0000899243-21-040556.txt : 20211018
0000899243-21-040556.hdr.sgml : 20211018
20211018213553
ACCESSION NUMBER: 0000899243-21-040556
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211018
FILED AS OF DATE: 20211018
DATE AS OF CHANGE: 20211018
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Makan Divesh
CENTRAL INDEX KEY: 0001688143
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40895
FILM NUMBER: 211329493
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40895
FILM NUMBER: 211329498
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40895
FILM NUMBER: 211329492
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40895
FILM NUMBER: 211329494
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40895
FILM NUMBER: 211329497
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40895
FILM NUMBER: 211329496
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40895
FILM NUMBER: 211329495
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-10-18
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
2021-10-18
4
P
0
129400
77.00
A
129400
I
By ICONIQ Strategic Partners V, L.P.
Class A Common Stock
2021-10-18
4
P
0
195650
77.00
A
195650
I
By ICONIQ Strategic Partners V-B, L.P.
Class A Common Stock
2021-10-18
4
P
0
144598
77.00
A
144598
I
By ICONIQ Strategic Partners VI, L.P.
Class A Common Stock
2021-10-18
4
P
0
180452
77.00
A
180452
I
By ICONIQ Strategic Partners VI-B, L.P.
Class A Common Stock
556335
D
Class A Common Stock
594449
I
By ICONIQ Strategic Partners III-B, L.P.
Series D Preferred Stock
2021-10-18
4
C
0
4139080
0.00
D
Class B Common Stock
4139080
0
D
Series D Preferred Stock
2021-10-18
4
C
0
4422660
0.00
D
Class B Common Stock
4422660
0
I
By ICONIQ Strategic Partners III-B, L.P.
Series E Preferred Stock
2021-10-18
4
C
0
440724
0.00
D
Class B Common Stock
440724
0
D
Series E Preferred Stock
2021-10-18
4
C
0
470918
0.00
D
Class B Common Stock
470918
0
I
By ICONIQ Strategic Partners III-B, L.P.
Series E Preferred Stock
2021-10-18
4
C
0
686248
0.00
D
Class B Common Stock
686248
0
I
By ICONIQ Strategic Partners IV, L.P.
Series E Preferred Stock
2021-10-18
4
C
0
1137036
0.00
D
Class B Common Stock
1137036
0
I
By ICONIQ Strategic Partners IV-B, L.P.
Class B Common Stock
2021-10-18
4
C
0
4579804
0.00
A
Class A Common Stock
4579804
5504195
D
Class B Common Stock
2021-10-18
4
C
0
4893578
0.00
A
Class A Common Stock
4893578
5881302
I
By ICONIQ Strategic Partners III-B, L.P.
Class B Common Stock
2021-10-18
4
C
0
686248
0.00
A
Class A Common Stock
686248
1382283
I
By ICONIQ Strategic Partners IV, L.P.
Class B Common Stock
2021-10-18
4
C
0
1137036
0.00
A
Class A Common Stock
1137036
2290287
I
By ICONIQ Strategic Partners IV-B, L.P.
Class B Common Stock
Class A Common Stock
163011
163011
I
By ICONIQ Strategic Partners V, L.P.
Class B Common Stock
Class A Common Stock
251126
251126
I
By ICONIQ Strategic Partners V-B, L.P.
These shares were purchased from the underwriters at the closing of the Issuer's initial public offering ("IPO").
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").
The shares are held by ICONIQ Strategic Partners VI, L.P. ("ICONIQ VI").
The shares are held by ICONIQ Strategic Partners VI-B, L.P. ("ICONIQ VI-B").
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").
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.
(Continued form Footnote 10) 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. ICONIQ Strategic Partners VI GP, L.P. ("ICONIQ VI GP") is the sole general partner of each of ICONIQ VI and ICONIQ VI-B. ICONIQ Strategic Partners VI TT GP, Ltd. ("ICONIQ VI Parent GP") is the sole general partner of ICONIQ VI 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, ICONIQ V Parent GP and ICONIQ VI 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, ICONIQ VI GP, ICONIQ VI 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 Series D Preferred Stock and Series E Preferred Stock (together, the "Preferred Stock") automatically converted into one share of Class B Stock immediately prior to the closing of the IPO. The Preferred Stock had no expiration date.
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 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.
This Form 4 is the second of two Forms 4 being filed relating to the same event. The Form 4 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 4 to a maximum of 10 Reporting Persons. Each Form 4 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
2021-10-18
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
2021-10-18
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
2021-10-18
ICONIQ Strategic Partners V GP, L.P., ICONIQ Strategic Partners V TT GP, Ltd., By: Kevin Foster, Title: Authorized Signatory, /s/ Kevin Foster
2021-10-18
ICONIQ Strategic Partners V TT GP, Ltd., By: Kevin Foster, Title: Authorized Signatory, /s/ Kevin Foster
2021-10-18
/s/ Divesh Makan
2021-10-18
/s/ William J.G. Griffith
2021-10-18