0001653482-22-000013.txt : 20220301
0001653482-22-000013.hdr.sgml : 20220301
20220301150342
ACCESSION NUMBER: 0001653482-22-000013
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220225
FILED AS OF DATE: 20220301
DATE AS OF CHANGE: 20220301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Johnson Eric David
CENTRAL INDEX KEY: 0001886054
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40895
FILM NUMBER: 22697193
MAIL ADDRESS:
STREET 1: C/O GITLAB, INC.
STREET 2: 268 BUSH STREET, #350
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94104
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: 650-474-5175
MAIL ADDRESS:
STREET 1: 268 BUSH STREET
STREET 2: #350
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94104
4
1
wf-form4_164616500933977.xml
FORM 4
X0306
4
2022-02-25
0
0001653482
Gitlab Inc.
GTLB
0001886054
Johnson Eric David
C/O GITLAB INC.
NOT APPLICABLE
DE
0
1
0
0
Chief Technology Officer
Class A Common Stock
2022-02-25
4
C
0
24180
0
A
24180
D
Stock Option (Right to buy Class B Common Stock)
0.6525
2022-02-25
4
M
0
24180
0
D
2027-11-12
Class B Common Stock
24180.0
493724
D
Class B Common Stock
2022-02-25
4
M
0
24180
0.6525
A
Class A Common Stock
24180.0
24180
D
Class B Common Stock
2022-02-25
4
C
0
24180
0
D
Class A Common Stock
24180.0
0
D
The option is fully vested.
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) October 13, 2031, (ii) the death or disability of Sytse Sijbrandij, (iii) the first date after October 13, 2021, 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. No cash or other consideration is payable in connection with conversion.
/s/ Robin Schulman, Attorney-in-Fact for Eric David Johnson
2022-03-01