0001209191-23-048856.txt : 20230908 0001209191-23-048856.hdr.sgml : 20230908 20230908213050 ACCESSION NUMBER: 0001209191-23-048856 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230906 FILED AS OF DATE: 20230908 DATE AS OF CHANGE: 20230908 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: 231246513 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: 231246514 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: 231246512 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 X0508 4 2023-09-06 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 2023-09-06 4 C 0 1049346 0.00 A 1049346 I By GGV Capital V L.P. Class A Common Stock 2023-09-06 4 C 0 38511 0.00 A 38511 I By GGV Capital V Entrepreneurs Fund L.P. Class A Common Stock 2023-09-06 4 J 0 1049346 0.00 D 0 I By GGV Capital V L.P. Class A Common Stock 2023-09-06 4 J 0 38511 0.00 D 0 I By GGV Capital V Entrepreneurs Fund L.P. Class A Common Stock 2023-09-06 4 J 0 242615 0.00 A 358161 D Class A Common Stock 2023-09-06 4 J 0 213073 0.00 D 145088 D Class B Common Stock 2023-09-06 4 C 0 1049346 D Class A Common Stock 1049346 10493462 I By GGV Capital V L.P. Class B Common Stock 2023-09-06 4 C 0 38511 D Class A Common Stock 38511 385110 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 2023-09-08 GGV Capital V L.P., by GGV Capital V L.L.C., its General Partner, by /s/ Glenn Solomon, Managing Director 2023-09-08 GGV Capital V Entrepreneurs Fund L.P., by GGV Capital V L.L.C., its General Partner, by /s/ Glenn Solomon, Managing Director 2023-09-08