0000899243-21-040155.txt : 20211013
0000899243-21-040155.hdr.sgml : 20211013
20211013193521
ACCESSION NUMBER: 0000899243-21-040155
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211013
FILED AS OF DATE: 20211013
DATE AS OF CHANGE: 20211013
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Makan Divesh
CENTRAL INDEX KEY: 0001688143
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40895
FILM NUMBER: 211322234
MAIL ADDRESS:
STREET 1: C/O ICONIQ CAPITAL
STREET 2: 394 PACIFIC AVENUE, 2ND FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ICONIQ Strategic Partners III, L.P.
CENTRAL INDEX KEY: 0001678064
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40895
FILM NUMBER: 211322239
BUSINESS ADDRESS:
STREET 1: 394 PACIFIC AVENUE, 2ND FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
BUSINESS PHONE: 415-937-7763
MAIL ADDRESS:
STREET 1: 394 PACIFIC AVENUE, 2ND FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Griffith William J.G.
CENTRAL INDEX KEY: 0001688124
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40895
FILM NUMBER: 211322233
MAIL ADDRESS:
STREET 1: 21300 VICTORY BLVD.
STREET 2: 12TH FLOOR
CITY: WOODLAND HILLS
STATE: CA
ZIP: 91367
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ICONIQ Strategic Partners V TT GP, Ltd.
CENTRAL INDEX KEY: 0001825921
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40895
FILM NUMBER: 211322235
BUSINESS ADDRESS:
STREET 1: 394 PACIFIC AVENUE
STREET 2: SECOND FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
BUSINESS PHONE: 4159677763
MAIL ADDRESS:
STREET 1: 394 PACIFIC AVENUE
STREET 2: SECOND FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ICONIQ Strategic Partners V, L.P.
CENTRAL INDEX KEY: 0001816067
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40895
FILM NUMBER: 211322237
BUSINESS ADDRESS:
STREET 1: 394 PACIFIC AVENUE
STREET 2: SECOND FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
BUSINESS PHONE: 4159677763
MAIL ADDRESS:
STREET 1: 394 PACIFIC AVENUE
STREET 2: SECOND FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ICONIQ Strategic Partners V-B, L.P.
CENTRAL INDEX KEY: 0001816068
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40895
FILM NUMBER: 211322238
BUSINESS ADDRESS:
STREET 1: 394 PACIFIC AVENUE
STREET 2: SECOND FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
BUSINESS PHONE: 4159677763
MAIL ADDRESS:
STREET 1: 394 PACIFIC AVENUE
STREET 2: SECOND FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ICONIQ Strategic Partners V GP, L.P.
CENTRAL INDEX KEY: 0001825883
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40895
FILM NUMBER: 211322236
BUSINESS ADDRESS:
STREET 1: 394 PACIFIC AVENUE
STREET 2: SECOND FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
BUSINESS PHONE: 4159677763
MAIL ADDRESS:
STREET 1: 394 PACIFIC AVENUE
STREET 2: SECOND FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Gitlab Inc.
CENTRAL INDEX KEY: 0001653482
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 471861035
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0131
BUSINESS ADDRESS:
STREET 1: 268 BUSH STREET
STREET 2: #350
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94104
BUSINESS PHONE: 415-829-2854
MAIL ADDRESS:
STREET 1: 268 BUSH STREET
STREET 2: #350
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94104
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2021-10-13
0
0001653482
Gitlab Inc.
GTLB
0001678064
ICONIQ Strategic Partners III, L.P.
C/O ICONIQ CAPITAL, 394
PACIFIC AVENUE, 2ND FLOOR
SAN FRANCISCO
CA
94111
0
0
1
0
0001816067
ICONIQ Strategic Partners V, L.P.
C/O ICONIQ CAPITAL
394 PACIFIC AVENUE, 2ND FLOOR
SAN FRANCISCO
CA
94111
0
0
1
0
0001816068
ICONIQ Strategic Partners V-B, L.P.
C/O ICONIQ CAPITAL
394 PACIFIC AVENUE, 2ND FLOOR
SAN FRANCISCO
CA
94111
0
0
1
0
0001825883
ICONIQ Strategic Partners V GP, L.P.
C/O ICONIQ CAPITAL
394 PACIFIC AVENUE, 2ND FLOOR
SAN FRANCISCO
CA
94111
0
0
1
0
0001825921
ICONIQ Strategic Partners V TT GP, Ltd.
C/O ICONIQ CAPITAL
394 PACIFIC AVENUE, 2ND FLOOR
SAN FRANCISCO
CA
94111
0
0
1
0
0001688143
Makan Divesh
C/O ICONIQ CAPITAL
394 PACIFIC AVENUE, 2ND FLOOR
SAN FRANCISCO
CA
94111
0
0
1
0
0001688124
Griffith William J.G.
C/O ICONIQ CAPITAL
394 PACIFIC AVENUE, 2ND FLOOR
SAN FRANCISCO
CA
94111
0
0
1
0
Class A Common Stock
556335
D
Class A Common Stock
594449
I
By ICONIQ Strategic Partners III-B, L.P.
Class B Common Stock
Class A Common Stock
924391
D
Class B Common Stock
Class A Common Stock
987724
I
By ICONIQ Strategic Partners III-B, L.P.
Class B Common Stock
Class A Common Stock
696035
I
By ICONIQ Strategic Partners IV, L.P.
Class B Common Stock
Class A Common Stock
1153251
I
By ICONIQ Strategic Partners IV-B, L.P.
Class B Common Stock
Class A Common Stock
163011
I
By ICONIQ Strategic Partners V, L.P.
