0001562180-21-005933.txt : 20210913 0001562180-21-005933.hdr.sgml : 20210913 20210913194721 ACCESSION NUMBER: 0001562180-21-005933 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210909 FILED AS OF DATE: 20210913 DATE AS OF CHANGE: 20210913 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kummert Ted CENTRAL INDEX KEY: 0001685059 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40348 FILM NUMBER: 211250898 MAIL ADDRESS: STREET 1: C/O UIPATH, INC. STREET 2: 90 PARK AVE, 20TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10016 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UiPath, Inc. CENTRAL INDEX KEY: 0001734722 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 474333187 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 90 PARK AVE STREET 2: 20TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10016 BUSINESS PHONE: (844) 432-0455 MAIL ADDRESS: STREET 1: 90 PARK AVE STREET 2: 20TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10016 4 1 primarydocument.xml PRIMARY DOCUMENT X0306 4 2021-09-09 false 0001734722 UiPath, Inc. PATH 0001685059 Kummert Ted C/O UIPATH, INC. 90 PARK AVE, 20TH FL NEW YORK NY 10016 false true false false EVP, Product & Engineering Class A Common Stock 2021-09-09 4 M false 50000.00 5.06 A 888590.00 D Class A Common Stock 2021-09-09 4 S false 50000.00 56.0901 D 838590.00 D Stock Option (Right to Buy) 5.06 2021-09-09 4 M false 50000.00 0.00 D 2030-03-26 Class A Common Stock 50000.00 788590.00 D These shares were sold in compliance with a qualified selling plan adopted by the reporting person pursuant to Rule 10b5-1 promulgated under the Securities Exchange Act of 1934, as amended. The range of prices for the transactions reported were from $55.8700 to $56.3100. The reporting person will provide, upon request by the Commission staff, the issuer or a security holder of the issuer, full information regarding the number of shares purchased or sold at each separate price. 25% of the shares subject to the option vested on March 9, 2021, with the remaining shares vesting in equal monthly installments over the next three years, subject to Reporting Person's continuous service through each such vesting date. The option expires ten years after the date of grant. /s/ Brad Brubaker, Attorney-in-Fact 2021-09-13 EX-99 2 kummert_poa.txt KUMMERT POA AUTHORIZATION LETTER April 20, 2021 Securities and Exchange Commission 100 F Street, NE Washington, D.C. 20549 Attn: Filing Desk To Whom It May Concern: By means of this letter I authorize Brad Brubaker, Eileen McCarthy, and Eric Topel, and Nicole Brookshire, Matthew Dubofsky and Owen Williams from Cooley LLP, or any of them individually, to sign on my behalf all forms required under Section 16(a) of the Securities Exchange Act of 1934, as amended, relating to transactions involving the stock or derivative securities of UiPath, Inc. Any of these individuals is accordingly authorized to sign any Form ID, Form 3, Form 4, Form 5 or amendment to those forms that I am required to file with the same effect as if I had signed them myself. This authorization will remain in effect until revoked in writing by me. Yours truly, /s/ Ted Kummert POWER OF ATTORNEY Know all by these presents, that the undersigned hereby constitutes and appoints each of Brad Brubaker, Eileen McCarthy, and Eric Topel, and Nicole Brookshire, Matthew Dubofsky and Owen Williams, signing individually, the undersigneds true and lawful attorneys-in fact and agents to: (1) execute for and on behalf of the undersigned, in the undersigneds capacity as an executive officer, member of the Board of Directors and/or greater than 10% stockholder of UiPath, Inc. (the Company), Forms 3, 4 and 5 (including any amendments thereto) in accordance with Section 16(a) of the Securities Exchange Act of 1934, as amended (the Exchange Act), and the rules thereunder; (2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Forms 3, 4 or 5 (including any amendments thereto) and timely file such forms with the Securities and Exchange Commission and any stock exchange or similar authority; and (3) take any other action of any nature whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-facts discretion. The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-facts substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigneds responsibilities to comply with Section 16 of the Exchange Act. This Power of Attorney shall remain in full force and effect until the earliest to occur of (a) the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigneds holdings of and transactions in securities issued by the Company, (b) revocation by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact, or (c) as to any attorney-in-fact individually, until such attorney-in-fact is no longer employed by the Company or employed by or a partner at Cooley LLP, as applicable. The undersigned has caused this Power of Attorney to be executed as of April 20, 2021. /s/ Ted Kummert