605614
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41121
FILM NUMBER: 231018895
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD, SUITE 4-230
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 475-2150
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD, SUITE 4-230
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
X0407
4
2023-06-13
0
0001720671
HashiCorp, Inc.
HCP
0001766305
GGV Capital V L.L.C.
3000 SAND HILL ROAD
BUILDING 4, SUITE 230
MENLO PARK
CA
94025
0
0
1
0
0001605612
GGV Capital V L.P.
3000 SAND HILL ROAD
BUILDING 4, SUITE 230
MENLO PARK
CA
94025
0
0
1
0
0001605614
GGV Capital V Entrepreneurs Fund L.P.
3000 SAND HILL ROAD
BUILDING 4, SUITE 230
MENLO PARK
CA
94025
0
0
1
0
0
Class A Common Stock
2023-06-13
4
C
0
2098692
0.00
A
2098692
I
By GGV Capital V L.P.
Class A Common Stock
2023-06-13
4
C
0
77022
0.00
A
77022
I
By GGV Capital V Entrepreneurs Fund L.P.
Class A Common Stock
2023-06-13
4
J
0
2098692
0.00
D
0
I
By GGV Capital V L.P.
Class A Common Stock
2023-06-13
4
J
0
77022
0.00
D
0
I
By GGV Capital V Entrepreneurs Fund L.P.
Class A Common Stock
2023-06-13
4
J
0
485230
0.00
A
682846
D
Class A Common Stock
2023-06-13
4
J
0
426145
0.00
D
256701
D
Class B Common Stock
2023-06-13
4
C
0
2098692
D
Class A Common Stock
2098692
11542808
I
By GGV Capital V L.P.
Class B Common Stock
2023-06-13
4
C
0
77022
D
Class A Common Stock
77022
423621
I
By GGV Capital V Entrepreneurs Fund L.P.
Each share of Class B Common Stock was converted into one share of Class A Common Stock for no additional consideration at the option of the Reporting Person and had no expiration date.
The shares are held of record by GGV Capital V L.P. ("GGV V LP"). GGV Capital V L.L.C. ("GGV V LLC") serves as the general partner of GGV V LP and may be deemed to have voting and dispositive power over the shares held by GGV V LP. GGV V LLC disclaims beneficial ownership of such shares, except to the extent of its proportionate pecuniary interest therein.
The shares are held of record by GGV Capital V Entrepreneurs Fund L.P. ("GGV Entrepreneurs"). GGV V LLC serves as the general partner of GGV Entrepreneurs and may be deemed to have voting and dispositive power over the shares held by GGV Entrepreneurs. GGV V LLC disclaims beneficial ownership of such shares, except to the extent of its proportionate pecuniary interest therein.
Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by GGV V LP to its general partner and limited partners without additional consideration.
Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by GGV Entrepreneurs to its limited partners without additional consideration.
Represents receipt of shares in the distribution in kind described in footnote (4).
The shares are held of record by GGV V LLC.
Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by GGV V LLC to its members without additional consideration.
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.
GGV Capital V L.L.C., by /s/ Glenn Solomon, Managing Director
2023-06-15
GGV Capital V L.P., by GGV Capital V L.L.C., its General Partner, by /s/ Glenn Solomon, Managing Director
2023-06-15
GGV Capital V Entrepreneurs Fund L.P., by GGV Capital V L.L.C., its General Partner, by /s/ Glenn Solomon, Managing Director
2023-06-15