Class B Common Stock
Class A Common Stock
251126
I
By ICONIQ Strategic Partners V-B, L.P.
Series D Preferred Stock
Class B Common Stock
4139080
D
Series D Preferred Stock
Class B Common Stock
4422660
I
By ICONIQ Strategic Partners III-B, L.P.
Series E Preferred Stock
Class B Common Stock
440724
D
Series E Preferred Stock
Class B Common Stock
470918
I
By ICONIQ Strategic Partners III-B, L.P.
Series E Preferred Stock
Class B Common Stock
686248
I
By ICONIQ Strategic Partners IV, L.P.
Series E Preferred Stock
Class B Common Stock
1137036
I
By ICONIQ Strategic Partners IV-B, L.P.
The shares are held by ICONIQ Strategic Partners III, L.P. ("ICONIQ III").
The shares are held by ICONIQ Strategic Partners III-B, L.P. ("ICONIQ III-B").
The shares are held by ICONIQ Strategic Partners IV, L.P. ("ICONIQ IV").
The shares are held by ICONIQ Strategic Partners IV-B, L.P. ("ICONIQ IV-B").
The shares are held by ICONIQ Strategic Partners V, L.P. ("ICONIQ V").
The shares are held by ICONIQ Strategic Partners V-B, L.P. ("ICONIQ V-B").
ICONIQ Strategic Partners III GP, L.P. ("ICONIQ III GP") is the sole general partner of each of ICONIQ III and ICONIQ III-B. ICONIQ Strategic Partners III TT GP, Ltd. ("ICONIQ III Parent GP") is the sole general partner of ICONIQ III GP. ICONIQ Strategic Partners IV GP, L.P. ("ICONIQ IV GP") is the sole general partner of each of ICONIQ IV and ICONIQ IV-B. ICONIQ Strategic Partners IV TT GP, Ltd. ("ICONIQ IV Parent GP") is the sole general partner of ICONIQ IV GP. ICONIQ Strategic Partners V GP, L.P. ("ICONIQ V GP") is the sole general partner of each of ICONIQ V and ICONIQ V-B. ICONIQ Strategic Partners V TT GP, Ltd. ("ICONIQ V Parent GP") is the sole general partner of ICONIQ V GP. Divesh Makan ("Makan") and William J.G. Griffith ("Griffith") are the sole equity holders of ICONIQ III Parent GP. Makan, Griffith and Matthew Jacobson ("Jacobson") are the sole equity holders of each of ICONIQ IV Parent GP and ICONIQ V Parent GP.
Each of ICONIQ III GP, ICONIQ III Parent GP, ICONIQ IV GP, ICONIQ IV Parent GP, ICONIQ V GP, ICONIQ V Parent GP, Makan, Griffith and Jacobson disclaims beneficial ownership of the securities reported herein for purposes of Section 16 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), except to the extent of its or his pecuniary interest therein, if any. This report shall not be deemed an admission that any of the Reporting Persons is a beneficial owner of such securities for the purpose of Section 16 of the Exchange Act, or for any other purpose.
Each share of the Issuer's Class B common stock (the "Class B Stock") is convertible into one share of the Issuer's Class A common stock at any time and will convert automatically upon certain transfers and upon the earlier of (i) ten years from the date of the Issuer's initial public offering ("IPO"), (ii) the death or disability of Sytse Sijbrandij, (iii) the first date following the completion of the IPO on which the number of shares of outstanding Class B Stock (including shares of Class B Stock subject to outstanding stock options) is less than 5% of the aggregate number of shares of the Issuer's common stock then outstanding and (iv) the date specified by a vote of the holders of two-thirds of the then outstanding shares of Class B Stock.
Each share of Series D Preferred Stock and Series E Preferred Stock (together, the "Preferred Stock") will automatically convert into one share of Class B Stock immediately prior to the closing of the IPO. The Preferred Stock has no expiration date.
This Form 3 is the second of two Forms 3 being filed relating to the same event. The Form 3 has been split into two filings because there are more than 10 Reporting Persons in total, and the SEC's EDGAR filing system limits a single Form 3 to a maximum of 10 Reporting Persons. Each Form 3 will be filed by Designated Filer ICONIQ Strategic Partners III, L.P.
ICONIQ Strategic Partners III, L.P., By: ICONIQ Strategic Partners III GP, L.P., By: ICONIQ Strategic Partners III TT GP, Ltd., By: Kevin Foster, Title: Authorized Signatory, /s/ Kevin Foster
2021-10-13
ICONIQ Strategic Partners V, L.P., By: ICONIQ Strategic Partners V GP, L.P., By: ICONIQ Strategic Partners V TT GP, Ltd., By: Kevin Foster, Title: Authorized Signatory, /s/ Kevin Foster
2021-10-13
ICONIQ Strategic Partners V-B, L.P., By: ICONIQ Strategic Partners V GP, L.P., By: ICONIQ Strategic Partners V TT GP, Ltd., By: Kevin Foster, Title: Authorized Signatory, /s/ Kevin Foster
2021-10-13
ICONIQ Strategic Partners V GP, L.P., ICONIQ Strategic Partners V TT GP, Ltd., By: Kevin Foster, Title: Authorized Signatory, /s/ Kevin Foster
2021-10-13
ICONIQ Strategic Partners V TT GP, Ltd., By: Kevin Foster, Title: Authorized Signatory, /s/ Kevin Foster
2021-10-13
/s/ Divesh Makan
2021-10-13
/s/ William J.G. Griffith
2021-10-13