0000899243-21-047837.txt : 20211210
0000899243-21-047837.hdr.sgml : 20211210
20211210211446
ACCESSION NUMBER: 0000899243-21-047837
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211208
FILED AS OF DATE: 20211210
DATE AS OF CHANGE: 20211210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Welihinda Navam
CENTRAL INDEX KEY: 0001894706
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41121
FILM NUMBER: 211486797
MAIL ADDRESS:
STREET 1: C/O HASHICORP INC.
STREET 2: 101 SECOND STREET, SUITE 700
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
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
X0306
4
2021-12-08
0
0001720671
HashiCorp, Inc.
HCP
0001894706
Welihinda Navam
C/O HASHICORP, INC.
101 SECOND STREET, SUITE 700
SAN FRANCISCO
CA
94105
0
1
0
0
Chief Financial Officer
Common Stock
2021-12-08
4
A
0
121000
0.00
A
301028
D
Common Stock
2021-12-08
4
A
0
95000
0.00
A
396028
D
Immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock, each share of Common Stock shall be reclassified into one share of Class B Common Stock.
The reported shares are represented by restricted stock units, or RSUs, which vest as to 25% on January 31, 2022 and the remaining shares vest in twelve equal quarterly installments beginning on March 20, 2022. Immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock, each share underlying these RSUs shall be reclassified into one share of Class B Common Stock.
The reported shares are represented by RSUs which vest as to 50% on December 9, 2023 and the remaining shares vest in eight equal quarterly installments beginning on December 20, 2023. Immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock, each share underlying these RSUs shall be reclassified into one share of Class A Common Stock.
/s/ Paul Warenski, by power of attorney
2021-12-10